Welcome to the APP Residency Program: Primary Care and Psych
Sea Mar Community Health Centers’ Advanced Practice Provider Residency began at the Sea Mar Seattle Medical Clinic in October of 2015 under the
directorship of Patricia Cleveland, ARNP as a family nurse practitioner (FNP) residency program. The program expanded in 2019 and 2020 to include
10 total FNP residents split between the Seattle, Lynnwood, and Tacoma-Cushman Medical clinic sites. The Nurse Practitioner Residency program welcomed
its first 2 Psychiatric Nurse Practitioners in October 2024 at the White Center Behavioral Health clinic site. In October 2025, the program
began accepting physician assistant/associates into the program and officially changed its title to the Sea Mar Advanced Practice Provider (APP) Residency
Program. Starting in October 2026, the program will expand to add a 5th site in Vancouver, WA for two FNP/PA residents.
The APP Program is led by by Program Director Patricia Cleveland, Lynnwood Site Director Brooke Powers, Tacoma Site Director Rachel Bock, Vancouver Site Director
Chelsa Greene, and Lead Psychiatric NP faculty Daniel Riojas.
With the incredible support of the Sea Mar organization and surrounding community, Sea Mar’s APP Residency has become a successful and highly-esteemed post-graduate
training program. The APP Residency became accredited through the National Nurse Practitioner Residency and Fellowship Training Consortium, later renamed as the
Consortium for Advanced Practice Providers, in 2018 and 2021, demonstrating its commitment to high-quality and rigorous post graduate training. The program
intends to pursue accreditation for the Psychiatric Nurse Practitioner tract in 2028.
The program is currently undergoing renewal of accreditation in 2026
and thus is open to public commentary on the Consortium’s website: https://www.apppostgradtraining.com/
Mission
The Sea Mar Advanced Practice Provider Residency program aims to further enhance and develop the clinical skills, resiliency, and confidence of new Advanced Practice
Providers to prepare them for the complexities and rigors of working within Federally Qualified Health Centers, adhering closely to the mission and values of the Sea Mar
Organization in providing comprehensive, holistic, culturally competent, and patient-centered care.
“One of my proudest moments has been watching advanced practice providers grow and thrive in their careers at Sea Mar. I’ve been fortunate to be a mentor to residents during the program, a resource for questions after they graduate, and then a mentor as they become preceptors within the residency. I’m so proud to see so many of our resident graduates go on to be clinical leaders, grant project directors, and mentors for the next generation of providers.”
Patricia Cleveland, Program Director
1. Patricia Cleveland, ARNP
Program Director
Sea Mar Seattle Medical
Patricia Cleveland is a family nurse practitioner (FNP) at Sea Mar Community Health Centers, where she has built a dedicated panel of patients since 2009.
She developed Sea Mar’s nurse practitioner residency program in 2014 and has remained program director since. Under her leadership, the program has been
expanded to include 12 FNP residents at four sites, psychiatric nurse practitioner residents at a fourth fifth site, and a substance use disorder training
program. Patricia led the program through the initial accreditation in 2018 renewal of accreditation in 2021, and is preparing for accreditation renewal in
2026. She has also been Project Director on four HRSA grants, including three advanced nursing education grants and one integrated substance use training
program grant. Outside of her work at Sea Mar, she has served on the Accreditation Commission and as an accreditation site visitor for the Consortium of
Advanced Practice Providers since 2019. Patricia has co-led the Northwest Consortium for Advanced Practice and Education since 2015.
Patricia’s philosophy of care is that every person deserves access to holistic and comprehensive health care, and that everyone should be treated with
dignity and respect. She believes in health promotion and the maintenance of a healthy lifestyle to aid in the prevention of chronic diseases.
In her spare time, Patricia loves to read, enjoy outdoor recreation, and play board games with her husband and three children.
2. Brooke Powers, ARNP
APP Site Director Lynnwood
Brooke Powers graduated from the University of Washington DNP program in 2016, after which she joined Sea Mar as a NP resident at the Seattle Medical
clinic. After completing the residency, she continued employment at Sea Mar at the Des Moines clinic site. Prior to her advanced practice degree,
she practiced as a RN, working in a variety of health care settings: pediatric home health, inpatient pediatrics, community health in Bolivia, as well
as inpatient adult orthopedic and oncology care.
A native of Montana, Brooke enjoys a variety of outdoor activities, particularly hiking, skiing, and bicycling. Outside of work, she tries to keep up
with her husband and three children.
3. Rachel Bock, ARNP
APP Site Director Tacoma
Rachel began her career with Sea Mar in August 2018. She also worked in Baltimore, Maryland after graduating with an MSN and MPH from Johns Hopkins
University in 2017. She firmly believes that health care is a human right and is committed to working in community health.
During her training she worked as a nurse at a student-run community nursing center and volunteered at a free clinic for uninsured patients. Prior
to becoming a nurse practitioner, she studied health care disparities in Santiago, Chile under a Fulbright grant. She also worked in patient services at the
Pulmonary Fibrosis Foundation in Chicago, where she provided education to families and became passionate about the importance of engaging patients in
their own care through education.
