DR. KEVAN MICHAEL PETTERSON DNP, FNP
NPI 1942894670
Nurse Practitioner - Family in Seattle, WA

Q: What is Kevan Petterson's NPI number?

The NPI number for Kevan Petterson is 1942894670. It was assigned to this individual provider in the NPPES registry on February 23, 2021.

Q: What is Kevan Petterson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Kevan Petterson was last updated on February 23, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since February 23, 2021

901 BOREN AVE STE 1900, SEATTLE, WA 98104(206) 622-6444 Get Directions Write a Review

NPPES record last updated: February 23, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Kevan Michael Petterson Dnp, Fnp NPPES

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

DR. KEVAN MICHAEL PETTERSON DNP, FNP (NPI 1942894670) is an individual family provider in Seattle, Washington, licensed in Washington (61145175) and active in the NPI registry since February 2021. He maintains a secondary practice location in Seattle.

NPPES Registry Identity

NPI1942894670

Entity TypeIndividualMale

Primary Taxonomy363LF0000X

Provider Legal NameDR. KEVAN MICHAEL PETTERSONCredential: DNP, FNP

Location Address901 BOREN AVE STE 1900Seattle, WA 98104-3508

Mailing Address2353 Yale Ave E Unit ASeattle, WA 98102-3309 · (206) 679-7167

Phone(206) 622-6444

Sole ProprietorNo

Enumeration DateFebruary 23, 2021

NPPES CertifiedFebruary 23, 2021

✔ NPI 1942894670 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in WA · 61145175

901 BOREN AVE STE 1900, Seattle, WA 98104

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Secondary Practice Location 1

Location 12353 Yale Ave E Unit ASeattle, WA 98102-3309 · Phone (206) 679-7167

Other Providers at the Same Location NPPES

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

MS. BEREDU ABRAHAM GELETO NP-C

Nurse Practitioner

901 BOREN AVE STE 1900
SEATTLE, WA 98104

King County (206) 622-6444

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 Kevan Petterson's NPI number?

The NPI number for Kevan Petterson is 1942894670. It was assigned to this individual provider in the NPPES registry on February 23, 2021.

Where is Kevan Petterson located?

Kevan Petterson practices at 901 Boren Ave Ste 1900, Seattle, WA 98104. The listed phone number is (206) 622-6444.

What is Kevan Petterson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Kevan Petterson was last updated on February 23, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.