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ATOMIC DERMATOLOGY
NPI 1891363719
Nurse Practitioner in Walla Walla, WA

Active since June 16, 2021
105 S 3RD AVE, WALLA WALLA, WA 99362(509) 240-2554 Get Directions Write a Review

NPPES record last updated: January 9, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 9, 2023, Jun 16, 2021 (2 updates tracked since 2021).

About Atomic Dermatology NPPES

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

ATOMIC DERMATOLOGY (NPI 1891363719) is a healthcare organization registered as a nurse practitioner in Walla Walla, Washington and active in the NPI registry since June 2021. The organization lists Jo Kiehn, Administrator, as its authorized official.

NPPES Registry Identity

NPI1891363719
Entity TypeOrganization
Primary Taxonomy363L00000X
Legal Business NameATOMIC2 DERMATOLOGY PLLC
Location Address105 S 3RD AVEWalla Walla, WA 99362-2848
Mailing Address9221 Sandifur Pkwy Ste APasco, WA 99301-9241 · (509) 430-6339 · Fax (509) 795-3508
Phone(509) 240-2554
Organization SubpartNo
Authorized OfficialJo KiehnAdministrator · (509) 233-7546
Enumeration DateJune 16, 2021
Last NPPES UpdateJanuary 9, 20232 updates tracked since enumeration
NPPES CertifiedJanuary 9, 2023
✔ NPI 1891363719 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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.
Also ListedClinic/Center · Medical SpecialtyTaxonomy 261QM2500X
105 S 3RD AVE, Walla Walla, WA 99362
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Other Names 1

Doing Business AsAtomic Dermatology

Other Identifiers 1

Medicaid2089475WA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska.Insurance ›

Other Providers at the Same Location NPPES

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

LAUREN K BERG ARNP
Nurse Practitioner
105 S 3RD AVE
WALLA WALLA, WA 99362
Walla Walla County (509) 240-2554

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 Atomic2 Dermatology PLLC's NPI number?

The NPI number for Atomic2 Dermatology PLLC is 1891363719. It was assigned to this organization in the NPPES registry on June 16, 2021. The provider is doing business as Atomic Dermatology.

Where is Atomic2 Dermatology PLLC located?

Atomic2 Dermatology PLLC is located at 105 S 3rd Ave, Walla Walla, WA 99362. The listed phone number is (509) 240-2554.

What is Atomic2 Dermatology PLLC's specialty?

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

What insurance does Atomic2 Dermatology PLLC accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Atomic2 Dermatology PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Atomic2 Dermatology PLLC was last updated on January 9, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.