Rachel grew up in California and now lives in Federal Way with her partner, Steve. In her free time, you might find her rock climbing, learning guitar,
or herding her two cats around the house.
4. Chelsa Greene , ARNP
APP Site Director Vancouver
Chelsa Greene was born and raised in Berkeley, California. From a multi-cultural and multi-racial background, Chelsa quickly learned about the complexities
and disparities in our healthcare system and their lasting impact. These experiences helped her realize her desire to work in community health to support
people and families in living fulfilled and healthy lives. Chelsa began working as a Family Nurse Practitioner at Sea Mar’s Burien Medical Clinic in 2021.
She received her Bachelor of Arts in Kinesiology from Occidental College and her Registered Nursing and Doctor of Nursing Practice degrees from Columbia
University School of Nursing. She graduated with honors with induction into Sigma Theta Tau, and was the recipient of the Margaret Eliot Award for
professionalism, leadership, and compassion. She completed Sea Mar’s Family Nurse Practitioner residency program at the Everett and Lynnwood medical clinics in 2021.
Prior to working as a Family Nurse Practitioner, Chelsa worked as Registered Nurse in New York City providing care to medically complex children in foster care.
She also worked in sexual and reproductive health.
Chelsa provides primary care across the lifespan but has a particular interest in reproductive health and chronic care management. She also loves the opportunity
to work with children and families by providing education and anticipatory guidance as children grow.
Outside of work, Chelsa enjoys spending time with her husband and son, outdoor activities, reading and cooking.
5. Daniel Riojas, DNP PMHNP-BC
Psych NP Lead Faculty
Born and raised in Seattle, Daniel attended the University of Washington and is a diehard husky fan. He has season tickets to football and basketball games
(if you ask nicely, maybe he'll take you to a game!). He is a new dad to a son who turns three this month and also has furbabies named Diego and Rico.
He's been with his spouse for eight years and married for two years.
What helps him to stay engaged in his work? Daniel absolutely loves his work and care for clients. However, he also enjoys being a dad and husband. Daniel
has also benefitted from going to gym, spending time with family, and keeping up with his hobbies that include reading and music.
6. Tyler Lawrence, PHD
Medical Education Officer
Sea Mar Marysville
Doctoral Program: Saint Louis University
Residency: University of Nebraska Medical Center
Dr. Tyler Lawrence is the residency behaviorist for the Sea Mar family medicine residency program. He enjoys providing integrated behavioral
health services, resident education, and engaging in scholarly activities. He has experience treating individuals, couples, and families in
both inpatient and outpatient healthcare settings. In his free time, Dr. Lawrence enjoys hiking, exercising, and cooking with his spouse.
Coming from the Midwest, he relishes the temperate climate of the Pacific Northwest and likes exploring the many local attractions the
Seattle area has to offer.
7. Eva Lopez
Residency Coordinator (Seattle APP, Psych)
Eva Lopez has been at Sea Mar Community Health Center for 19 years. She knew that she always wanted to be in healthcare and went to medical assistant
school at Bryman College in 2002-2003. She did her externship at Sea Mar Community Health Center in April 2003 and hired as a full time medical assistant
in May 2003. She became a Medical Assistant Supervisor in 2005 and learned clinic operations, scheduling for back office staff and was also the point person
for ordering medical supplies. Eva recently became the Residency Program Coordinator in April 2022 and hoping to excel in this position. Eva is a part of a
blended family, she is married with 4 kids. Eva is also a part of her worship team at church, she plays the drums and sings. Some of her favorite things
to do are going to the movies, babysitting her nieces and nephews and getting massages.
8. Gloria Guzman,
Residency Coordinator
Gloria Guzman holds a Bachelor of Science in Criminal Justice and currently serves as the Program Coordinator for Sea Mar’s Advanced Practice
Provider Residency Program, OB Fellowship Program and IMG Clinical Training Program. Driven by a lifelong desire to help others and serve her community,
Gloria made a meaningful career change into healthcare, seeking to make a more direct and lasting impact especially within underserved Latino and immigrant
populations. Recognizing Sea Mar's vital role in these communities, she was inspired to join the organization and contribute to its mission. Since joining
Sea Mar in 2020 as a Receptionist, Gloria has advanced through dedication and a deep passion for service. She is certified by the National Board for Certification
of Training Administrators in Graduate Medical Education (TAGME), a testament to her commitment to excellence in medical education. Gloria finds purpose and
fulfillment in her role supporting residency and fellowship programs, where she plays an active part in shaping the next generation of healthcare providers who
will go on to care for thousands of patients across the region.
9. Tara Hayes Constant, ARNP
APP Core Faculty
10. Peter Matranga
APP Core Faculty
Peter graduated from the University of Washington DNP-ARNP program in 2018 and has been working at Sea Mar since then, in Seattle and now Tacoma.
