MISS MICHELLE LYNN RODGERS (NPI# 1043456684) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043456684 |
| Entity Type | Individual |
| Full Name | MISS MICHELLE LYNN RODGERS |
| Credential | P.A.-C |
| Practice Address |
24920 104th Ave Se Kent WA 98030 |
| Mailing Address |
3600 Lind Ave Sw Suite 100 Attn Credentialing Renton WA 98057 |
| Practice Telephone | 4256903420 |
| Practice Fax Number | 4256909420 |
| Mailing Telephone | 4256902715 |
| Enumeration Date | 2009-01-04 |
| Last Update Date | 2020-03-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | PA60570863 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA60570863 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | MEDICARE | G8963551 | 01 |
| WA | 2049501 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 400 S 43rd St, Renton, WA 980555714 | 4252283440 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447731849 | Michelle Rodgers | Nurse's Aide | 134 E 162nd St, South Holland, IL 60473-2109 | 2018-08-23 |
| 1225574429 | Michelle Rodgers | Licensed Vocational Nurse | 5492 Carlson Dr Apt 4, Sacramento, CA 95819-2444 | 2017-01-11 |
| 1699268748 | Michelle Rodgers | Counselor | 5351 Samuell Blvd, Dallas, TX 75228-6720 | 2018-06-13 |
| 1255754602 | Michelle Marie Rodgers | Dietitian, Registered | 2323 Oregon Pike, Lancaster, PA 17601-4608 | 2014-01-21 |
| 1508140245 | Michelle Rodgers | Social Worker | 75 West St, Danbury, CT 06810-6528 | 2011-09-29 |
| 1881607240 | Michelle Leigh Rodgers | Radiology | 10180 Se Sunnyside Rd, Department of Radiology, Clackamas, OR 97015-8970 | 2006-08-15 |
| Street Address |
24920 104TH AVE SE |
| City | KENT |
| State | WA |
| Zip Code | 98030 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871547927 | Frank P S Fung | Internal Medicine | 24920 104th Ave Se, Kent, WA 98030-6443 | 2006-05-22 |
| 1922565795 | I Pan | Nurse Practitioner | 24920 104th Ave Se, Kent, WA 98030-6443 | 2019-02-27 |
| 1669902839 | Amanda J Zorn | Family Medicine | 24920 104th Ave Se, Kent, WA 98030-6443 | 2017-06-19 |
| 1710412812 | Erin L Browder | Dietitian, Registered | 24920 104th Ave Se, Kent, WA 98030-6443 | 2017-04-26 |
| 1144603044 | Sherman Wu | Family Medicine | 24920 104th Ave Se, Kent, WA 98030-6443 | 2015-07-09 |
| 1356731681 | Nanette Marie Guild | Social Worker | 24920 104th Ave Se, Kent, WA 98030-6443 | 2015-01-26 |
| 1578900213 | Samira Ali Farah | Family Medicine | 24920 104th Ave Se, Kent, WA 98030-6443 | 2013-06-03 |
| 1407140056 | Johnny Y Shum | Family Medicine | 24920 104th Ave Se, Kent, WA 98030-6443 | 2011-05-31 |
| 1831402841 | John Kittrell Clyde | Podiatrist | 24920 104th Ave Se, Kent, WA 98030-6443 | 2010-07-19 |
| 1053561134 | Phuc T Phung | Family Medicine | 24920 104th Ave Se, Kent, WA 98030-6443 | 2008-09-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871193193 | Sarah V Swan | Occupational Therapist | 12033 Se 265th St, Kent, WA 98030 | 2020-10-27 |
| 1346889250 | Kaylee Meilahn | Nurse Practitioner | 219 State Ave. N, Suite 220, Kent, WA 98030 | 2019-12-26 |
| 1508417429 | Pamela Stefansky | Technician | 25927 119th Ct Se, Kent, WA 98030 | 2019-09-23 |
| 1144703885 | Healthpoint | Clinic/Center | 219 State Ave N, Ste 100, Kent, WA 98030 | 2018-09-10 |
| 1932681921 | Johana Sanchez-vidales | Massage Therapist | 24837 104th Ave Se #100, Kent, WA 98030 | 2018-09-05 |
| 1265925309 | Linda Tomkins | Chiropractor | 12901 Se Kent-kangley Rd, Kent, WA 98030 | 2018-06-13 |
| 1952809543 | Sarah Rose Collins | Massage Therapist | 13003 Se Kent Kangley Rd Ste 110, Kent, WA 98030 | 2018-01-29 |
| 1942726815 | Alexandra B Zigmont | Physical Therapist | 12926 Se Kent Kangley Road, Kent, WA 98030 | 2017-08-22 |
| 1659801256 | Mitra Lal Dhital | Counselor | 3639 Mlk Jr Way S Seattle, Seattle, WA 98030 | 2017-06-15 |
| 1952838658 | Elizabeth Burson | Registered Nurse | 25742 104th Avenue Se, Kent, WA 98030 | 2017-05-12 |
| Find all providers in zip 98030 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417213521 | Carl Byron Marshall | Physician Assistant | 25959 130th Pl Se, Kent, WA 98030-7927 | 2012-04-03 |
| 1437339942 | Jensen Lund Nelson | Physician Assistant | 521 2nd Place North, M/s Ksc 11-103, Kent, WA 98032 | 2007-11-13 |
| 1003964271 | Juliette Eileen Pohl-y-baca | Physician Assistant | 233 2nd Ave S, Kent, WA 98032-5852 | 2007-01-06 |
| 1326081217 | Melissa Yoon | Physician Assistant | 403 E Meeker St, Suite 200, Kent, WA 98030-5904 | 2006-06-14 |
| 1376590026 | Public Hospital District #1 of King County | Physician Assistant | 24920 104th Ave Se, Kent, WA 98030-6443 | 2006-05-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033735618 | Gavin Guard | Physician Assistant | 818 Mullis St Ste 6, Friday Harbor, WA 98250-7986 | 2020-06-19 |
| 1578110862 | Kaitlin E. Brotman | Physician Assistant | 315 Holton Ave Ste 100, Yakima, WA 98902-3245 | 2019-08-21 |
| 1700345196 | Kara Lynn Kime | Physician Assistant | 1200 Cooper Point Rd Sw Ste 100, Olympia, WA 98502-1172 | 2019-03-15 |
| 1679056824 | Katharine Loco-marshall | Physician Assistant | 4816 She-nah-num Drive, Olympia, WA 98513 | 2018-09-13 |
| 1841791274 | Sjs, Pllc | Physician Assistant | 900 Ocean Beach Hwy Ste B, Longview, WA 98632-4013 | 2018-02-21 |
| 1063928448 | Heidi April | Physician Assistant | 1410 N Pittsburgh St, Building A, Kennewick, WA 99336-8211 | 2017-12-20 |
| 1194251983 | Christopher Joseph Stanley | Physician Assistant | 1010 Ne Lilac St Apt 301, Issaquah, WA 98029-7878 | 2017-05-11 |
| 1366993362 | Vanessa Julie Iglesias Mehta | Physician Assistant | 5128 Yelm Hwy Se, Suite E, Lacey, WA 98503 | 2016-10-14 |
| 1801344601 | Jessica Ann Pettitt | Physician Assistant | 21200 Ne 190th Ct, Battle Ground, WA 98604-9636 | 2016-09-21 |
| 1407300098 | Joshua David Evans | Physician Assistant | 9040 Jackson Ave Mchj Clq C, Tacoma, WA 98431-1100 | 2016-08-11 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on MISS MICHELLE LYNN RODGERS.
| 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.