LARISSA QUADRACCI MATTEI (NPI# 1033653142) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033653142 |
| Entity Type | Individual |
| Full Name | LARISSA QUADRACCI MATTEI |
| Practice Address |
14841 179th Ave Se Suite 330 Monroe WA 98272-1127 |
| Practice Telephone | 3607943300 |
| Enumeration Date | 2016-12-07 |
| Last Update Date | 2017-12-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
PA60715586 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
PA60715586 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942730817 | Larissa Haaser Mattei | Obstetrics & Gynecology | 1653 W Congress Pkwy, Chicago, IL 60612-3833 | 2017-06-14 |
| Street Address |
14841 179TH AVE SE SUITE 330 |
| City | MONROE |
| State | WA |
| Zip Code | 98272-1127 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295731594 | Brian Joseph Russon | Physical Therapist | 14841 179th Ave Se, Suite 340, Monroe, WA 98272-1161 | 2005-06-22 |
| 1609256924 | Allison Loretta Seale | Family Medicine | 14841 179th Ave Se, Monroe, WA 98272-1127 | 2015-06-02 |
| 1407195282 | Dr. Douglas K. White, Pllc | Non-Pharmacy Dispensing Site | 14841 179th Ave Se, Suite 230, Monroe, WA 98272-1127 | 2013-02-13 |
| 1104165984 | Neary Naturopathic Clinic, LLC | Non-Pharmacy Dispensing Site | 14841 179th Ave Se, Suite 230, Monroe, WA 98272-1127 | 2013-02-13 |
| 1972818607 | Rebecca Claire Gianotti | Optometrist | 14841 179th Ave Se, Suite 110, Monroe, WA 98272-1127 | 2010-08-18 |
| 1841479300 | Monroe Vision Clinic, Inc | Optometrist | 14841 179th Ave Se, Suite 110, Monroe, WA 98272-1127 | 2007-10-31 |
| 1205021276 | Peak Orthopedic and Sports Physical Therapy Inc | Clinic/Center | 14841 179th Ave Se, Suite 340, Monroe, WA 98272-1127 | 2007-09-12 |
| 1437273034 | Erin Maureen Robinson | Audiologist | 14841 179th Ave Se, Monroe, WA 98272-1127 | 2007-03-19 |
| 1144362047 | Proliance Surgeons Inc Ps | Surgery | 14841 179th Ave Se, Suite 220, Monroe, WA 98272-1127 | 2007-02-14 |
| 1184770398 | Herbert Wesley Courtney Jr. | Optometrist | 14841 179th Ave Se, Ste 110, Monroe, WA 98272-1127 | 2007-01-28 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710346135 | Kiran Agarwal | Internal Medicine | 17707 W Main St Fl 1, Monroe, WA 98272 | 2016-02-12 |
| 1982073136 | Rochelle Conway Toulouse | Behavioral Analyst | 642 North Street, Monroe, WA 98272 | 2015-09-17 |
| 1740658467 | Casey Jane Bahr | Social Worker | Casey Bahr, C.o. Tru- Sotap, 16550 177th Ave Se, Monroe, WA 98272 | 2015-09-11 |
| 1811395049 | Gianna M Rosewood | Massage Therapist | 101 East Main Street Set 201, Monroe, WA 98272 | 2014-12-22 |
| 1528478609 | Puget Sound Kidney Centers | Clinic/Center | 18121 149th Street Se, Monroe, WA 98272 | 2014-04-29 |
| 1215356878 | Sabiha K Barot | Emergency Medicine | Evergreenhealth Monroe, 14701 179th Ave. Se, Monroe, WA 98272 | 2014-04-10 |
| 1346677986 | Irina Emily Goldstein | Pharmacist | 179th Ave Se, Monroe, WA 98272 | 2013-09-27 |
| 1740612449 | Erik Michael Erxleben | Massage Therapist | 211 West Hill St., Monroe, WA 98272 | 2013-08-05 |
| 1780023796 | Jamie Marlo Selbe | Counselor | 16560 167th St Se, Monroe, WA 98272 | 2013-06-24 |
| 1942644620 | Robin Fenn | Counselor | 14841 179th Ave Se, St 230, Neary Naturopathic Clinic, Monroe, WA 98272 | 2013-04-24 |
| Find all providers in zip 98272 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922422278 | Frank Tanner | Physician Assistant | 146 Martin Luther King Jr Blvd#302, Monroe, GA 30655 | 2014-02-06 |
| 1689698490 | Paula M. Wallace | Physician Assistant | 212 Walnut St, Ste 110, Monroe, LA 71201-6707 | 2006-07-26 |
| 1235195835 | Angela M Clark | Physician Assistant | 2009 5th St, Monroe, WI 53566-1546 | 2006-04-22 |
| 1851768139 | Joseph Roger Fandal | Physician Assistant | 1501 Louisville Ave, Monroe, LA 71201-6025 | 2015-08-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780153536 | Patricia Dorian | Physician Assistant | 2950 Squalicum Pkwy Ste B, Bellingham, WA 98225-1857 | 2018-11-21 |
| 1851875561 | Sarah Gene Soloff | Physician Assistant | 9730 3rd Ave Ne Ste 201, Seattle, WA 98115-2023 | 2018-09-18 |
| 1104308394 | Johnny Thanh Nguyen | Physician Assistant | 1135 116th Ave Ne Ste 605, Bellevue, WA 98004-4697 | 2018-09-04 |
| 1558843201 | Stefanie Eller | Physician Assistant | 532 Cedar Wood Ln, Wenatchee, WA 98801-2476 | 2018-08-29 |
| 1861987992 | Lillian Baldwin Bourret | Physician Assistant | 6317 Linden Ave N, Seattle, WA 98103-5658 | 2018-07-01 |
| 1417446758 | Janelle Elizabeth Becker | Physician Assistant | 11511 Canterwood Blvd Nw Ste 205, Gig Harbor, WA 98332 | 2018-05-02 |
| 1982058418 | Ray Johnson | Physician Assistant | 4446 88th Ave Se, Mercer Island, WA 98040 | 2016-04-21 |
| 1073990651 | Laura Skanse | Physician Assistant | 12303 Ne 130th Ln #500, Kirkland, WA 98034 | 2015-05-02 |
| 1104231893 | Amber Elaine Deck | Physician Assistant | 20307 67th Ave E, Spanaway, WA 98387-5600 | 2014-06-22 |
| 1043535024 | Pamela Baird | Physician Assistant | 2016 16th Ave East, Seattle, WA 98112-5260 | 2010-04-01 |
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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.