He has worked with ARNP residents as a preceptor in South Park and Tacoma and also serves on the Residency Faculty. Peter also precepts UW ARNP students for
their clinical rotations. Prior to working at Sea Mar, Peter worked as an RN at the Denver Veterans Administration Hospital in the Surgical and Medical ICU,
and the Seattle Swedish Neurological ICU. He has been able to live and travel in Angola, South Africa, China, Southeast Asia, Italy, Central America, and
Mexico, and his appreciation of language and culture made him want to work at Sea Mar in the first place. He enjoys working at Sea Mar because he believes
in the community centered holistic approach to health care and has seen how much positive change Sea Mar services have made in communities.
11. Marlena Buen, ARNP
Psych NP Didactics Lead
12. Shannon Boustead
SUD Faculty
Shannon Boustead, MD is a Family Physician and addiction medicine specialist who has served at Sea Mar’s Bellingham Medical Clinic since 2011, providing primary care,
MOUD, and resident training. He is a board member of the Washington Society of Addiction Medicine, a consultant for telehealth addiction medicine company Boulder Care,
and recently served as Medical Advisor to the Whatcom County Health and Community Services, supporting the county’s overdose response.
Dr. Boustead completed his residency and chief residency at Swedish Family Medicine in Seattle, followed by an obstetrics fellowship. He earned his MD from UT Southwestern and holds a degree in human biology from Stanford. His work centers on expanding access to compassionate, evidence-based care for people with substance use disorders.
“The Sea Mar NP Residency prepared me to practice independently and feel confident in my abilities to carry out efficient physical exams, interpret labs, diagnose common conditions, prescribe appropriate medications and perform a wide variety of procedures. The program provided a supportive environment in which I could improve my clinical skills secure in the knowledge that an experienced preceptor was always there to answer questions, offer clinical pearls and ensure that I was practicing safely. I honestly cannot imagine working as a nurse practitioner without this experience”
Gabe Wortman, Tacoma Resident 2024-2025
S. Adnan Mustafa, MD
Seattle Faculty
Sea Mar Kent Medical
Growing up as a second-generation Muslim, Indian American in eastern North Carolina, he came to appreciate the intersection of different cultures, and is always looking to gain knowledge and insight from others. After medical school, he obtained an master's degree in public health to better serve patients and understand the social complexities of good health. He believes that true health is multi-faceted and has to be addressed from all angles including those methods beyond the clinic where health is impacted most.
He joined the Kent Medical Clinic as a physician provider in August 2014. He came to Sea Mar after completing a residency in Internal Medicine and Pediatrics at the University of North Carolina at Chapel Hill.
He has hosted/precepted over 30 students independent of formal precepting and is dedicated to student learning. Working at Sea Mar has taught him the joy of connecting with patients beyond their medical diagnosis, to meet patients where they are at, and to make sure you have balance in life to continue the work.
In his free time, Adnan enjoys spending time with his wife and children, hiking, traveling, reading, playing basketball, and cooking.
Binisha Shrestha, ARNP
Lynnwood Faculty
Sea Mar Everett Medical
Binisha Shrestha is a 2017 graduate of Gonzaga University's MSN program. Binisha joined Sea Mar clinic in Burien in 2017 as her first job out of Nurse practitioner program. Having been a patient at Sea Mar, Binisha understood the integral role Sea Mar plays in the community and wanted to be part of the team to serve Sea Mar's mission and vision.
Binisha now works at Sea Mar Everett Medical. She is part of the core Lynnwood faculty and may cover occasional Seattle precepting shifts.
Binisha was born and raised in Kathmandu, Nepal. She immigrated to the United States in 2006 as an international Student. She completed her undergraduate degree in nursing from Winona State University in Winona, Minnesota before moving to Seattle Washington in 2010. Being an immigrant herself, Binisha wishes to work for the ethnically diverse population Sea Mar serves. Given her experience as an international student in the US, she relates personally to the challenges and trumps our patients face on their day to day lives. Binisha likes to spend her free time with her two children, two furr babies, cooking for her family and friends.
John Okrent, MD
Tacoma Faculty
Sea Mar Tacoma Medical
Christina Pease, MD
Seattle Pediatrics Faculty
Sea Mar Seattle Medical
Dr. Christina Pease graduated from Baylor College of Medicine in 2001. She completed her pediatric training at the University of Washington in 2004, where she then served as Chief Resident at Seattle Children's Hospital. She practiced on the eastside and with King County Public Health, prior to joining Sea Mar in 2013.
Dr. Pease is honored to be a part of Sea Mar and really enjoys learning from and precepting ARNP residents. She loves working with children as they keep us honest and lighthearted. She has started an Early Childhood Support program with several navigators whose priority is to build relationships that strengthen families, promote healthy development and set us all up for early recognition and celebration of developmental challenges, such as autism.
In her free time, she enjoys any kind of outdoor adventure with her husband, two boys and dog.
