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Active NPI 1417615527 Individual Practitioner Female Practitioner

Kellie Vazquez , CMA

Physician Assistant • Spokane, WA

Professional Overview & Biography Verified Profile Summary

Kellie Vazquez, CMA is a registered healthcare professional specializing in Physician Assistant in Spokane, WA. Practice services are available at 1302 W GARDNER AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1302 W Gardner Ave

Spokane, WA 992012059

Telephone 5095036010
Associated Practice Facility / Clinic
🏢 Pioneer Human Services Facility NPI 1174296768

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Spokane, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 12.2 Yrs
State Avg: 12.1 Yrs
Regional Practice Density
320 Specialists

Practicing in Spokane, WA (3774 Statewide)

Telehealth Adoption Rate
14.1% 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: 2021-12-07
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Counselor - Addiction (Substance Use Disorder)

NUCC Taxonomy Code: 101YA0400X

Definition to come...

Practice Associates & Co-Workers

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

40 Associated Practitioners
Shelly Shaw , CMA

Physician Assistant - Medical

NPI 1013686260
Jordan Brown , RN

Registered Nurse

NPI 1013700962

Registered Nurse

Briana Reed

Technician

NPI 1013858067
Aaron Ford

Peer Specialist

NPI 1023707395
Miranda Oliver , RN

Registered Nurse

NPI 1043037542

Registered Nurse

Danny Bubnyak , RN

Registered Nurse

NPI 1043139413

Registered Nurse

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active December 07, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location December 07, 2021

Registered at 1302 W GARDNER AVE, SPOKANE, WA 992012059 (Tel: 5095036010)

📍
Updated Business Mailing Address December 07, 2021

Registered at 7440 W MARGINAL WAY S, SEATTLE, WA 981084141

👤
Provider Name / Credentials Updated December 07, 2021

Recorded as KELLIE VAZQUEZ, CMA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 07, 2021

Counselor

🟢
Initial NPI Registration & Enumeration December 06, 2021

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: 1417615527
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 06, 2021
Last Update: December 07, 2021
Sole Proprietor: No

Mailing Address

7440 W Marginal Way S

Seattle, WA 981084141

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.