Atomic2 Dermatology PLLC
NPI 1891363719ActiveOrganization· Nurse Practitioner· Walla Walla, WA
Nurse Practitioner in Walla Walla, Washington, registered in NPPES in June 2021. The authorized official on file is Jo Kiehn, Administrator. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1891363719 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 16, 2021 |
| Last updated in NPPES | Jan 9, 2023 |
| Certified by provider | Jan 9, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner Primary | 363L00000X | — | — |
| Clinic/Center, Medical Specialty | 261QM2500X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (WA) |
|---|
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