MR. BRYAN MCCABE (NPI# 1124446471) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124446471 |
| Entity Type | Individual |
| Full Name | MR. BRYAN MCCABE |
| Credential | ATC, NASE, PES |
| Practice Address |
7308 Bridgeport Way W Ste 103 Lakewood WA 98499-8000 |
| Mailing Address |
2101 N Puget Sound Ave Tacoma WA 98406-5852 |
| Practice Telephone | 2535828142 |
| Mailing Telephone | 7144884939 |
| Enumeration Date | 2014-04-03 |
| Last Update Date | 2014-04-03 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | A1 60284579 | WA | Student, Health Care |
| Street Address |
7308 BRIDGEPORT WAY W STE 103 |
| City | LAKEWOOD |
| State | WA |
| Zip Code | 98499-8000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376543884 | Staci Gaye Ellis | Physical Therapist | 7308 Bridgeport Way W Ste 103, Lakewood, WA 98499-8000 | 2005-07-26 |
| 1942772215 | Maggie Chan | Physical Therapist | 7308 Bridgeport Way W Ste 103, Lakewood, WA 98499-8000 | 2018-12-26 |
| 1568951416 | Jessica N Todd | Massage Therapist | 7308 Bridgeport Way W Ste 103, Lakewood, WA 98499-8000 | 2018-05-07 |
| 1508107939 | Jennifer Singleton | Massage Therapist | 7308 Bridgeport Way W Ste 103, Lakewood, WA 98499-8000 | 2013-03-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275159592 | Sea Mar Community Health Centers | Clinic/Center | 5700 100th Street Se, Suite 510, Lakewood, WA 98499 | 2020-06-23 |
| 1568018828 | Heather Leigh Andrade | Behavioral Analyst | 6210 75th St W Ste 100, Lakewood, WA 98499 | 2019-08-13 |
| 1043870876 | Seoul Chinese Herbs Inc | Acupuncturist | 8705 S. Tacoma Way, Lakewood, WA 98499 | 2019-06-14 |
| 1013572064 | Puget Sound Kidney Centers | Clinic/Center | 11950 47th Ave Sw, Lakewood, WA 98499 | 2019-05-06 |
| 1447736657 | Marcela Cunan | Counselor | 9330 59th Avenue Southest, Lakewood, WA 98499 | 2018-07-11 |
| 1609382381 | Leroy Moore IIi | Counselor | 8811 S. Tacoma Way, 106, Lakewood, WA 98499 | 2017-12-18 |
| 1578077657 | Andrea Gaston | Behavior Technician | 8815 S. Tacoma Way, Suite 122, Lakewood, WA 98499 | 2017-11-27 |
| 1609389931 | Jennifer King | Social Worker | 5900 100th St Sw Ste 17b, Lakewood, WA 98499 | 2017-11-08 |
| 1750806337 | Wonyoung Lee | Counselor | 8811 South Tacoma Way, Suite 106, Lakewood, WA 98499 | 2017-08-04 |
| 1043749443 | Frederick Paltron Edwards | Counselor | 9500 Front Street, Suite 100, Lakewood, WA 98499 | 2017-06-08 |
| Find all providers in zip 98499 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245839992 | Kara Lubieniecki | Student in an Organized Health Care Education/Training Program | 10445 W Iliff Ave, Lakewood, CO 80227-2024 | 2020-10-23 |
| 1477152817 | Molly Dare Bartlett | Student in an Organized Health Care Education/Training Program | 1606 Yarrow St, Lakewood, CO 80214-6031 | 2020-10-17 |
| 1568079333 | Elizabeth Jayne Paddock | Student in an Organized Health Care Education/Training Program | 7334 W Ohio Ave Apt 208, Lakewood, CO 80226-4986 | 2020-09-25 |
| 1982217089 | Jessica Lucero | Student in an Organized Health Care Education/Training Program | 12997 W Oregon Dr, Lakewood, CO 80228-3756 | 2020-08-28 |
| 1295353761 | Shelby Elizabeth Searcy | Student in an Organized Health Care Education/Training Program | 1233 Granger Ave, Lakewood, OH 44107-2218 | 2020-07-10 |
| 1750906913 | Kevin Jaid Alba-torres | Student in an Organized Health Care Education/Training Program | 6796 W 3rd Ave, Lakewood, CO 80226-1781 | 2020-06-13 |
| 1780213405 | Gregory Johnson | Student in an Organized Health Care Education/Training Program | 534 S Field St, Lakewood, CO 80226-2957 | 2020-04-04 |
| 1891325296 | Andrew Leonard | Student in an Organized Health Care Education/Training Program | 154 S Zang Way Apt 4-104, Lakewood, CO 80228-2044 | 2020-01-24 |
| 1780231696 | Zachary Edward Bohn | Student in an Organized Health Care Education/Training Program | 2212 S Eldridge St, Lakewood, CO 80228-4856 | 2019-08-25 |
| 1245797489 | Kyle Allen Carleton | Student in an Organized Health Care Education/Training Program | 1421 Alameda Ave, Lakewood, OH 44107-4920 | 2019-02-25 |
| Find all providers in LAKEWOOD | ||||
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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.