THE KETAMINE CLINIC OF SEATTLE. LLC
NPI 1730835042
Nurse Practitioner in Seattle, WA

Active since February 24, 2022
3800 AURORA AVE N STE 360, SEATTLE, WA 98103(206) 429-5029(206) 504-2044 Get Directions Write a Review

NPPES record last updated: February 24, 2022. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About The Ketamine Clinic Of Seattle. Llc NPPES

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

THE KETAMINE CLINIC OF SEATTLE. LLC (NPI 1730835042), doing business as The Ketamine Clinic Of Seattle, is a healthcare organization registered as a nurse practitioner in Seattle, Washington and active in the NPI registry since February 2022. The organization lists Julie Anne Chinnock, Onwer, as its authorized official.

NPPES Registry Identity

NPI1730835042
Entity TypeOrganization
Primary Taxonomy363L00000X
Legal Business NameTHE KETAMINE CLINIC OF SEATTLE. LLC
Location Address3800 AURORA AVE N STE 360Seattle, WA 98103-8721
Mailing Address3800 Aurora Ave N Ste 360Seattle, WA 98103-8721 · (206) 429-5029 · Fax (206) 504-2044
Fax(206) 504-2044
Organization SubpartNo
Authorized OfficialJulie Anne ChinnockOnwer · (206) 429-5029
Enumeration DateFebruary 24, 2022
NPPES CertifiedFebruary 24, 2022
NPI 1730835042 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
3800 AURORA AVE N STE 360, Seattle, WA 98103

Other Names 1

Doing Business AsThe Ketamine Clinic Of Seattle

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Anesthetist, Certified Registered
3800 AURORA AVE N STE 360
SEATTLE, WA 98103
Nurse Practitioner (Family)
3800 AURORA AVE N STE 360
SEATTLE, WA 98103
Nurse Practitioner (Psychiatric/Mental Health)
3800 AURORA AVE N STE 360
SEATTLE, WA 98103
Nurse Practitioner (Psychiatric/Mental Health)
3800 AURORA AVE N STE 360
SEATTLE, WA 98103

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 The Ketamine Clinic Of Seattle. LLC's NPI number?

The NPI number for The Ketamine Clinic Of Seattle. LLC is 1730835042. It was assigned to this organization in the NPPES registry on February 24, 2022. The provider is doing business as The Ketamine Clinic of Seattle.

Where is The Ketamine Clinic Of Seattle. LLC located?

The Ketamine Clinic Of Seattle. LLC is located at 3800 Aurora Ave N Ste 360, Seattle, WA 98103. The listed phone number is (206) 429-5029.

What is The Ketamine Clinic Of Seattle. LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for The Ketamine Clinic Of Seattle. LLC was last updated on February 24, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.