Fabiola Movius, MD
Lynnwood Pediatrics Faculty
Sea Mar Lynnwood Medical
Dr. Movius obtained her medical degree and her master of Public Health degree from the University of California, Irvine School of Medicine, where she trained in the Program in Medical Education for the Latino Community (PRIME-LC). She did her pediatric residency at Seattle Children's Hospital and is Board Certified in Pediatrics. She was born and raised in Mexico City and is fluent in Spanish. She loves to spend time outdoors in the beauty of the Pacific Northwest with her husband and three children.
McKenzie Golden, ARNP
Tacoma Faculty
Sea Mar Tacoma Medical
Olesya Mykulyn, PA
Tacoma Faculty
Sea Mar Federal Way Medical
Education: Master of Health Science in Physician Assistant Studies
Institution: South College, Knoxville Tennessee
Board of Certification: The National Commission on Certification of Physician Assistants
Area of Specialty: Family Medicine
Languages: English, Russian, Ukrainian, some Spanish
Olesya was born in Ukraine and immigrated to Kent, Washington as a child with her family. She went to school in Kent and attended Pacific Lutheran University in Tacoma, Washington for her undergraduate studies in chemistry and biology.
Olesya has a passion for helping those in need and after working as a Medical Assistant for a few years in Kent, she earned a Master’s degree in Physician Assistant Studies from South College, TN. She loves working in a family practice environment; the combination of continuity of care and the unique opportunity to become an active part of a patients’ long term health goals is what she believes to be the very essence of good medicine.
Olesya began practicing as a provider at Sea Mar’s Federal Way Medical Clinic in 2017. She has a special appreciation for learning about different cultures and customs and hopes this will further improve her ability to provide high quality, evidence-based, patient-oriented care.
On her days off, Olesya enjoys listening to music, reading, watching movies, gardening, cross-stitching, and spending time with her husband and 2 sons.
Alejandra Mercado Roa, ARNP
Seattle Faculty
Sea Mar Seattle Medical
David Collier, ARNP
Lynnwood Faculty
Sea Mar Lynnwood Medical
David Collier graduated from the University of Washington DNP program in 2022 and joined the Sea Mar team in the Fall of 2022 as a nurse practitioner
resident at the Lynnwood clinic. He has remained at the Lynnwood clinic where, in addition to see family practice patients, spends time each week working
as a provider for the MAT program as well as precepting residents.
David’s nurse practitioner career was proceeded by several years of being an RN in the ICU-step down unit at Swedish Edmonds as well as an additional
3 years at a long term acute care unit in downtown Seattle. Although he enjoyed hours spent bedside nursing, he returned to school with the goal of
extending access to primary care. The clinical experiences that excite David are those when patients arrive uncertain of the significance of their
symptoms and end up leaving with reassurance and confidence in their plan of care.
While not at work, David has several hobbies that compete for his attention ranging from vegetable gardening, outdoor sports/activities, and playing/listening
to music (and is always happy to hear new music recommendations!). He and his wife have been happy to make Seattle their home for the last 13 years and find
it hard to imagine raising their daughter anywhere else.
Jacob Yin, ARNP
Seattle and Lynnwood Faculty
Sea Mar Bellevue Medical
Madelaine Pyatt, PA-C
Seattle Faculty
Sea Mar Kent Medical
Annika Barnett, PA
Urgent Care Faculty
Sea Mar Burien Medical
Annika Barnett PA-C began working at Sea Mar Burien Medical Clinic in January 2023. She is a graduate of the University Washington MEDEX Northwest PA Program where she was an avid participant in University District Street Medicine Team and Tent City Outreach Program. Prior to PA school, she attended Gonzaga University and graduated with a Bachelor of Science in Human Physiology.
Annika believes that every person deserves access to high quality and compassionate healthcare and is grateful to be a part of an organization that shares this mission.
When she is not in the clinic, Annika can usually be found in the mountains hiking or trail running, or curled up on the couch with a good book.
Bridgett Chandler, ARNP
Seattle and Lynnwood Faculty
Sea Mar Vashon Medical
Bridgett is a member of the clinical faculty in the Department of Child, Family, and Population Health Nursing. She practices as an FNP at the Sea Mar Community Health Clinic on Vashon Island, WA and supports research in palliative care and nephrology at UWMC and VA. Bridgett was an executive in the non-profit, public, and private sectors for many years before becoming a health care provider. Her UW DNP project was recognized by the American Association of Colleges of Nursing as the 2021– 2022 Outstanding DNP Award for Advancing Nursing Practice. She brings leadership, community health clinical expertise, and her passion for palliative care and mindfulness meditation to promote health equity.
A Northwest native, Bridgett was raised in Seattle and has lived in France and on both American coasts. She and her partner live in Seattle near their young adult children. Interests include live music, organic rose gardening, fly fishing, fine wine, films, travel, and good-natured belly laughs. Her goal in life is to leave our campsite better than we found it.
