TAMARA GANAHL (NPI# 1114476439) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114476439 |
| Entity Type | Individual |
| Full Name | TAMARA GANAHL |
| Credential | ARNP |
| Practice Address |
5921 N Market St Spokane WA 99208-2484 |
| Mailing Address |
203 N Washington St Ste 300 Spokane WA 99201-0254 |
| Practice Telephone | 5094448888 |
| Mailing Telephone | 5094448888 |
| Enumeration Date | 2016-09-28 |
| Last Update Date | 2020-01-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
ARNP.AP.60695725 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
5921 N MARKET ST |
| City | SPOKANE |
| State | WA |
| Zip Code | 99208-2484 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255325460 | Theresa Wiederhold | Nurse Practitioner | 5921 N Market St, Spokane, WA 99208-2484 | 2005-09-01 |
| 1316581465 | Community Health Association of Spokane | Pharmacy | 5921 N Market St, Spokane, WA 99208-2484 | 2019-11-01 |
| 1528526993 | Ryan Michael Lysne | Physician Assistant | 5921 N Market St, Spokane, WA 99208-2484 | 2019-03-05 |
| 1518475961 | Jennifer Patricia Loweree | Dietitian, Registered | 5921 N Market St, Spokane, WA 99208-2484 | 2018-01-19 |
| 1316478183 | Lich Pham | Family Medicine | 5921 N Market St, Spokane, WA 99208-2484 | 2017-03-23 |
| 1245773571 | Caitlin Miller | Physician Assistant | 5921 N Market St, Spokane, WA 99208 | 2016-11-17 |
| 1003218389 | Jeffrey Hayward | Physician Assistant | 5921 N Market St, Spokane, WA 99208-2484 | 2014-09-18 |
| 1942620307 | Joshua Raymond Kistner | Family Medicine | 5921 N Market St, Spokane, WA 99208 | 2014-04-23 |
| 1477828556 | Brian Mizoguchi | Counselor | 5921 N Market St, Spokane, WA 99208-2484 | 2012-03-21 |
| 1477856144 | Community Health Association of Spokane | Pharmacy | 5921 N Market St, Spokane, WA 99208-2484 | 2010-12-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043787161 | Bonnie Rose Spencer | Social Worker | E 44 Cozza, Spokane, WA 99208 | 2018-10-26 |
| 1235617515 | Melissa Dawn Scholl | Massage Therapist | 906 E Country Hill Ct, Spokane, WA 99208 | 2018-07-30 |
| 1043706583 | Healthy Schools Washington, Pllc | Pediatrics | 1028 West Rosewood Ave, Spokane, WA 99208 | 2018-07-09 |
| 1467943720 | Simone Ferguson | Student in an Organized Health Care Education/Training Program | 7808 North Morton Avenue, Apt. # 675, Spokane, WA 99208 | 2018-05-22 |
| 1912496035 | Ascend Network Corp | Counselor | 3711 W Woodside, Spokane, WA 99208 | 2018-05-03 |
| 1023522216 | Cherrywood Place-spokane, LLC | Assisted Living Facility | 100 East Dalke Ave, Spokane, WA 99208 | 2017-11-27 |
| 1881118792 | Annie Kamau | Registered Nurse | 5920 W Lonewolf, Spokane, WA 99208 | 2017-08-01 |
| 1609303908 | Jeffery Anthony Glinski | Counselor | 3754 W. Indian Trail Rd., Spokane, WA 99208 | 2017-05-17 |
| 1487186938 | Mukhlis Azar | Physical Therapy Assistant | 305 E Sierra Ct, Spokane, WA 99208 | 2017-04-03 |
| 1154796241 | Daisy O'dell | Marriage & Family Therapist | 515 W. Francis Ave., Suite #8, Spokane, WA 99208 | 2015-12-01 |
| Find all providers in zip 99208 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619576774 | Bethany Heath Arnp-pmhnp Pllc | Nurse Practitioner | 1224 West Riverside, Apt 408, Spokane, WA 99201 | 2020-10-20 |
| 1386254290 | Candie M. Wellwood | Nurse Practitioner | 9908 S Sherman Rd, Spokane, WA 99224-9811 | 2020-08-05 |
| 1104434679 | Progressive Psychiatric Consultant | Nurse Practitioner | 170 S Lincoln St # 150, Spokane, WA 99201-4443 | 2020-07-21 |
| 1376104232 | Bethany Ann Heath | Nurse Practitioner | 5420 W Barnes Rd Apt 206, Spokane, WA 99208-7031 | 2019-06-21 |
| 1467948471 | Nicholas Goodwin | Nurse Practitioner | 1106 W Garland Ave, Spokane, WA 99205-2735 | 2018-07-03 |
| 1770095325 | Erin Ryan | Nurse Practitioner | 1013 W Briar Cliff Dr, Spokane, WA 99218-2416 | 2017-11-03 |
| 1972967305 | Roberta Plunkett | Nurse Practitioner | 140 S. Arthur St., Suite 415, Spokane, WA 99202 | 2016-04-12 |
| 1861815037 | Michael Jude Lynch | Nurse Practitioner | 2136 W Riverside Ave, Spokane, WA 99201-1444 | 2014-01-24 |
| 1245507664 | Korsgaard Mental Health, Inc | Nurse Practitioner | 140 S 140 Arthur St, Ste 415, Spokane, WA 99202-2220 | 2011-11-30 |
| 1427247410 | Kristin Angelic Miller | Nurse Practitioner | 3711 W Woodside Ave, Spokane, WA 99208-4860 | 2007-10-16 |
| 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.