MR. CRAIG CONKLIN (NPI# 1093728057) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093728057 |
| Entity Type | Individual |
| Full Name | MR. CRAIG CONKLIN |
| Practice Address |
4815 N Assembly St Spokane WA 99205-6185 |
| Mailing Address |
408 W 22nd Ave Spokane WA 99203-1956 |
| Practice Telephone | 5094347013 |
| Mailing Telephone | 5098381924 |
| Enumeration Date | 2006-08-14 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760704217 | Craig Conklin | Hearing Instrument Specialist | 4238 Tamiami Trl S, Venice, FL 34293-5105 | 2010-02-25 |
| Street Address |
4815 N ASSEMBLY ST |
| City | SPOKANE |
| State | WA |
| Zip Code | 99205-6185 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083611396 | Jeffrey John Emery | Family Medicine | 4815 N Assembly St, Spokane, WA 99205-6185 | 2005-06-30 |
| 1831798495 | Keri Ann Abbey | Dietitian, Registered | 4815 N Assembly St, Spokane, WA 99205-6185 | 2020-10-23 |
| 1104425479 | Virginia O Bice | Optometrist | 4815 N Assembly St, Spokane, WA 99205-6185 | 2020-10-19 |
| 1457965006 | Jennie Anne Chang | Pharmacist | 4815 N Assembly St, Spokane, WA 99205-6185 | 2020-09-01 |
| 1346850443 | Anthony Beck | Registered Nurse | 4815 N Assembly St, Spokane, WA 99205-6185 | 2020-08-04 |
| 1740899632 | Danne Jo Hudson | Family Medicine | 4815 N Assembly St, Spokane, WA 99205-6185 | 2020-07-27 |
| 1639790132 | Hannah Song | Optometrist | 4815 N Assembly St, Spokane, WA 99205-6185 | 2020-05-06 |
| 1093349482 | Julianne Baldwin | Dietitian, Registered | 4815 N Assembly St, Spokane, WA 99205-6185 | 2020-02-25 |
| 1134753643 | Susan Wardrop Ells | Dietitian, Registered | 4815 N Assembly St, Spokane, WA 99205-6185 | 2020-02-24 |
| 1265066708 | Lori A Ruckhaber | Dietitian, Registered | 4815 N Assembly St, Spokane, WA 99205-6185 | 2020-02-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275027740 | Jill Sanders | Behavior Technician | 1104 West Wellesley, Spokane, Wa, United States, Ste D, Spokane, WA 99205 | 2018-06-19 |
| 1265981997 | Lorraine Jeanette Diricco | Registered Nurse | 1717 W Francis Ave Ste 204, Spokane, WA 99205 | 2016-09-22 |
| 1992156749 | Dane Sultzer | Optometrist | 1123 W Fairview Ave, Spokane, WA 99205 | 2016-06-23 |
| 1770975864 | Trevor George | Naturopath | 3710 N Monroe, Spokane, WA 99205 | 2015-02-26 |
| 1003246661 | Rita Y Flanagan | Psychologist | 4815 N Assembly St, Room B256, Spokane Va Medical Center, Spokane, WA 99205 | 2013-11-19 |
| 1649616277 | Mary Anyango Okello | Nurse's Aide | 3614 W. Wellesley Ave, Spokane, WA 99205 | 2013-05-22 |
| 1710242367 | Amy Clement | Dentist | 4815 N Assembly St., Spokane, WA 99205 | 2012-07-10 |
| 1114202082 | Teresa J Stella | Pharmacist | 3919 N. Maple St., Spokane, WA 99205 | 2011-10-11 |
| 1184905218 | James Anthony Carnell | Dentist | 4610 N. Ash St., (suite 204), Spokane, WA 99205 | 2011-09-02 |
| 1508150632 | Jennifer Leigh Knuston | Social Worker | 207 W Nora Ave, Spokane, WA 99205 | 2011-06-06 |
| Find all providers in zip 99205 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043819550 | Ginger Lee Grey | Counselor | 1325 W 1st Ave Ste 314, Spokane, WA 99201-4135 | 2020-10-26 |
| 1942808530 | Hannah M. Smith | Counselor | 106 W. Mission Ave, Spokane, WA 99201-2337 | 2020-10-15 |
| 1659979870 | Lisa Dawn Olson | Counselor | 327 W Montgomery Ave, Spokane, WA 99205-4737 | 2020-10-09 |
| 1811594658 | Kaaren Goeller-bloom | Counselor | 106 West Mission, Spokane, WA 99201 | 2020-10-05 |
| 1255946695 | Erik Brian Hildahl | Counselor | 514 E 22nd Ave, Spokane, WA 99203-2334 | 2020-09-12 |
| 1104439934 | Kristin Penn, Ma, Lmhc (pllc) | Counselor | 170 S Lincoln St Ste 150, Spokane, WA 99201-4443 | 2020-08-31 |
| 1740819416 | Elizabeth Michele Wright | Counselor | 815 W 7th Ave Ste 200, Spokane, WA 99204-2839 | 2020-04-05 |
| 1609416890 | Mychal Ferger | Counselor | 1411 W Garland Ave Ste A, Spokane, WA 99205-2614 | 2020-01-15 |
| 1922659630 | Creative Harmony Counseling LLC | Counselor | 721 N Pines Road, Spokane, WA 99206 | 2019-09-24 |
| 1447711668 | Elizabeth Cynthia Young | Counselor | 8727 Us-2, Spokane, WA 99224 | 2019-03-29 |
| Find all providers in SPOKANE | ||||
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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.