DR. KOSUKE NIITSU PHD, ARNP, PMHNP-BC
NPI 1073059259
Nurse Practitioner - Psychiatric/Mental Health in Bothell, WA

Q: What is Kosuke Niitsu's NPI number?

The NPI number for Kosuke Niitsu is 1073059259. It was assigned to this individual provider in the NPPES registry on January 12, 2017.

Q: What is Kosuke Niitsu's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Kosuke Niitsu was last updated on October 15, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 January 12, 2017

17927 113TH AVE NE, BOTHELL, WA 98011(425) 352-3183(425) 352-3581 Get Directions Write a Review

NPPES record last updated: October 15, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 15, 2023, Oct 20, 2017, Jan 12, 2017 (3 updates tracked since 2017).

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About Dr. Kosuke Niitsu Phd, Arnp, Pmhnp-bc NPPES

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

DR. KOSUKE NIITSU PHD, ARNP, PMHNP-BC (NPI 1073059259) is an individual psychiatric/mental health provider in Bothell, Washington, licensed in Washington (AP60989975) and active in the NPI registry since January 2017. He maintains a secondary practice location in Aurora.

NPPES Registry Identity

NPI1073059259

Entity TypeIndividualMale

Primary Taxonomy363LP0808X

Provider Legal NameDR. KOSUKE NIITSUCredential: PHD, ARNP, PMHNP-BC

Location Address17927 113TH AVE NEBothell, WA 98011-7909

Mailing Address18115 Campus Way Ne, Box 358555Bothell, WA 98011 · (425) 352-3183 · Fax (425) 352-3581

Phone(425) 352-3183

Fax(425) 352-3581

Sole ProprietorNo

Enumeration DateJanuary 12, 2017

Last NPPES UpdateOctober 15, 20233 updates tracked since enumeration

NPPES CertifiedOctober 15, 2023

✔ NPI 1073059259 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

Licenses✔ Licensed in WA · AP60989975✔ Licensed in CO · C-APN.0000823-C-NP✔ Licensed in IA · G145896✔ Licensed in NE · 111689

17927 113TH AVE NE, Bothell, WA 98011

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Secondary Practice Location 1

Location 112348 East Mountview Bldv 2nd FloorAurora, CO 80045 · Phone (303) 724-6242 · Fax (303) 724-9213

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kosuke Niitsu's NPI number?

The NPI number for Kosuke Niitsu is 1073059259. It was assigned to this individual provider in the NPPES registry on January 12, 2017.

Where is Kosuke Niitsu located?

Kosuke Niitsu practices at 17927 113th Ave NE, Bothell, WA 98011. The listed phone number is (425) 352-3183.

What is Kosuke Niitsu's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Kosuke Niitsu was last updated on October 15, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.