BRETT J WHITE (NPI# 1124538905) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124538905 |
| Entity Type | Individual |
| Full Name | BRETT J WHITE |
| Credential | PA-C |
| Practice Address |
716 E Manitoba Ave Ellensburg WA 98926-3842 |
| Mailing Address |
Po Box 4765 Pocatello ID 83205-4765 |
| Practice Telephone | 5099338777 |
| Mailing Telephone | 9706234000 |
| Enumeration Date | 2017-10-05 |
| Last Update Date | 2017-10-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA.PA.60785232 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285049312 | Brett White | Speech-Language Pathologist | 3101 S Gulley Rd Ste F-g, Dearborn, MI 48124-4406 | 2014-06-27 |
| 1982997805 | Brett White | Prosthetist | 715 Fairgrove Church Rd Se, Ste 203, Conover, NC 28613-9290 | 2011-05-25 |
| 1326088964 | Brett White | Family Medicine | 520 Superior Ave, Suite 360, Newport Beach, CA 92663-3637 | 2006-06-08 |
| Street Address |
716 E MANITOBA AVE |
| City | ELLENSBURG |
| State | WA |
| Zip Code | 98926-3842 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831194265 | The Valley Clinic LLP | Specialist | 716 E Manitoba Ave, Ellensburg, WA 98926-3842 | 2005-06-13 |
| 1356808596 | Carissa A Dahl | Family Medicine | 716 E Manitoba Ave, Ellensburg, WA 98926-3842 | 2019-02-25 |
| 1720568033 | William Phillips | Physician Assistant | 716 E Manitoba Ave, Ellensburg, WA 98926-3842 | 2018-08-16 |
| 1538649843 | Anna Frances Parr | Physician Assistant | 716 E Manitoba Ave, Ellensburg, WA 98926-3842 | 2018-08-16 |
| 1699267963 | Desirae Bloomquist | Registered Nurse | 716 E Manitoba Ave, Ellensburg, WA 98926-3842 | 2018-06-03 |
| 1891199212 | Patricia Robertson | Registered Nurse | 716 E Manitoba Ave, Ellensburg, WA 98926-3842 | 2014-10-14 |
| 1114259751 | Sonja H Huebner | Nurse Practitioner | 716 E Manitoba Ave, Ellensburg, WA 98926 | 2010-02-08 |
| 1922336932 | Lori Ann Drews | Nurse Practitioner | 716 E Manitoba Ave, Ellensburg, WA 98926-3842 | 2009-12-02 |
| 1457581936 | Kittitas County Public Hospital | Registered Nurse | 716 E Manitoba Ave, Ellensburg, WA 98926-3842 | 2009-07-20 |
| 1134374028 | Krista J Summers | Family Medicine | 716 E Manitoba Ave, Ellensburg, WA 98926-3842 | 2008-11-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407286214 | Sarah Rae | Occupational Therapist | 1050 E Mountian View Ave, Ellensburg, WA 98926 | 2013-11-14 |
| 1366885691 | Leslie-ann Fox I | Pharmacist | 521 East Mountain View Ave, Ellensburg, WA 98926 | 2013-04-17 |
| 1972877330 | Terri Lee Hughes | Pharmacist | 608 E Mountainview, Ellensburg, WA 98926 | 2012-03-02 |
| 1366716789 | Eiko Hama | Pharmacist | 608 E Mountain View, Ellensburg, WA 98926 | 2012-03-02 |
| 1689971228 | Carolyn Jeannette Brunk | Massage Therapist | 814 East 5th Avenue, Ellensburg, WA 98926 | 2011-02-17 |
| 1275862468 | Creekside Dental Ellensburg Pllc | Dentist | 2601 Triple L Loop, Ellensburg, WA 98926 | 2009-12-17 |
| 1659605038 | Michael Alan Patin | Pharmacist | 700 S. Main St., Ellensburg, WA 98926 | 2009-10-01 |
| 1538391040 | Brenden J Davis | Dentist | 1206 N Dolarway Rd Ste 208, Ellensburg, WA 98926 | 2009-08-17 |
| 1821206186 | Peggy Elaine Erickson | Massage Therapist | 314 E 4th, Ellensburg, WA 98926 | 2007-05-18 |
| 1295951259 | Kenneth Francis Kladnik | Specialist/Technologist | 1711 E. Canterbury, Ellesnburg, WA 98926 | 2007-04-18 |
| Find all providers in zip 98926 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811038508 | Linda Mae Macdicken | Physician Assistant | 490 Yakima River Dr, Ellensburg, WA 98926-8598 | 2007-02-08 |
| 1336289768 | Wayne Michael Swesey | Physician Assistant | 400 E University Way, Cwu Health Center, Ellensburg, WA 98926-7502 | 2007-02-07 |
| 1306857149 | Paul David Wood | Physician Assistant | 716 E Manitoba Ave, Ellensburg, WA 98926-3842 | 2006-08-10 |
| 1447231790 | Jose Angel Diaz | Physician Assistant | 716 E Manitoba Ave, Ellensburg, WA 98926-3842 | 2005-11-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033735618 | Gavin Guard | Physician Assistant | 818 Mullis St Ste 6, Friday Harbor, WA 98250-7986 | 2020-06-19 |
| 1578110862 | Kaitlin E. Brotman | Physician Assistant | 315 Holton Ave Ste 100, Yakima, WA 98902-3245 | 2019-08-21 |
| 1700345196 | Kara Lynn Kime | Physician Assistant | 1200 Cooper Point Rd Sw Ste 100, Olympia, WA 98502-1172 | 2019-03-15 |
| 1679056824 | Katharine Loco-marshall | Physician Assistant | 4816 She-nah-num Drive, Olympia, WA 98513 | 2018-09-13 |
| 1841791274 | Sjs, Pllc | Physician Assistant | 900 Ocean Beach Hwy Ste B, Longview, WA 98632-4013 | 2018-02-21 |
| 1063928448 | Heidi April | Physician Assistant | 1410 N Pittsburgh St, Building A, Kennewick, WA 99336-8211 | 2017-12-20 |
| 1194251983 | Christopher Joseph Stanley | Physician Assistant | 1010 Ne Lilac St Apt 301, Issaquah, WA 98029-7878 | 2017-05-11 |
| 1366993362 | Vanessa Julie Iglesias Mehta | Physician Assistant | 5128 Yelm Hwy Se, Suite E, Lacey, WA 98503 | 2016-10-14 |
| 1801344601 | Jessica Ann Pettitt | Physician Assistant | 21200 Ne 190th Ct, Battle Ground, WA 98604-9636 | 2016-09-21 |
| 1407300098 | Joshua David Evans | Physician Assistant | 9040 Jackson Ave Mchj Clq C, Tacoma, WA 98431-1100 | 2016-08-11 |
| Find all providers with the same taxonomy | ||||
| City | ELLENSBURG |
| Zip Code | 98926 |
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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.