Provider Demographics
NPI:1861875247
Name:DANSBY, KERRI SUZANNE (ARNP)
Entity type:Individual
Prefix:MS
First Name:KERRI
Middle Name:SUZANNE
Last Name:DANSBY
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1919 181ST PL SW
Mailing Address - Street 2:
Mailing Address - City:LYNNWOOD
Mailing Address - State:WA
Mailing Address - Zip Code:98037-4918
Mailing Address - Country:US
Mailing Address - Phone:816-204-6396
Mailing Address - Fax:206-558-1784
Practice Address - Street 1:1919 181ST PL SW
Practice Address - Street 2:
Practice Address - City:LYNNWOOD
Practice Address - State:WA
Practice Address - Zip Code:98037-4918
Practice Address - Country:US
Practice Address - Phone:816-204-6396
Practice Address - Fax:206-558-1784
Is Sole Proprietor?:No
Enumeration Date:2015-07-03
Last Update Date:2024-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAP60582149363LF0000X
WA60582149363LP2300X
WARN60145136163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care
No163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA1861875247Medicaid