Provider Demographics
NPI: | 1962861526 |
---|---|
Name: | LEAL, KARI LYNN (RRT-NPS) |
Entity type: | Individual |
Prefix: | MRS |
First Name: | KARI |
Middle Name: | LYNN |
Last Name: | LEAL |
Suffix: | |
Gender: | F |
Credentials: | RRT-NPS |
Other - Prefix: | MISS |
Other - First Name: | KARI |
Other - Middle Name: | LYNN |
Other - Last Name: | STOCKSTILL |
Other - Suffix: | |
Other - Last Name Type: | Former Name |
Other - Credentials: | RRT-NPS |
Mailing Address - Street 1: | 4550 38TH AVE SW |
Mailing Address - Street 2: | APT #301 |
Mailing Address - City: | SEATTLE |
Mailing Address - State: | WA |
Mailing Address - Zip Code: | 98126-2768 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 714-206-4450 |
Mailing Address - Fax: | |
Practice Address - Street 1: | 4550 38TH AVE SW APT 301 |
Practice Address - Street 2: | |
Practice Address - City: | SEATTLE |
Practice Address - State: | WA |
Practice Address - Zip Code: | 98126-2772 |
Practice Address - Country: | US |
Practice Address - Phone: | 714-206-4450 |
Practice Address - Fax: | |
Is Sole Proprietor?: | No |
Enumeration Date: | 2016-02-10 |
Last Update Date: | 2016-02-10 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Licenses
State | License ID | Taxonomies |
---|---|---|
WA | LR 60595426 | 2278C0205X, 227900000X, 2279E0002X, 2279E1000X, 2279G0305X, 2279G1100X, 2279P1005X, 2279P3900X |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization |
---|---|---|---|---|
Yes | 227900000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Respiratory Therapist, Registered | |
No | 2278C0205X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Respiratory Therapist, Certified | Critical Care |
No | 2279E0002X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Respiratory Therapist, Registered | Emergency Care |
No | 2279E1000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Respiratory Therapist, Registered | Educational |
No | 2279G0305X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Respiratory Therapist, Registered | Geriatric Care |
No | 2279G1100X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Respiratory Therapist, Registered | General Care |
No | 2279P1005X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Respiratory Therapist, Registered | Pulmonary Rehabilitation |
No | 2279P3900X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Respiratory Therapist, Registered | Neonatal/Pediatrics |