Yellow Brick Clinic
LBN: Yellow Brick Clinic Pllc
Yellow Brick Clinic is an health care organization with primary practice located at Do Not Publish , Renton WA 98056-2715. The organization recently has 4 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is the primary health care specialty.
Yellow Brick Clinic Pllc can be contacted via phone (425) 777-5467, or through Johnson, Kathleen Elizabeth via phone (425) 777-5467.
Contact Information
Primary practice address
Do Not Publish
Renton WA 98056-2715
Phone: (425) 777-5467
Fax: (833) 631-6941
Website:
Authorized official contact:
Name: Johnson, Kathleen Elizabeth DNP, PMHNP, FNP,PMHS
Phone: (425) 777-5467
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | ||
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | AP60786815 | Washington |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | ||
| Physician Assistants & Advanced Practice Nursing Providers / Pediatrics | 363LP0200X | ||
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X |
Profile Details
| NPI number | 1932687704 |
|---|---|
| LBN Legal business name | Yellow Brick Clinic Pllc |
| DBA Doing business as | Yellow Brick Clinic |
| Authorized official | Johnson, Kathleen Elizabeth DNP, PMHNP, FNP,PMHS |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 2nd, 2018 |
| Last updated | Apr 27th, 2023 - about last year |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1932687704 | NPPES |
| Washington | MEDICAID | 2090206 |
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