ELIZABETH A MRAZ (NPI# 1174697296) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174697296 |
| Entity Type | Individual |
| Full Name | ELIZABETH A MRAZ |
| Credential | ARNP |
| Practice Address |
625 9th Avenue Ste 210 Longview WA 98632-2465 |
| Practice Telephone | 3605013400 |
| Practice Fax Number | 3604236862 |
| Mailing Telephone | 3605013400 |
| Mailing Fax Number | 3604236862 |
| Enumeration Date | 2006-11-20 |
| Last Update Date | 2010-05-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | RN00156835 | WA | Nursing Service Providers |
| Y | 363L00000X | Nurse Practitioner | AP30007439 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | LABOR AND INDUSTRIES | 0229642 | 01 |
| WA | 9651027 | 05 |
| Street Address |
625 9TH AVENUE STE 210 |
| City | LONGVIEW |
| State | WA |
| Zip Code | 98632-2465 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306844063 | Bruce E Peterson | Physical Therapist | 625 9th Avenue, Suite 220, Longview, WA 98632-2544 | 2005-07-07 |
| 1184835100 | Longview Physical and Sports Therapy Services Ps | Physical Therapist | 625 9th Avenue, Suite 220, Longview, WA 98632 | 2007-05-24 |
| 1700837655 | George Palmer | Physical Therapist | 625 9th Avenue, Suite 220, Longview, WA 98632-2544 | 2006-05-15 |
| 1881692358 | David E Knoeppel | Physical Therapist | 625 9th Avenue, Suite 220, Longview, WA 98632-2544 | 2005-07-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851992366 | Honor Senior Care LLC | Home Health Aide | 1135 3rd Ave, Ste S101, Longview, WA 98632 | 2020-11-03 |
| 1417416728 | Sam Wise | Dentist | 1538 11th Ave Lowr Columbia, Longview, WA 98632 | 2019-03-16 |
| 1053870717 | Matthew Johnson | Physician Assistant | 900 Ocean Beach Hwy Ste 110, Longview, WA 98632 | 2019-03-12 |
| 1295205367 | Abid Valji | Occupational Therapist | Americana Health and Rehabilitation Center, 917 7th Ave, Longview, WA 98632 | 2018-11-30 |
| 1184106437 | