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CONNOR NILSEN
NPI 1205721172
Peer Specialist in Kirkland, WA

Active since June 11, 2025
11410 NE 122ND WAY STE 100, KIRKLAND, WA 98034(425) 650-4005 Get Directions Write a Review

NPPES record last updated: September 10, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 10, 2025, Jun 11, 2025 (2 updates tracked since 2025).

About Connor Nilsen NPPES

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

CONNOR NILSEN (NPI 1205721172) is an individual peer specialist in Kirkland, Washington and active in the NPI registry since June 2025.

NPPES Registry Identity

NPI1205721172
Entity TypeIndividualMale
Primary Taxonomy175T00000X
Provider Legal NameCONNOR NILSEN
Location Address11410 NE 122ND WAY STE 100Kirkland, WA 98034-6927
Mailing Address11410 Ne 122nd Way Ste 100Kirkland, WA 98034-6927 · (425) 650-4005
Phone(425) 650-4005
Sole ProprietorNo
Enumeration DateJune 11, 2025
Last NPPES UpdateSeptember 10, 20252 updates tracked since enumeration
NPPES CertifiedSeptember 10, 2025
✔ NPI 1205721172 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.
11410 NE 122ND WAY STE 100, Kirkland, WA 98034
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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.

NATHALIE CLEMENT RN
Registered Nurse
11410 NE 122ND WAY STE 100
KIRKLAND, WA 98034
King County (425) 650-4005
JONATHAN KING
Counselor
11410 NE 122ND WAY STE 100
KIRKLAND, WA 98034
King County (425) 650-4005
GEORGIA MATTOX
Registered Nurse
11410 NE 122ND WAY STE 100
KIRKLAND, WA 98034
King County (425) 650-4005
MR. BRADLEY R MCCAUSLAND LMHCA
Counselor
11410 NE 122ND WAY STE 100
KIRKLAND, WA 98034
King County (425) 650-4005
JOANNA J HULL
Peer Specialist
11410 NE 122ND WAY STE 100
KIRKLAND, WA 98034
King County (425) 650-4005
REBECCA SHANLEY
Counselor
11410 NE 122ND WAY STE 100
KIRKLAND, WA 98034
King County (425) 650-4005
KATHERINE COMBS
Counselor
11410 NE 122ND WAY STE 100
KIRKLAND, WA 98034
King County (425) 650-4005
JACQUELINE PADILLA
Counselor
11410 NE 122ND WAY STE 100
KIRKLAND, WA 98034
King County (956) 376-3151

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 Connor Nilsen's NPI number?

The NPI number for Connor Nilsen is 1205721172. It was assigned to this individual provider in the NPPES registry on June 11, 2025.

Where is Connor Nilsen located?

Connor Nilsen practices at 11410 NE 122nd Way Ste 100, Kirkland, WA 98034. The listed phone number is (425) 650-4005.

What is Connor Nilsen'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 Connor Nilsen was last updated on September 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.