Evan Teplow, MD
Lynnwood Faculty
Sea Mar Monroe Medical
Dr. Evan Teplow grew up in Massachusetts and was Peace Corps Volunteer in Guatemala, Central America before starting Medical School. He first came to Seattle in 1992 to do his internship and residency training and worked at Sea Mar Seattle for those years. He returned to Sea Mar in 2017 after working for 20-years as a clinician and faculty member at Lawrence Family Medicine Residency in Massachusetts, which is also a Community Health Center, focused on caring for the Hispanic Populations.
He studied Spanish at Middlebury College in Vermont, where he became fluent speaking Spanish and travelled extensively throughout Spain. He has also travelled and volunteered delivering Medical Care in Honduras, and in Haiti in 2010 after the earthquake.
Dr. Teplow is passionate about caring for the underserved, and delivering Health Care to the Spanish-speaking Communities. Clinically, he enjoys sports medicine, urgent care, procedures in primary care, and teaching family medicine residents and medical students.
Outside of work, Dr. Teplow enjoys spending time with his family, the great outdoors, rowing, swimming, hiking, biking, skiing, travelling, and pottery.
Franco Monteza, MD
Lynnwood Faculty
Sea Mar Everett Medical
Queen Wahiwe, MD
Tacoma Faculty
Sea Mar Spanaway Medical
Dr. Queen Wahiwe is a board certified family medicine physician who treats all ages. She is originally from Nigeria but grew up in the southeast (Georgia). She received her medical doctorate degree at Morehouse School of Medicine in Atlanta, Georgia in 2010 and completed her residency at Carolinas Medical Center in Charlotte North Carolina in 2013.
Dr. Wahiwe has been serving the underserved community for over a decade. Her passion is helping communities with limited resources and limited access to healthcare. Her other passion is medical missions. She has taken part in several short term missions trips overseas, providing medical aid to those in great need. Her experiences overseas have primarily been with the African and Hispanic communities; she also speaks Spanish.
Dr. Wahiwe is passionate about holistic care; she believes in order to be healthy, one must pay attention to all aspects of health- spiritual, emotional, mental, and physical. When she is not at work, she enjoys spending time with family, friends, and being outdoors.
Dr. Wahiwe recently got married, so she is also enjoying being a new wife to her sweet husband.
“I would say that it is a pleasure to work with the APP residents at Sea Mar. I believe that the program selects a great group of practitioners who are dedicated to helping those who need it most. The residents are all very pleasant and hardworking. They are very attentive and ask great questions. They have a great team of teachers, and I would really recommend this program to any ARNP who wants to get a great clinical experience. There is something unique about the ARNP residency at Sea Mar in that Specialty rotations and lectures are integrated very well in the curriculum. This enhances the already strong core training of the residents and sets them up to be most prepared when they graduate”
Dr. Shahriar Heidary, Cardiologist, Medical Director White Center Medical and Specialty Clinics
Bethany Rolfe, ARNP
Seattle and Lynnwood Faculty, University of Washington
Bethany Rolfe began practicing at Sea Mar in 2007. Bethany is a professor at Seattle Pacific University, where she teaches in the School of Health
Sciences’ graduate school. The classes she teaches include pediatrics, women’s health, health assessment, and culture in health care.
She works on a per-diem basis at the Seattle Medical and White Center clinics, but will be precepting Nurse Practitioner residents regularly in Seattle.
Before beginning her practice at Sea Mar, Bethany worked in La Carpio, San Jose, Costa Rica, serving immigrants and the indigenous populations of Costa Rica
Bethany completed her undergraduate and graduate degrees in nursing, graduating with honors from Seattle Pacific University. She then earned a Doctor
of Nursing Practice degree from the University of Washington. She is ANCC board certified. In addition, she is a member of the Honor Society of Nursing,
Sigma Theta Tau International. She has a deep appreciation for the beauty of the Pacific Northwest and spends her free time with her husband enjoying outdoor
activities like hiking, backpacking, kayaking, sailing, and gardening
Wendy Mironov, ARNP
Tacoma Faculty
Per diem
Elena Van Gaver, ARNP
Seattle Faculty per diem, Virginia Mason primary care
Gloria Fischer-Herrera, ARNP
Lynnwood Faculty per diem, Everett clinic
Emina Bayomy , ARNP
Lynnwood Faculty per diem
Emina immigrated to the United States from Bosnia and Herzegovina, and as a former refugee, a career in service is deeply personal to her.
She believes that every individual deserves access to compassionate, high-quality healthcare.
Emina earned her Bachelor of Science in Nursing and Doctor of Nursing Practice from Washington State University, and completed her Master of Science in
Nursing at Simmons University in Boston, Massachusetts. While in Boston, she also completed a Primary Care Advocacy and Leadership Fellowship focused
on community organizing. Driven by a passion for equitable healthcare delivery in urban settings, prior to becoming a Family Nurse Practitioner,
Emina worked as a pediatric primary care nurse at a federally qualified community health center in Boston.
Currently, in addition to working at Sea Mar Lynnwood, Emina teaches at Seattle University in the College of Nursing and Health Sciences.
Emina is deeply committed to promoting social justice, health equity, and preventive care, with a focus on keeping children and families healthy, happy, and empowered.
