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Deactivated NPI 1003920661 Deactivated / Inactive NPI Female Practitioner

Dr. Kathryn Louise Hettel , MD

Specialist • Everett, WA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Kathryn Hettel has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date August 19, 2006
NPI Deactivation Date March 14, 2018
Total Practice Duration ~12 Years of Practice (2006 – 2018)

Professional Overview & Biography Verified Profile Summary

Dr. Kathryn Hettel, MD was a registered Specialist practicing in Everett, WA. Throughout an active medical career spanning 12 years, Dr. Hettel provided care at the practice location at 3216 NORTON AVE until profile deactivation on 2018-03-14.

Practice Location & Contact Primary Location

Practice Address

3216 Norton Ave
Suite 101

Everett, WA 982014290

Telephone 4252587511
Fax 4252587742
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Everett, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 11.0 Yrs
State Avg: 35.4 Yrs
Regional Practice Density
48 Specialists

Practicing in Everett, WA (2751 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License WA MD00030384

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
Dr. Kathleen Burgess , MD

Physical Medicine & Rehabilitation

NPI 1275530925

Doctor of Medicine (M.D.)

NPI 1720192396

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated March 14, 2018

Record deactivated on March 14, 2018

NPI Profile Active January 30, 2009

NPI status registered as active in NPPES database

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Updated Practice Location January 30, 2009

Registered at 3216 NORTON AVE, SUITE 101, EVERETT, WA 982014290 (Tel: 4252587511)

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Updated Business Mailing Address January 30, 2009

Registered at 7410 77TH AVE SE, SNOHOMISH, WA 982905843 (Tel: 4252587511)

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Provider Name / Credentials Updated January 30, 2009

Recorded as KATHRYN HETTEL, M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) January 30, 2009

Specialist (License #MD00030384 in WA)

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Initial NPI Registration & Enumeration August 19, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1003920661
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 19, 2006
Last Update: January 30, 2009
Deactivation Date: March 14, 2018

Mailing Address

7410 77th Ave Se

Snohomish, WA 982905843

Phone: 4252587511

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

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