PRESTIGE PHLEBOTOMY (NPI# 1053861518) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053861518 |
| Entity Type | Organization |
| Organization Name | PRESTIGE PHLEBOTOMY |
| Practice Address |
17630 30th Avenue Ct E Tacoma WA 98446-1113 |
| Practice Telephone | 2532750901 |
| Practice Fax Number | 2532031671 |
| Mailing Telephone | 2532750901 |
| Mailing Fax Number | 2532031671 |
| Enumeration Date | 2016-10-09 |
| Last Update Date | 2016-10-09 |
| Authorized Official Name | MS. CHELSEA GOLPHENEE (PHLEBOTOMIST/OWNER) |
| Authorized Official Telephone | 2532750901 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 305S00000X | Point of Service | 603596285 | WA | Managed Care Organizations |
| Street Address |
17630 30TH AVENUE CT E |
| City | TACOMA |
| State | WA |
| Zip Code | 98446-1113 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689157836 | Ingrid Rodriguez Harvey | Counselor | 3816 152 St. Ct E, Tacoma, WA 98446 | 2018-09-13 |
| 1184837858 | Brenda Joyce Duzan | Acupuncturist | 5310 138th St. E., Tacoma, WA 98446 | 2007-05-08 |
| 1902275571 | Kylee Osowski | Speech-Language Pathologist | 16715 36th Ave E, Tacoma, WA 98446 | 2015-09-24 |
| 1407069156 | Michael Balmer | Massage Therapist | 5310 138th St. E., Tacoma, WA 98446 | 2007-05-08 |
| 1891969986 | Rona Herradura Dujon | Custodial Care Facility | 3105 192nd St E, Tacoma, WA 98446-1003 | 2008-04-18 |
| 1376873943 | Anna Marie Backer | Massage Therapist | 18802 32nd Avenue Ct E, Tacoma, WA 98446-1198 | 2010-01-05 |
| 1902266620 | Randall Mczegle | Licensed Practical Nurse | 17812 35th Ave E, Tacoma, WA 98446-1202 | 2016-02-24 |
| 1033690672 | Cydne Rebecca Bartley | Massage Therapist | 18210 32nd Avenue Ct E, Tacoma, WA 98446-1280 | 2018-08-22 |
| 1740531342 | Kelly G Rocke | Speech-Language Pathologist | 16915 32nd Ave E, Tacoma, WA 98446-1307 | 2012-09-24 |
| 1275049959 | Gene Gordon Wamsley | Respiratory Therapist, Registered | 18017 36th Ave E, Tacoma, WA 98446-1314 | 2017-12-18 |
| Find all providers in zip 98446 | ||||
| Taxonomy Code | 305S00000X |
| Grouping | Managed Care Organizations |
| Classification | Point of Service |
| This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost. |
| Notes: Source: "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 62 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891194718 | South Sound Eye Care | Point of Service | 4502 S Steele St, Suite 304 B, Tacoma, WA 98409-7242 | 2014-08-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770181232 | Tonn Physio Pllc | Point of Service | 307 S 1st St Ste B103, Mount Vernon, WA 98273-3856 | 2020-10-15 |
| 1871052696 | Pharmacare Services LLC | Point of Service | 17657 State Route 231 N, Edwall, WA 99008-9504 | 2019-03-19 |
| 1205383205 | Janette Carroll, Dds, Pllc | Point of Service | 2210 Kulshan View Dr Ste 101, Mount Vernon, WA 98273-2779 | 2016-09-07 |
| 1316491244 | Gregory B Mortensen Dds | Point of Service | 14645 Bel Red Rd Ste 100, Bellevue, WA 98007-3929 | 2016-08-09 |
| 1336599513 | Kings Royal Care | Point of Service | 8141 Lopez Dr, Clinton, WA 98236-9236 | 2016-06-17 |
| 1568834703 | Internal Acceptance, Pllc | Point of Service | 60 Nw Boistfort St, Chehalis, WA 98532-2003 | 2015-10-28 |
| 1184002081 | Melinda Kay Morrison | Point of Service | 3310 Sw 327th Pl, Federal Way, WA 98023-2759 | 2015-05-12 |
| 1235517236 | Lora's Massage & Aromatherapy Services | Point of Service | 12211 Edgewood Ave Sw, Apt.# 12, Lakewood, WA 98498-1201 | 2015-05-11 |
| 1649657750 | Alicia Koch-johnson | Point of Service | 14826 42nd Ave S, Tukwila, WA 98168-4436 | 2015-04-28 |
| 1861885527 | K's Optical LLC | Point of Service | 23020 Edmonds Way Unit 114, Edmonds, WA 98020-5066 | 2015-03-05 |
| 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.