KELLEE LOUISE GORE (NPI# 1063977569) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063977569 |
| Entity Type | Individual |
| Full Name | KELLEE LOUISE GORE |
| Practice Address |
15675 Ambaum Blvd Sw Burien WA 98166-2523 |
| Practice Telephone | 2066313011 |
| Mailing Telephone | 2066313011 |
| Enumeration Date | 2019-02-08 |
| Last Update Date | 2019-02-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | LP60733963 | WA | Nursing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | LPN | LP60733963 | 01 |
| Street Address |
15675 AMBAUM BLVD SW |
| City | BURIEN |
| State | WA |
| Zip Code | 98166-2523 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710099478 | Highline School District | Local Education Agency (LEA) | 15675 Ambaum Blvd Sw, Burien, WA 98166-2523 | 2006-08-31 |
| 1023617636 | Gillian Marie Grimsrud | Occupational Therapist | 15675 Ambaum Blvd Sw, Burien, WA 98166-2523 | 2020-10-23 |
| 1154920973 | Littlepage Taliaferro | Occupational Therapist | 15675 Ambaum Blvd Sw, Burien, WA 98166-2523 | 2020-10-22 |
| 1700408952 | Jeanine Totten | Registered Nurse | 15675 Ambaum Blvd Sw, Burien, WA 98166-2523 | 2020-05-11 |
| 1861032872 | Christina Lajoie | Registered Nurse | 15675 Ambaum Blvd Sw, Burien, WA 98166-2523 | 2020-01-08 |
| 1720639651 | Olivia Antunes Cukierman | Registered Nurse | 15675 Ambaum Blvd Sw, Burien, WA 98166-2523 | 2019-09-23 |
| 1265082572 | Madeline Patten | Registered Nurse | 15675 Ambaum Blvd Sw, Burien, WA 98166-2523 | 2019-09-18 |
| 1205483153 | Roxanne Caple | Registered Nurse | 15675 Ambaum Blvd Sw, Burien, WA 98166-2523 | 2019-08-23 |
| 1922655943 | Soo Jee Lee | Licensed Practical Nurse | 15675 Ambaum Blvd Sw, Burien, WA 98166-2523 | 2019-08-23 |
| 1891342820 | Shina Oh | Licensed Practical Nurse | 15675 Ambaum Blvd Sw, Burien, WA 98166-2523 | 2019-08-23 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508341488 | Robert James Woodland Sr. | Counselor | 1210 Sw 136th St., Burien, WA 98166 | 2018-09-26 |
| 1215467329 | Amy Elizabeth Castillo | Massage Therapist | 1204 Sw 168th St, Normandy Park, WA 98166 | 2017-06-13 |
| 1053856070 | Michael David Blackledge | Physical Therapist | 15811 Ambaum Blvd Sw Ste 140, Burien, WA 98166 | 2016-12-29 |
| 1114372232 | Maris Gibson | Massage Therapist | 801 S.w. 150thst, #110, Burien, WA 98166 | 2016-04-26 |
| 1649642992 | Navos | Community/Behavioral Health | 31408 28th Ave South, 1201 Sw 136th Street, Burien, WA 98166 | 2015-10-27 |
| 1154790798 | Han Nguyen | Chiropractor | 15811 Ambaum Blvd Sw Suite 110, Burien, WA 98166 | 2015-09-24 |
| 1497163778 | Maria Garvey-caruso | Physical Therapist | 1511 Ambaum Blvd South West, Suite 140, Burien, WA 98166 | 2014-07-30 |
| 1427495274 | Mohammed Nayeemuddin | Internal Medicine | 16259 Sylvester Rd Sw Ste 404, Burien, WA 98166 | 2013-06-03 |
| 1023362753 | Donna Shaman | Occupational Therapist | 15675 Ambaum Blvd, Burien, WA 98166 | 2012-11-02 |
| 1366707010 | Tracy C Saephanh | Pharmacy Technician | 14901 4th Ave Sw Ste 100, Burien, WA 98166 | 2012-07-09 |
| Find all providers in zip 98166 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205324563 | Tiffany Ann Macaraeg | Licensed Practical Nurse | 611 S 132nd St, Burien, WA 98168-2764 | 2018-04-23 |
| 1154952208 | Judi Laura Ball | Licensed Practical Nurse | 1210 Sw 136th St, Burien, WA 98166-1214 | 2020-01-28 |
| 1922655943 | Soo Jee Lee | Licensed Practical Nurse | 15675 Ambaum Blvd Sw, Burien, WA 98166-2523 | 2019-08-23 |
| 1891342820 | Shina Oh | Licensed Practical Nurse | 15675 Ambaum Blvd Sw, Burien, WA 98166-2523 | 2019-08-23 |
| 1306405568 | Temesgen Kenea | Licensed Practical Nurse | 15675 Ambaum Blvd Sw, Burien, WA 98166-2523 | 2019-06-11 |
| 1376108001 | Cheryl Mae Dela Cruz | Licensed Practical Nurse | 15675 Ambaum Blvd Sw, Burien, WA 98166-2523 | 2019-05-08 |
| 1134782675 | Jonathan Carl St Martin | Licensed Practical Nurse | 15675 Ambaum Blvd Sw, Burien, WA 98166-2523 | 2019-04-19 |
| 1952964496 | Vanessa Goodley | Licensed Practical Nurse | 15675 Ambaum Blvd Sw, Burien, WA 98166-2523 | 2019-04-19 |
| 1972075851 | Ashlyn Nicole Campos | Licensed Practical Nurse | 1210 Sw 136th St, Burien, WA 98166-1214 | 2018-12-17 |
| 1538630991 | Ashley Briana Waldron | Licensed Practical Nurse | 15675 Ambaum Blvd Sw, Burien, WA 98166-2523 | 2018-12-11 |
| Find all providers in BURIEN | ||||
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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.