ISAAC WATTS (NPI# 1144726381) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1144726381 |
Entity Type | Individual |
Full Name | ISAAC WATTS |
Practice Address |
7825 N Sound Dr Sedro Woolley WA 98284-7675 |
Mailing Address |
1012 N 8th St Apt 2 Tacoma WA 98403-1755 |
Practice Telephone | 3608547400 |
Enumeration Date | 2018-04-05 |
Last Update Date | 2018-04-05 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 175T00000X | Peer Specialist | WA | Other Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992920938 | Isaac Gordon Watts | Counselor | 233 Fulton St E, Suite 104, Grand Rapids, MI 49503-3200 | 2007-04-16 |
Street Address |
7825 N SOUND DR |
City | SEDRO WOOLLEY |
State | WA |
Zip Code | 98284-7675 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518054006 | Lynn Reed | Counselor | 7825 N Sound Dr, Sedro Woolley, WA 98284-7675 | 2006-10-06 |
1225640840 | Andrew Kossmann | Registered Nurse | 7825 N Sound Dr, Sedro Woolley, WA 98284-7675 | 2020-08-17 |
1407413602 | Nichole M Holloway | Counselor | 7825 N Sound Dr, Sedro Woolley, WA 98284-7675 | 2019-05-22 |
1063975415 | Jessica Hope Bland | Counselor | 7825 N Sound Dr, Sedro Woolley, WA 98284-7675 | 2019-04-12 |
1518420967 | Charla M Echlin | Counselor | 7825 N Sound Dr, Sedro Woolley, WA 98284-7675 | 2019-04-12 |
1003285347 | Shirley Garland | Counselor | 7825 N Sound Dr, Sedro Woolley, WA 98284-7675 | 2015-09-16 |
1336517309 | Jamie Michelle Polubinski | Psychiatric Residential Treatment Facility | 7825 N Sound Dr, Sedro Woolley, WA 98284-7675 | 2015-09-09 |
1881062800 | Kimberly Minkel | Counselor | 7825 N Sound Dr, Sedro Woolley, WA 98284-7675 | 2015-09-08 |
1154799286 | Kim Fallon | Licensed Practical Nurse | 7825 N Sound Dr, Sedro Woolley, WA 98284-7675 | 2015-09-06 |
1821464157 | Candace Reynolds | Counselor | 7825 N Sound Dr, Sedro Woolley, WA 98284-7675 | 2015-08-20 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174138994 | Matthew Thomas Schaeffer | Counselor | 1690 Thompson Drive, Sedro Woolley, WA 98284 | 2020-09-09 |
1841852407 | Melissa Lynn Rose | Licensed Practical Nurse | Pcn, 1960 Thompson Dr, Sedro Wooley, WA 98284 | 2019-07-03 |
1730742842 | Joseph Q Elder | Counselor | 1803 North Sound Drive, Sedro Woolley, WA 98284 | 2019-04-16 |
1336610575 | John Allan Roeder II | Pharmacist | 320 Harrison St., Sedro-woolley, WA 98284 | 2018-12-16 |
1861931107 | Stacy Lee Chambers | Counselor | 1906 Thompson Drive, Sedro Woolley, WA 98284 | 2017-02-20 |
1033657309 | Carol Totten | Social Worker | 1960 Thompson Dr., Sedro-woolley, WA 98284 | 2017-02-07 |
1639414345 | Shannon L Moore | Licensed Practical Nurse | 1235 3rd Street, Sedro-woolley, WA 98284 | 2012-12-06 |
1013210111 | Ashley L Shaner | Physical Therapist | 709 Cook Rd, Sedro Woolley, WA 98284 | 2010-12-10 |
1417195660 | Susan L Pearson | Massage Therapist | 12263 N. Mill Street, Clearlake, WA 98284 | 2009-01-27 |
1093950883 | Tamara Lyn Stone | Massage Therapist | 460 Hilltop Drive, Sedro Woolley, WA 98284 | 2008-12-08 |
Find all providers in zip 98284 |
Taxonomy Code | 175T00000X |
Grouping | Other Service Providers |
Classification | Peer Specialist |
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. |
Notes: Source: National Uniform Claim Committee [7/1/2014: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1205398955 | Stefanie M Mckinnon | Peer Specialist | 1803 N Sound Dr, Sedro Woolley, WA 98284-7697 | 2019-04-02 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992304703 | Corina Thornton | Peer Specialist | Arrow Lakes Street, Nespelem, WA 99155-0304 | 2020-10-22 |
1578161402 | Yavonnie Leslie Griggs | Peer Specialist | 3285 Ferguson Ln Sw, Tumwater, Wa 98512, Tumwater, WA 98512 | 2020-10-13 |
1306454061 | Ashley D Vinson-harris | Peer Specialist | 116 S 339th Cir, Federal Way, WA 98003-4537 | 2020-07-20 |
1184240301 | Aleric Hughes | Peer Specialist | 1200 Sw Holden St, Seattle, WA 98106-2054 | 2020-06-23 |
1013533876 | Alyssa Camille Meaker | Peer Specialist | 4350 Cordata Pkwy Ste 220, Bellingham, WA 98226-8278 | 2020-06-17 |
1134741424 | Tara Lin Garcia | Peer Specialist | 4256 Federal Avenue, Everett, WA 98203 | 2020-05-11 |
1558982058 | Edward Thomas Gollihugh | Peer Specialist | 721 Fawcett Ave Ste 204, Tacoma, WA 98402-5502 | 2020-05-06 |
1295356483 | Yvette Marie Sampson | Peer Specialist | Josephinum C/o Crew, 1902 2nd Ave., Seattle, WA 98101 | 2020-04-29 |
1043856123 | Jayde Wailani Albright | Peer Specialist | 5920 N Calispel St, Spokane, WA 99205-6214 | 2019-11-23 |
1033755244 | Willapa Behavioral Health | Peer Specialist | 2204 Pacific Ave. N., Long Beach, WA 98631 | 2019-11-22 |
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City | SEDRO WOOLLEY |
Zip Code | 98284 |
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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.