MR. DAVID GRANT NOGLE (NPI# 1174045876) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174045876 |
| Entity Type | Individual |
| Full Name | MR. DAVID GRANT NOGLE |
| Credential | CDP |
| Practice Address |
2121 S 19th St Tacoma WA 98405-2922 |
| Practice Telephone | 2533961634 |
| Enumeration Date | 2017-07-13 |
| Last Update Date | 2017-07-13 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
CP60443801 | WA | Behavioral Health & Social Service Providers |
| Street Address |
2121 S 19TH ST |
| City | TACOMA |
| State | WA |
| Zip Code | 98405-2922 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538152475 | James Robert Taylor | Internal Medicine | 2121 S 19th St, Tacoma, WA 98405-2922 | 2005-08-25 |
| 1962962142 | Blair P Osburn | Counselor | 2121 S 19th St, Tacoma, WA 98405-2922 | 2019-03-22 |
| 1386108348 | Kate Noel Donahue | Nurse Practitioner | 2121 S 19th St, Tacoma, WA 98405-2922 | 2019-01-24 |
| 1629547591 | Eduardo Jimenez | Case Manager/Care Coordinator | 2121 S 19th St, Tacoma, WA 98405-2922 | 2018-11-20 |
| 1043789530 | William Zane Zogg | Counselor | 2121 S 19th St, Tacoma, WA 98405-2922 | 2018-11-14 |
| 1841781168 | Sarah M Velazquez | Social Worker | 2121 S 19th St, Tacoma, WA 98405-2922 | 2018-05-22 |
| 1861919201 | Neeve Willows | Counselor | 2121 S 19th St, Tacoma, WA 98405-2922 | 2017-08-26 |
| 1023557428 | Karla Judith Aguilar | Counselor | 2121 S 19th St, Tacoma, WA 98405-2922 | 2017-02-17 |
| 1871965889 | Lynn Thayrich | Counselor | 2121 S 19th St, Tacoma, WA 98405-2922 | 2015-10-29 |
| 1144697343 | Scerra Hassuk | Social Worker | 2121 S 19th St, Tacoma, WA 98405 | 2015-08-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609486026 | Joanna Christine Hope | Physician Assistant | 2502 S Union Avenue, Tacoma, WA 98405 | 2020-08-01 |
| 1467077891 | Richard Jimenez | Student in an Organized Health Care Education/Training Program | 1202 M.l.k. Jr Way Suite #310, Tacoma, WA 98405 | 2020-06-11 |
| 1669008785 | Mariana Sanchez Corona | Behavior Technician | 1901 S Union Ave Allenmore Building B, Tacoma, WA 98405 | 2020-03-20 |
| 1811534845 | Jasmine Gregory | Social Worker | 311 Martin Luther King Jr. Way, Ms:315-c2-php, Tacoma, WA 98405 | 2019-12-10 |
| 1548807506 | Holly Rebecca Brezynski | Student in an Organized Health Care Education/Training Program | Fresenius Kindney Care - Home Therapies Department, 1717 South J Street, Tacoma, WA 98405 | 2019-12-09 |
| 1972064392 | Logan Brau | Student in an Organized Health Care Education/Training Program | 1202 M.l.k. Jr Way, Tacoma, WA 98405 | 2019-03-28 |
| 1629532536 | Preferred Orthotic and Prosthetic Services Inc | Prosthetic/Orthotic Supplier | 1708 Yakima Ave Ste 60, Tacoma, WA 98405 | 2019-01-24 |
| 1669945911 | Heidi Weakley | Counselor | 1001 S Yakima Ave, Suite 5, Tacoma, WA 98405 | 2019-01-09 |
| 1972074011 | Taviance Benet Laster | Behavior Technician | 1416 S 9th St, Tacoma, WA 98405 | 2018-12-16 |
| 1336618040 | Bailey Bangerter | Physician Assistant | 1901 South Union, A-233, Tacoma, WA 98405 | 2018-11-26 |
| Find all providers in zip 98405 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548868276 | Mind Over Matters, Pllc | Counselor | 2525 55th Ave Ne, Tacoma, WA 98422-3404 | 2020-10-14 |
| 1376140541 | Debra Tone | Counselor | 1219 Earnest Brazill St, Tacoma, WA 98405-4025 | 2020-10-01 |
| 1881201028 | Dallas Renae Neighbors | Counselor | 711 S 25th St Ste B, Tacoma, WA 98405-4306 | 2020-09-30 |
| 1306310925 | Nancy Rubi Rosas Rodriguez | Counselor | 5915 Orchard St W., Tacoma, WA 98467 | 2019-01-16 |
| 1740751668 | Jay Yourglich | Counselor | 3315 S 23rd St Ste 102, Tacoma, WA 98405-1615 | 2018-12-17 |
| 1407327927 | Lewis A Wilson | Counselor | 721 Fawcett Ave Ste 201, Tacoma, WA 98402-5502 | 2018-12-10 |
| 1386113207 | Patricia A Neagle | Counselor | 2316 S State St Ste B, Tacoma, WA 98405-2813 | 2018-11-20 |
| 1457829343 | Ron Rn Wilkins | Counselor | 721 Fawcett Ave Ste 102, Tacoma, WA 98402-5502 | 2018-11-08 |
| 1275001620 | Matthew Mixon | Counselor | 15318 14th Avenue Ct E, Tacoma, WA 98445-2496 | 2018-11-04 |
| 1124593017 | Elisa Marie Matthews | Counselor | 5315 S Orchard St, Tacoma, WA 98467-3686 | 2018-10-08 |
| Find all providers in TACOMA | ||||
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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.