CHARLES LEONARD PIETERICK ARNP
NPI 1063584902
Nurse Practitioner in Seattle, WA

Q: What is Charles Pieterick's NPI number?

The NPI number for Charles Pieterick is 1063584902. It was assigned to this individual provider in the NPPES registry on November 15, 2006.

Q: What is Charles Pieterick's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Charles Pieterick was last updated on July 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since November 15, 2006

825 EASTLAKE AVE E, SEATTLE, WA 98109(206) 667-6936 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Charles Leonard Pieterick Arnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CHARLES LEONARD PIETERICK ARNP (NPI 1063584902) is an individual nurse practitioner in Seattle, Washington, licensed in Washington (AP30001503) and active in the NPI registry since November 2006.

NPPES Registry Identity

NPI1063584902

Entity TypeIndividualMale

Primary Taxonomy363L00000X

Provider Legal NameCHARLES LEONARD PIETERICKCredential: ARNP

Location Address825 EASTLAKE AVE ESeattle, WA 98109-4405

Mailing AddressPo Box 50095Seattle, WA 98145-5095 · (206) 543-6420

Phone(206) 667-6936

Sole ProprietorNo

Enumeration DateNovember 15, 2006

Last NPPES UpdateJuly 9, 2007

✔ NPI 1063584902 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in WA · AP30001503

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

825 EASTLAKE AVE E, Seattle, WA 98109

Open in Google Maps ↗

Other Identifiers 3

Medicare UPINQ47620WA

Medicare ID-Type Unspecified8854522WA · Uw Physicians

Medicaid9646068WA

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SANDHYA RAMANATHAN PANCH M.D.

Internal Medicine (Hematology)