KELLIE VAZQUEZ CMA
NPI 1417615527
Physician Assistant in Spokane, WA

Active since December 06, 2021
1302 W GARDNER AVE, SPOKANE, WA 99201(509) 503-6010 Get Directions Write a Review

NPPES record last updated: December 7, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Kellie Vazquez Cma NPPES

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

KELLIE VAZQUEZ CMA (NPI 1417615527) is an individual physician assistant in Spokane, Washington and active in the NPI registry since December 2021.

NPPES Registry Identity

NPI1417615527
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKELLIE VAZQUEZCredential: CMA
Location Address1302 W GARDNER AVESpokane, WA 99201-2059
Mailing Address7440 W Marginal Way SSeattle, WA 98108-4141
Sole ProprietorNo
Enumeration DateDecember 6, 2021
Last NPPES UpdateDecember 7, 2021
NPPES CertifiedDecember 7, 2021
NPI 1417615527 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

1302 W GARDNER AVE, Spokane, WA 99201

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.

Community/Behavioral Health
1302 W GARDNER AVE
SPOKANE, WA 99201
Case Manager/Care Coordinator
1302 W GARDNER AVE
SPOKANE, WA 99201
Nurse's Aide
1302 W GARDNER AVE
SPOKANE, WA 99201
Specialist/Technologist, Other
1302 W GARDNER AVE
SPOKANE, WA 99201
Community/Behavioral Health
1302 W GARDNER AVE
SPOKANE, WA 99201
Counselor (Addiction (Substance Use Disorder))
1302 W GARDNER AVE
SPOKANE, WA 99201
Physician Assistant
1302 W GARDNER AVE
SPOKANE, WA 99201
Registered Nurse
1302 W GARDNER AVE
SPOKANE, WA 99201

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1417615527, enumerated as an "individual" on December 06, 2021.

The provider is located at 1302 W GARDNER AVE SPOKANE, WA 99201 and the phone number is (509) 503-6010.

Physician Assistant with taxonomy code 363A00000X.