Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1134537491 Individual Practitioner Female Practitioner

Dr. Kyann R Wisse , PharmD

Pharmacist • Seattle, WA

Professional Overview & Biography Verified Profile Summary

Dr. Kyann Wisse, PharmD is a registered healthcare professional specializing in Pharmacist in Seattle, WA. Practice services are available at 4100 SW ALASKA ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4100 Sw Alaska St

Seattle, WA 981164527

Telephone 2063203399
Fax 2063205506
Associated Practice Facility / Clinic
🏢 Swedish Health Services Facility NPI 1699715565

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Seattle, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 7.0 Yrs
Regional Practice Density
1502 Specialists

Practicing in Seattle, WA (7956 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

CMS Verified: 2022-09-07
Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

State License WA PH60372101

An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
1134537491 (WA)

Practice Associates & Co-Workers

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

24 Associated Practitioners
NPI 1003442898

Doctor of Medicine (M.D.)

Dr. Martha Hyde , MD

Internal Medicine

NPI 1003991340

Doctor of Medicine (M.D.)

Dr. Bruce Bonsack , MD

Internal Medicine

NPI 1225113566

Doctor of Medicine (M.D.)

Dr. Dobrina Okorn , MD

Family Medicine

NPI 1316022650

Doctor of Medicine (M.D.)

Dr. Tyler Jensen , PsyD

Psychologist - Clinical

NPI 1316600968

Doctor of Psychology (Psy.D.)

Dr. Maeve Sloan , PsyD

Psychologist - Clinical

NPI 1336926633

Doctor of Psychology (Psy.D.)

Career & Practice History Timeline

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

10 Historical Events
📍
Updated Practice Location September 07, 2022

Registered at 4100 SW ALASKA ST, SEATTLE, WA 981164527 (Tel: 2063203399)

📍
Updated Practice Location August 27, 2020

Registered at 3400 CALIFORNIA AVE SW STE 300, SEATTLE, WA 981163307 (Tel: 2063203399)

📍
Updated Business Mailing Address August 27, 2020

Registered at PO BOX 25608, SALT LAKE CITY, UT 841250608 (Tel: 2063204476)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 27, 2020

Pharmacist (License #PH60372101 in WA)

NPI Profile Active July 30, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location July 30, 2014

Registered at 4400 NE HALSEY ST, CLINICAL PHARMACY DEPARTMENT, PORTLAND, OR 972131545 (Tel: 5038936900)

📍
Updated Business Mailing Address July 30, 2014

Registered at 4400 NE HALSEY ST, CLINICAL PHARMACY DEPARTMENT, PORTLAND, OR 972131545

👤
Provider Name / Credentials Updated July 30, 2014

Recorded as KYANN WISSE, PHARMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 30, 2014

Pharmacist (License #RPH-0014162 in OR)

🟢
Initial NPI Registration & Enumeration July 30, 2014

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: 1134537491
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 30, 2014
Last Update: September 07, 2022
Sole Proprietor: No

Mailing Address

Po Box 25608

Salt Lake City, UT 841250608

Phone: 2063204476

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

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.