MRS. JOEY EDITH VICTORIA-LOPEZ (NPI# 1053668541) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053668541 |
| Entity Type | Individual |
| Full Name | MRS. JOEY EDITH VICTORIA-LOPEZ |
| Credential | PA-C |
| Practice Address |
503 E Highland Ave # Ace Chelan WA 98816-8631 |
| Mailing Address |
219 E Johnson Ave Chelan WA 98816-3392 |
| Practice Telephone | 5096823300 |
| Practice Fax Number | 5096823475 |
| Mailing Telephone | 5096822511 |
| Mailing Fax Number | 5096822515 |
| Enumeration Date | 2012-08-14 |
| Last Update Date | 2019-02-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA60485444 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ID | 1053668541 | 05 |
| Street Address |
503 E HIGHLAND AVE # ACE |
| City | CHELAN |
| State | WA |
| Zip Code | 98816-8631 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942852090 | Marshall Cy Whitener | Dentist | 111 E Chelan Ave, Chelan, WA 98816 | 2019-07-09 |
| 1508323080 | Anna Therese Fleming | Massage Therapist | 313 East Woodin Ave, Chelan, WA 98816 | 2019-02-21 |
| 1407329618 | Charlene Rose Mathews | Massage Therapist | 115 South Emerson St, Chelan, WA 98816 | 2019-01-10 |
| 1437648615 | Jessica Bliss Taylor | Massage Therapist | 313 E Woodin Ave, Chelan, WA 98816 | 2018-05-03 |
| 1295249605 | Chelan Spine LLC | Chiropractor | 130 E Chelan Avenue, Chelan, WA 98816 | 2017-11-21 |
| 1962911420 | Brandon Fromm | Chiropractor | 131 S Apple Blossom Dr, Chelan, WA 98816 | 2017-09-27 |
| 1689125049 | Melissa Dietrich | Dental Hygienist | Columbia Valley Community Health, 317 E Johnson Ave, Chelan, WA 98816 | 2016-10-20 |
| 1780130534 | Oro Starcher | Massage Therapist | 417 East Wapato Ave, Chelan, WA 98816 | 2016-08-31 |
| 1073973632 | Matthew Holman | Physical Therapy Assistant | 726 N Markeson, Chelan, WA 98816 | 2016-02-25 |
| 1861890360 | Erika Lee Scroggie | Registered Nurse | 407 E. Woodin Ave., Chelan, WA 98816 | 2014-12-15 |
| Find all providers in zip 98816 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508896879 | Aura L Sanderson | Physician Assistant | 105 S Apple Blossom Dr, Chelan, WA 98816 | 2006-07-03 |
| 1609954585 | Kristi K Morris | Physician Assistant | 105 S Apple Blossom Dr, Chelan, WA 98816-8810 | 2006-11-01 |
| 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 | ||||
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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.