REDICLINIC OF WA, LLC (NPI# 1073990610) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073990610 |
| Entity Type | Organization |
| Organization Name | REDICLINIC OF WA, LLC |
| Practice Address |
21302 State Route 410 E Bonney Lake WA 98391-8468 |
| Mailing Address |
9 Greenway Plz Ste. 2950 Houston TX 77046-0905 |
| Practice Telephone | 7133351742 |
| Practice Fax Number | 7133584881 |
| Mailing Telephone | 7133351754 |
| Enumeration Date | 2015-05-04 |
| Last Update Date | 2015-05-04 |
| Authorized Official Name | DANIELLE BARRERA (CHIEF OPERATING OFFICER) |
| Authorized Official Telephone | 7135809489 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588060974 | Rediclinic of Wa, LLC | Clinic/Center | 18022 68th Avenue Ne, Kenmore, WA 98028-2702 | 2014-11-12 |
| 1316340565 | Rediclinic of Wa, LLC | Clinic/Center | 17226 Smokey Point, Arlington, WA 98223 | 2014-10-02 |
| 1861895104 | Rediclinic of Wa, LLC | Clinic/Center | 15100 S.e. 38th Street, Bellevue, WA 98006-1763 | 2014-10-01 |
| 1114320496 | Rediclinic of Wa, LLC | Clinic/Center | 14035 Ne Woodinville-duvall, Woodinville, WA 98072-8504 | 2014-10-01 |
| 1164809703 | Rediclinic of Wa, LLC | Clinic/Center | 2131 Sw 336th St, Federal Way, WA 98023-2847 | 2015-05-04 |
| 1588041107 | Rediclinic of Wa, LLC | Clinic/Center | 22631 Bothell Everett Hwy, Bothell, WA 98021-8401 | 2015-05-04 |
| 1528445160 | Rediclinic of Wa, LLC | Clinic/Center | 9502 176th St E, Puyallup, WA 98375-9300 | 2015-05-04 |
| 1235532482 | Rediclinic of Wa, LLC | Clinic/Center | 655 Nw Richmond Beach Rd, Shoreline, WA 98177-3121 | 2014-10-02 |
| 1770986929 | Rediclinic of Wa, LLC | Clinic/Center | 18906 State Route 2, Monroe, WA 98272-1415 | 2014-10-02 |
| 1831592062 | Rediclinic of Wa, LLC | Clinic/Center | 11700 Mukilteo Speedway Ste 500, Mukilteo, WA 98275-5435 | 2014-10-02 |
| Street Address |
21302 STATE ROUTE 410 E |
| City | BONNEY LAKE |
| State | WA |
| Zip Code | 98391-8468 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508989781 | Amit Tiwari | Pharmacist | 21302 State Route 410 E, Bonney Lake, WA 98391-8468 | 2007-04-10 |
| 1912414236 | Hyunju Kim | Pharmacist | 21302 State Route 410 E, Bonney Lake, WA 98391-8468 | 2018-01-09 |
| 1194199166 | Ivy Dang | Pharmacist | 21302 State Route 410 E, Bonney Lake, WA 98391-8468 | 2015-11-13 |
| 1659656098 | Stephanie G Hook | Pharmacist | 21302 State Route 410 E, Bonney Lake, WA 98391-8468 | 2011-10-17 |
| 1750672739 | Emily R Potter | Pharmacist | 21302 State Route 410 E, Bonney Lake, WA 98391-8468 | 2011-04-26 |
| 1063727113 | Peter Randolf Jones | Pharmacist | 21302 State Route 410 E, Bonney Lake, WA 98391-8468 | 2010-08-13 |
| 1487818688 | Nishy Kaur Hayre | Pharmacist | 21302 State Route 410 E, Bonney Lake, WA 98391-8468 | 2008-07-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982218814 | Lenny Yann | Pharmacist | 21301 Wa 410, Bonney Lake, WA 98391 | 2020-09-08 |
| 1497244552 | Kayla Grasso | Technician, Other | 18444 139th Street East, Bonney Lake, WA 98391 | 2018-05-04 |
| 1407359151 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 9801 204th Ave E, Bonney Lake, WA 98391 | 2018-03-08 |
| 1992217152 | Rachel Renee Andringa | Massage Therapist | 19102 Wa-410, Bonney Lake, WA 98391 | 2017-10-27 |
| 1437679099 | Emily A. Hansen | Occupational Therapist | 12202 209th Ave Ct. E., Liberty Ridge Elementary School, Bonney Lake, WA 98391 | 2017-06-26 |
| 1245782986 | Advance Behavior Education Continuum, Inc | Behavioral Analyst | 2305 164th Ave Ct, Bonney Lake, WA 98391 | 2016-10-28 |
| 1619343191 | Lauren Christine Difolco | Specialist | 10920 199th Ave. Ct. E., Bonney Lake Hs, Bonney Lake, WA 98391 | 2015-08-19 |
| 1699018192 | Michael Nelson | Dentist | 2803 176th Ave East, Lake Tapps, WA 98391 | 2013-04-03 |
| 1700141066 | Jacqueline Nguyen | Pharmacist | 20025 State Route 410 E, Bonney Lake, WA 98391 | 2012-07-11 |
| 1265737860 | Braden Shingleton | Massage Therapist | 19102 Sr 410 E Suite A, Bonney Lake, WA 98391 | 2011-01-13 |
| Find all providers in zip 98391 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891309928 | Eye 2 Eye Care Ps | Clinic/Center | 19205 State Route 410 E, Bonney Lake, WA 98391-6305 | 2020-09-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407457153 | Scandia Wellness | Clinic/Center | 121 Naylor Rd, Mossyrock, WA 98564-9507 | 2020-11-07 |
| 1699376152 | Seattle Vision Therapy and Rehabilitation Center, Pllc | Clinic/Center | 13344 1st Ave Ne Ste 101, Seattle, WA 98125-3059 | 2020-11-02 |
| 1942811211 | Little Fin Therapies, LLC | Clinic/Center | 5942 31st Ave Sw, Seattle, WA 98126-2910 | 2020-08-11 |
| 1578187829 | Therapy Northwest Pllc | Clinic/Center | 310 3rd Ave Ne Ste 124, Issaquah, WA 98027-3350 | 2020-06-02 |
| 1922621721 | Riaz Pllc | Clinic/Center | 8378 W Grandridge Blvd Ste 110, Kennewick, WA 99336-5401 | 2020-05-27 |
| 1295356848 | Community Health Care | Clinic/Center | 16329 Se 318th St, Auburn, WA 98092-9284 | 2020-05-05 |
| 1720617533 | Nova Mind-body LLC | Clinic/Center | 116 13th Ave E Apt 1e, Seattle, WA 98102-6142 | 2020-04-03 |
| 1609403054 | Lavender Luxe Massage | Clinic/Center | 100 3rd St Ste 100, Davenport, WA 99122-5008 | 2020-03-25 |
| 1417582255 | Personalized Health, LLC | Clinic/Center | 7136 Mlk Jr Way S Ste 204, Seattle, WA 98118-3526 | 2020-03-11 |
| 1912530932 | Lummi Indian Business Council | Clinic/Center | 2924 Haxton Way, Bellingham, WA 98226-9265 | 2020-02-18 |
| Find all providers with the same taxonomy | ||||
| City | BONNEY LAKE |
| Zip Code | 98391 |
Please comment or provide details below to improve the information on REDICLINIC OF WA, LLC.
| 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.