Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kidst S Tasisa

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1235517814

Kidst S Tasisa is a Student in an Organized Health Care Education/Training Program in Seattle, Washington. Practices as a sole proprietor. Licensed in Washington.

Licensed in
WA
In the registry since
2015
Specialties on file
2
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Practice location Address checks out

1901 Mlk Jr Way S
Seattle, WA 98144-4801
Phone: (206) 322-7676
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Counselor (primary) Taxonomy 101Y00000X
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X · Licence CG60562330 (WA)

Record details

NPI number1235517814
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMay 14, 2015
Last updated in NPPESFebruary 17, 2023
Certification dateFebruary 17, 2023
Mailing address2103 S Atlantic St, Seattle, WA 98144-3615

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