ATHENA NICOLE KONICKI
NPI 1508509050
Student in an Organized Health Care Education/Training Program in Vancouver, WA

NPI Status: Active since April 13, 2022

Contact Information

100 E 33RD ST STE 100
VANCOUVER, WA
ZIP 98663
Phone: (360) 514-7550

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  • Individual
  • Female
  • Student in an Organized Health Care Educ...
  • PECOS Enrolled

About ATHENA KONICKI

Athena Konicki is a primary care provider established in Vancouver, Washington and her medical specialization is Student In An Organized Health Care Education/training Program. The healthcare provider is registered in the NPI registry with number 1508509050 assigned on April 2022. The practitioner's primary taxonomy code is 390200000X. The provider is registered as an individual and her NPI record was last updated 2 years ago.

NPI
1508509050
Provider Name
ATHENA NICOLE KONICKI
Gender
Female
Entity Type
Individual
Location Address
100 E 33RD ST STE 100 VANCOUVER, WA 98663
Location Phone
(360) 514-7550
Mailing Address
100 E 33RD ST STE 100 VANCOUVER, WA 98663
Mailing Phone
(360) 514-7550
Is Sole Proprietor?
Yes
Enumeration Date
04-13-2022
Last Update Date
04-13-2022
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A primary care provider (PCP) like Athena Konicki sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Student in an Organized Health Care Education/Training Program

Taxonomy Code
390200000X
Type
Student, Health Care
Taxonomy Description
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

PECOS Enrollment and Medicare Participation Status

Athena Konicki is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Reviews for ATHENA NICOLE KONICKI

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1508509050
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
250810018010
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 0 + 8 + 1 + 0 + 0 + 1 + 8 + 0 + 1 + 0 + 24 = 50
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1508509050 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1366480949DR. JACK E LONG MD
Individual
Internal Medicine100 E 33RD ST STE 100
VANCOUVER, WA 98663
(360) 256-2000
1477593341MR. DAVID MICHAEL PASTICK PAC
Individual
Physician Assistant (Medical)100 E 33RD ST STE 100
VANCOUVER, WA 98663
(360) 514-7550
1740535343 KENNETH MICHAEL FOERSTER MD
Individual
Family Medicine100 E 33RD ST STE 100
VANCOUVER, WA 98663
(360) 514-7550
1447632146 LISA CUNEO D.O.
Individual
Family Medicine100 E 33RD ST STE 100
VANCOUVER, WA 98663
(360) 514-7560
1942679014DR. MARGARET LAPHAM FICKLING GROVE M.D.
Individual
Family Medicine100 E 33RD ST STE 100
VANCOUVER, WA 98663
(360) 514-7550
1922553346 CHI NGUYEN
Individual
Pharmacist (Pharmacotherapy)100 E 33RD ST STE 100
VANCOUVER, WA 98663
(360) 514-7550
1831666551 JACQUELINE BROWNING
Individual
Student in an Organized Health Care Education/Training Program100 E 33RD ST STE 100
VANCOUVER, WA 98663
(503) 514-7454
1033773775 MARTIN ROBERT BOX MD
Individual
Student in an Organized Health Care Education/Training Program100 E 33RD ST STE 100
VANCOUVER, WA 98663
(509) 220-8868
1235777269 JENNA DANIELLE STEVENS PA-C
Individual
Physician Assistant100 E 33RD ST STE 100
VANCOUVER, WA 98663
(360) 514-7550
1700158326MR. BRANDON KEITH BIANCHINI PA-C
Individual
Physician Assistant100 E 33RD ST STE 100
VANCOUVER, WA 98663
(360) 514-7550
1457971244 CHARIS MOK
Individual
Family Medicine100 E 33RD ST STE 100
VANCOUVER, WA 98663
(360) 514-7550
1619302171 KAYDIE SATEIN
Individual
Family Medicine100 E 33RD ST STE 100
VANCOUVER, WA 98663
(360) 514-7550
1881025708 CARLIN EVANOFF PA-C
Individual
Physician Assistant100 E 33RD ST STE 100
VANCOUVER, WA 98663
(360) 514-7550
1467035238 KEVIN MA
Individual
Student in an Organized Health Care Education/Training Program100 E 33RD ST STE 100
VANCOUVER, WA 98663
(360) 729-1000
1558941807 CHEN-MIN STEVEN HUNG MD
Individual
Student in an Organized Health Care Education/Training Program100 E 33RD ST STE 100
VANCOUVER, WA 98663
(360) 514-7550
1790365690 COLIN O'BRIEN MD
Individual
Student in an Organized Health Care Education/Training Program100 E 33RD ST STE 100
VANCOUVER, WA 98663
(360) 514-7550
1518548346 ALYSSA JEAN THOMAS MD
Individual
Student in an Organized Health Care Education/Training Program100 E 33RD ST STE 100
VANCOUVER, WA 98663
(360) 514-7550
1275915977 SIMRANJIT KANG MD
Individual
Family Medicine100 E 33RD ST STE 100
VANCOUVER, WA 98663
(360) 514-7560
1073181046DR. JACQUELINE ELAINE FIGUERAS PHARMD
Individual
Pharmacist100 E 33RD ST STE 100
VANCOUVER, WA 98663
(360) 514-7550
1457779498 TOREN SIDNEY DAVIS JR.
Individual
Family Medicine100 E 33RD ST STE 100
VANCOUVER, WA 98663
(360) 514-7550

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1508509050, enumerated in the NPI registry as an "individual" on April 13, 2022

The provider is located at 100 E 33rd St Ste 100 Vancouver, Wa 98663 and the phone number is (360) 514-7550

The provider's speciality is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X

Yes, as of May 10, 2024 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

This NPI record was last updated on April 13, 2022. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.