Adrienne Ton, ARNP
Lynnwood Faculty per diem
As a native of Seattle, Adrienne's passion for community health started by working and volunteering in various local health and public health
organizations. She graduate nursing training while working in an urban community health center in New York City, serving a diverse population.
In her free time, Adrienne spends time with her partner and pet bunnies. They enjoy exploring the outdoors, visiting the local museums and restaurants,
spending time with loved ones, and eating/learning to cook her family's Vietnamese food.
Kathy Doan, ARNP
Lynnwood Faculty per diem, Neighborcare
Kathy Doan is a family nurse practitioner with a demonstrated history of work in the clinic, hospital, and healthcare fields. She graduated from Yale School of Public Health with a MPH in Social and Behavioral Sciences in 2016 and the Yale School of Nursing with a MSN in the Family Nurse Practitioner specialty and Diabetes Care concentration in 2021. Kathy was part of the 2021-2022 cohort of Sea Mar Community Health Centers' nurse practitioner residency program at the Lynnwood, WA clinic.
Kathy currently practices at Neighborcare Health - Rainier Beach and is excited to return to Sea Mar as a residency preceptor for incoming residents. Interests include preventive medicine, diabetes and chronic disease management, and community/public health as a whole. She is committed to providing evidence-based and compassionate care in consideration of my patients’ beliefs, goals, and well-being.
When she is not in the clinic, she enjoys spending time with her friends, eating, traveling, or reading.
Christine Chon, MD
Lynnwood Faculty per diem
Christine was born in Seoul, South Korea, and moved with her family to the Pacific Northwest at the age of eight. Over the years, she has lived
in various parts of the United States for work and education before ultimately returning to the Seattle area, where she feels most at home.
Trained in family medicine, she practiced primary care for seven years before transitioning full-time to urgent care. Prior to her medical career,
she worked as a TESOL (Teaching English to Speakers of Other Languages) instructor—reflecting her lifelong passion for teaching and learning.
Currently, she is completing her fellowship in Integrative Medicine at the Andrew Weil Center for Integrative Medicine, with the goal of becoming
a more whole-person practitioner and promoting integrative approaches to strengthen preventive health.
Outside of medicine, Christie is a proud mom of three young children who keep her joyfully busy. She loves coffee, exploring different foods
and cultures, biking, and traveling.
Ival Salyer, MD
Lynnwood Faculty per diem
Ival became Board certified in Family Medicine while serving 5 years in the Indian Health Service after graduating from University of Michigan Medical
School. He worked at Sells IHS Hospital then at Phoenix Indian Medical Center where he taught in a pioneering program to train Native Americans as
mid-levels to deliver primary care to their tribal communities.
Ival married Bea in 1978 and they moved to WA. They have 3 sons. He joined Snohomish Family Medicine, a clinic with a unique 1 year rotating sabbatical
that allowed opportunities for teaching as well as serving the underserved. These times away were spent in Appalachia, Zaire (DRC), San Carlos Apache IHS,
Navajo Nation, Kingdom of Tonga and El Rio Community Health (Tucson).
Stuti Nagpal, MD
Lynnwood Faculty, per diem Sea Mar
Angela Kokinakos, PMHNP
Before becoming a nurse practitioner in psychiatry, I worked as a staff nurse throughout the Covid-19 pandemic while I was in graduate school at
the University of Washington. During my eight years as a staff nurse, I also worked in perioperative acute care and psychiatry. Prior to nursing,
I was a massage therapist for fifteen years and have a strong background in holistic health and wellness, where I studied natural medicine, aromatherapy,
and became attuned to Reiki II. Since completing my doctoral degree in psychiatric nursing practice, I have also completed a certificate in palliative
care from UW.
I endorse an integrational approach to mental health that often includes not only psychopharmacology, but also recommendations for supplements
and praxis outside of the time spent in session. I am interested in helping adult patients coping with depression, trauma, chronic pain and/or psychotic
spectrum disorders. I am passionate about education, for my patients, the general public, my students, and myself; I am always learning and keeping up
with current evidence on best practices. I prefer to implement an integrative approach, blending complementary treatments with traditional approaches.
I feel passionate about addressing social injustice in the healthcare system and advocating to ameliorate the underlying issues that support continued
stigmatization of mental health and related disparities. To me, this means a commitment to policy advocacy and a willingness to be involved in influencing both
the voting public and legislative bodies on issues that pertain to scientific and medical literacy. It also means supporting the development of my future
colleagues by mentoring both NP students and residents; I was recently recognized by the Association of Advance Practice Psychiatric Nurses as their 2024
preceptor of the year, and it’s my great pleasure to support Sea Mar’s Psychiatric Nurse Practitioner postgraduate training program.
Holly Brezynski, PMHNP
White Center BH Faculty
Sea Mar Tacoma BH
Heather Buzbee, PMHNP
Samuel Moses, PMHNP
Chanraksmey Hok, PMHNP
“A highlight of my week is Wednesday morning when I get to work with all the APP residents. I love the variety in experiences that residents bring to the program and their willingness to learn and teach me new things. We make a great team here at Sea Mar, and everyone here is dedicated to the families we serve.”
