JUDITH EFFENBERGER (NPI# 1023625886) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023625886 |
| Entity Type | Individual |
| Full Name | JUDITH EFFENBERGER |
| Practice Address |
4526 Federal Ave Everett WA 98203-2132 |
| Practice Telephone | 4253496200 |
| Mailing Telephone | 4253496200 |
| Enumeration Date | 2020-09-25 |
| Last Update Date | 2020-09-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 175T00000X | Peer Specialist | Other Service Providers |
| Street Address |
4526 FEDERAL AVE |
| City | EVERETT |
| State | WA |
| Zip Code | 98203-2132 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053399923 | Kate Hume | Nurse Practitioner | 4526 Federal Ave, Everett, WA 98203-2132 | 2006-01-02 |
| 1447850581 | Latricia Annette Johnson | Registered Nurse | 4526 Federal Ave, Everett, WA 98203-2132 | 2020-10-28 |
| 1073113320 | Carolyne Wambui Kiragu | Registered Nurse | 4526 Federal Ave, Everett, WA 98203-2132 | 2020-10-27 |
| 1447859426 | Marko Kalaba | Licensed Practical Nurse | 4526 Federal Ave, Everett, WA 98203-2132 | 2020-10-21 |
| 1053919068 | Laura L Hopf | Counselor | 4526 Federal Ave, Everett, WA 98203-2132 | 2020-10-12 |
| 1821696154 | Dalia Belen Mendoza-sanchez | Registered Nurse | 4526 Federal Ave, Everett, WA 98203-2132 | 2020-10-09 |
| 1962019208 | Madeline Nicole Schmitt | Student in an Organized Health Care Education/Training Program | 4526 Federal Ave, Everett, WA 98203-2132 | 2020-09-30 |
| 1396352837 | Matthew Robert Brandt | Behavior Technician | 4526 Federal Ave, Everett, WA 98203-2132 | 2020-09-29 |
| 1790391928 | Stephen Sullivan | Behavior Technician | 4526 Federal Ave, Everett, WA 98203-2132 | 2020-09-22 |
| 1295340750 | Natalie Maeda | Counselor | 4526 Federal Ave, Everett, WA 98203-2132 | 2020-09-11 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083226039 | Lisa Mcgregor | Counselor | Sea Mar Community Health Centers, 5007 Claremont Way, Everett, WA 98203 | 2020-08-20 |
| 1417572009 | Megan Ostermick-durkee | Student in an Organized Health Care Education/Training Program | Sunrise Services Inc., 811 Madison Street, Everett, WA 98203 | 2020-06-10 |
| 1134741424 | Tara Lin Garcia | Peer Specialist | 4256 Federal Avenue, Everett, WA 98203 | 2020-05-11 |
| 1225505241 | Reverie Aurora Shunny | Counselor | Sunrise Service Inc., 811 Madison Street, Everett, WA 98203 | 2018-10-29 |
| 1205313483 | Kristina Renee Bylenga | Counselor | Compass Health 4526 Federal Avenue M/s # 11, Everett, WA 98203 | 2018-07-20 |
| 1306384300 | Shantijoy Inc | Naturopath | 5208 S 2nd Ave, Everett, WA 98203 | 2017-02-09 |
| 1922545276 | Ekaterina Malinovska Dds Pllc | Dentist | 5920 Evergreen Way Suite E, Everett, WA 98203 | 2017-01-25 |
| 1326404104 | Job Oichoe | Counselor | 4625 Federal Ave, Everett, WA 98203 | 2016-01-08 |
| 1427423292 | Ross Lee Voorhees | Counselor | 4423 S 3rd Ave, Everett, WA 98203 | 2015-12-04 |
| 1447642376 | Adam Schneider | Counselor | 4526 Federal Ave # 40, Everett, WA 98203 | 2015-03-02 |
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| Taxonomy Code | 175T00000X |
| Grouping | Other Service Providers |
| Classification | Peer Specialist |
| Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. |
| Notes: Source: National Uniform Claim Committee [7/1/2014: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134741424 | Tara Lin Garcia | Peer Specialist | 4256 Federal Avenue, Everett, WA 98203 | 2020-05-11 |
| 1992211536 | Edna Iris Cruz | Peer Specialist | 3322 Broadway # Ms 04, Everett, WA 98201-4425 | 2017-12-19 |
| 1912419995 | Stacey Lynn Mcvay | Peer Specialist | 3322 Broadway Fl 1, Everett, WA 98201-4425 | 2017-10-30 |
| 1225640808 | Linda Schaefer | Peer Specialist | 4526 Federal Ave, Everett, WA 98203-2132 | 2020-08-17 |
| 1487264271 | Joshua Lane Jacobs | Peer Specialist | 4526 Federal Ave, Everett, WA 98203-2132 | 2020-08-05 |
| 1083224323 | Hannah Lee Gay | Peer Specialist | 4526 Federal Ave # 40, Everett, WA 98203-2132 | 2020-08-02 |
| 1497365738 | Alexandria D Carrigg | Peer Specialist | 4526 Federal Ave, Everett, WA 98203-2132 | 2020-08-02 |
| 1629688031 | Emily Elizabeth Miller | Peer Specialist | 4526 Federal Ave, Everett, WA 98203-2132 | 2020-07-31 |
| 1518583541 | Alexandria Noelle Bain | Peer Specialist | 4526 Federal Ave, Everett, WA 98203-2132 | 2020-06-25 |
| 1184246852 | Garry Allen Larson | Peer Specialist | 4526 Federal Ave, Everett, WA 98203-2132 | 2020-05-15 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.