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KENNEDY FISKETJON
NPI 1194691709
Peer Specialist in Seattle, WA

Active since October 13, 2025
2100 24TH AVE S, SEATTLE, WA 98144(206) 382-5340 Get Directions Write a Review

NPPES record last updated: October 13, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kennedy Fisketjon NPPES

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

KENNEDY FISKETJON (NPI 1194691709) is an individual peer specialist in Seattle, Washington and active in the NPI registry since October 2025.

NPPES Registry Identity

NPI1194691709
Entity TypeIndividual
Primary Taxonomy175T00000X
Provider Legal NameKENNEDY FISKETJON
Location Address2100 24TH AVE SSeattle, WA 98144-4637
Mailing Address2100 24th Ave SSeattle, WA 98144-4637
Phone(206) 382-5340
Sole ProprietorYes
Enumeration DateOctober 13, 2025
NPPES CertifiedOctober 13, 2025
✔ NPI 1194691709 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
2100 24TH AVE S, Seattle, WA 98144
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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.

LAQUONIA D COOPER
Counselor
2100 24TH AVE S
SEATTLE, WA 98144
King County (206) 382-5340
OLIVER KENNEDY KLINE
Peer Specialist
2100 24TH AVE S
SEATTLE, WA 98144
King County (206) 382-5340
JENNIE JEPSEN
Counselor
2100 24TH AVE S
SEATTLE, WA 98144
King County (206) 382-5340
LOVELL SYKES
Community Health Worker
2100 24TH AVE S
SEATTLE, WA 98144
King County (206) 382-5340
KATIE SHERPE
Counselor
2100 24TH AVE S
SEATTLE, WA 98144
King County (206) 382-5340
LOU SCHWAB
Counselor
2100 24TH AVE S
SEATTLE, WA 98144
King County (206) 556-5791
RAVINA BANUMATI GOBURDHUN
Case Manager/Care Coordinator
2100 24TH AVE S
SEATTLE, WA 98144
King County (206) 610-9708
MACKENZIE PUTMAN
Counselor
2100 24TH AVE S
SEATTLE, WA 98144
King County (206) 382-5340

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 Kennedy Fisketjon's NPI number?

The NPI number for Kennedy Fisketjon is 1194691709. It was assigned to this individual provider in the NPPES registry on October 13, 2025.

Where is Kennedy Fisketjon located?

Kennedy Fisketjon practices at 2100 24th Ave S, Seattle, WA 98144. The listed phone number is (206) 382-5340.

What is Kennedy Fisketjon's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Kennedy Fisketjon was last updated on October 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.