Dr. Christina Pease, Pediatrician Seattle
Taylor Parker, PMHNP
White Center BH
Taylor is a graduate of the University of Kentucky, where she earned her Bachelor of Science in Nursing,
and Northern Kentucky University, where she received her Master of Science in Nursing. During her undergraduate years, she had the honor of serving
in several service-based organizations, including Alpha Phi Omega Service Fraternity, the UK College of Nursing executive board, and Alpha Kappa
Alpha Sorority, Incorporated, which she joined in the fall of 2016.
After earning her bachelor's degree, Taylor worked as a travel nurse, providing care to patients in emergency departments across the country.
During her travels, she saw how a patient's zip code could influence both the resources available, and the quality of mental healthcare patients
received. Although these experiences were challenging, they strengthened her commitment to reducing inequalities in mental health treatment,
especially in communities of color.
Taylor is committed to providing care that honors each patient's individuality, is culturally sensitive, and takes a holistic approach to patient needs.
She believes that patients are more than their diagnoses; their lived experiences, culture, and unique perspectives, all of which should guide treatment
and be reflected in their care, shape them. She is honored and excited to join SeaMar Community Health and looks forward to improving her clinical skills
and strengthening her role as an advocate for equitable mental health care.
In her free time, Taylor enjoys baking, cooking, traveling, and spending time with her fur children!
Zoë Evans-Agnew, PMHNP
White Center BH
Zoë Evans-Agnew began her residency in psychiatric mental health at Sea Mar Community Health
Centers in October 2025. She completed her undergraduate studies in neuroscience, graduating with
honors from Western Washington University, and later earned her Doctor of Nursing Practice degree
from Seattle University. Her doctoral project focused on supporting the family members of individuals
hospitalized in inpatient psychiatric units.
Zoë is passionate about providing holistic, evidence-based mental health care rooted in the recovery
model of care. She believes that everyone deserves access to high-quality psychiatric services. She
completed the AHEC Scholars program, gaining additional training in rural and underserved healthcare
settings. Her clinical background includes inpatient psychiatry, advocacy work with the National Alliance
on Mental Illness, and volunteering with the Crisis Text Line.
Zoë was a recipient of the Washington State Opportunity scholarship and was awarded the Graduate
Student Excellence Award from Seattle University. Zoë is an active member of the Association of
Advanced Practice Psychiatric Nurses, where she serves on the legislative committee.
A lifelong Pacific North westerner, Zoë considers this beautiful region her home. In addition to spending
time with her family and friends, she enjoys hiking, reading, baking, and tending to her urban garden
Saranya Sampath, FNP
Tacoma Medical
Saranya graduated from UC Irvine with degree in Pharmaceutical Sciences, minoring in Psychology. While working in the local pharmacy she felt a strong
pull to work in direct patient care and provide equitable healthcare to the community. She later completed her Bachelor’s of science in Nursing at
Azusa Pacific University in 2018 and her Master’s of Science in Nursing in 2023 at UT Arlington. Before starting in Sea Mar’s APP Residency Program
in October 2025, Saranya worked as a pediatric nurse in San Diego, CA, San Antonio, TX, and Seattle, WA. She has work experience in pediatric medical
and critical care units. She learned to provide thoughtful and patient centered care while working with patients and families from diverse backgrounds.
Saranya is excited to transition in the FNP role and develop trusting relationships with her patients. She looks forward to increasing her clinical knowledge
in adult chronic disease management and women’s health. She hopes to have a lasting impact on her patient’s health and make a positive change in improving
patient health outcomes.
During her free time, Saranya enjoys exploring local hiking trails and state parks with her husband and dog, traveling to visit friends and family,
and trying new restaurants. She is thrilled to join the Sea Mar community!
Dilpreet Dhaliwal, FNP
Tacoma Medical
Dilpreet earned her Doctor of Nursing Practice Degree from Seattle University in 2025. She brings 10 years of experience as a registered nurse, caring for
diverse patient populations across various healthcare settings. Her nursing background inspired her to pursue the nurse practitioner role to expand her scope
of practice, provide care that is more comprehensive and develop long-term partnerships with patients and families.
Her clinical interests include family medicine, preventative health, and improving access to care for diverse and underserved communities.
She is passionate about delivering holistic, patient-centered care that empowers individuals and families to achieve their best health outcomes.
Outside of work, Dilpreet enjoys cooking, being outdoors, playing tennis, and spending quality time with family and friends.
Shelley West, FNP
Tacoma Medical
Shelley West began working at Sea Mar as a Family Nurse Practitioner Resident in October 2025. After studying nursing at University of Portland,
she gained experience in inpatient settings in Oregon and Washington in addition to travel nursing experiences in Colorado, Ohio, and Montana.
She went on to serve as a Peace Corps volunteer in Zambia, where she partnered with local rural clinic staff to improve community health
participation and public health measures.
Shelley then completed her Family Nurse Practitioner education at University of Washington in 2025. Throughout this training, she especially
enjoyed providing full scope primary care to all ages in rural settings. She is a National Health Services Corps scholar and is looking forward to
the joys and challenges of providing primary care in a community health setting.
In her free time, Shelley enjoys backpacking, skiing, running, reading, traveling, and learning how to sew.
Hanna Seibert, FNP
Seattle Medical
Hanna grew up in Fresno, California, a medically underserved community that inspired her interest in public health and
equitable healthcare access. She earned her Bachelor of Science in Health Science with a focus on Community Health from
California State University, Fresno, where she also completed a Certificate in Alcohol/Drug Studies and volunteered as a peer
educator addressing opioid misuse and substance abuse.
She earned her RN and Master of Science in Nursing as a Family Nurse Practitioner from Vanderbilt University and was selected
as a CAP (Collaborative Academic Practice) Program Student Awardee. Her clinical training included rural Kentucky, where she
cared for diverse patient populations, and she volunteered with Shade Tree Clinic, supported vaccine clinics, and participated
in interprofessional health programs.
Hanna enjoys traveling, exploring the outdoors, trying new foods, attending live music, and participating in community activities.
She is excited to join Sea Mar and provide compassionate, high-quality care to her patients and new community!
Jennifer Lee, ARNP
Seattle Medical
Rene Reyes, ARNP
Seattle Medical
Claudia Hernandez, FNP
Lynnwood Medical
Claudia is a board-certified Family Nurse Practitioner who earned her Doctor of Nursing Practice (DNP) from Washington State University.
Prior to becoming a Family Nurse Practitioner, she worked as a Registered Nurse for 15 years in the inpatient setting, specializing in
intermediate care.
Building on her extensive clinical experience, Claudia transitioned into primary care with a focus on preventive health, chronic disease
management, and advocating for underserved populations. Her approach is rooted in compassionate, patient-centered care and health equity.
Claudia lives in the Pacific Northwest with her husband, where they enjoy outdoor activities such as hiking, biking, and running.
Antonia Powicki, FNP
Lynnwood Medical
Antonia Powicki joined Sea Mar Community Health Centers in October 2025 as Family Nurse Practitioner Resident. She earned her Doctor of Nursing
Practice – Family Nurse Practitioner degree and Bachelor of Science in Nursing from Seattle University, and also holds a Bachelor of Science in
Child Development from California Polytechnic State University, San Luis Obispo.
Before becoming a nurse practitioner, Antonia worked as a medical assistant and scribe in primary care pediatrics, experiences that strengthened
her passion for family-centered care. She also served as a Community Health Nurse with the Nurse-Family Partnership, supporting first-time parents
during pregnancy and early childhood through home visits, health education, and community resource connection.
Her clinical training focused on adult and pediatric primary care and women’s health, with additional training in cardiology and pulmonology.
Throughout her rotations, she developed skills in chronic disease management and preventative care. Antonia is a recipient of the Nurse Corps
Scholarship and a graduate of the HRSA AHEC Scholars Program. She is committed to providing compassionate, culturally responsive, and
trauma-informed care, with special interests in pediatrics, reproductive/sexual health, substance use disorder treatment, and LGBTQ+ care.
In her spare time, Toni enjoys practicing yoga, cooking, spending time with her three cares, and exploring the outdoors in the beautiful Pacific Northwest
Regine “Lois” Palmares, FNP
Lynnwood Medical
Regine “Lois” Palmares, MSN, APRN, FNP-C, FNP-BC, will begin her Family Nurse Practitioner residency with Sea Mar Community Health Centers in October 2025
at the Lynnwood site. She earned her Master of Science in Nursing – Family Nurse Practitioner from United States University in San Diego, California, and her
Bachelor of Science in Nursing from Manila Adventist College in the Philippines. She is board-certified by both the American Nurse Credentialing Center.
She has provided care in diverse settings including primary care clinics, psychiatric hospitals, and long-term care facilities, which has shaped her
comprehensive approach to patient care. Originally, from the Philippines, Lois is fluent in both Tagalog and English and is dedicated to serving immigrant and
underserved communities. She is particularly interested in the relationship between mental and physical health and has experience supporting patients with
chronic conditions such as diabetes, high blood pressure, and depression.
Outside of work, Lois enjoys going to the gym, playing video games, and exploring local spots for matcha and coffee. She values connection, balance, and showing
up for others with compassion and purpose.
"From day one, I have been immersed in an environment that prioritizes both clinical excellence and compassionate care. I am given the opportunity to work alongside seasoned professionals, with no less than 9 preceptors who will mentor me in areas of outpatient psychiatric care in high needs and diverse districts of Seattle, pediatrics, inpatient geriatric psychiatric care, medicine assisted treatment for OUD, and inpatient adult treatment for SUD… All of this within the Sea Mar family of clinics".
Terre Anne Schneider, White Center BH Psychiatric Nurse Practitioner Resident 2024-2025
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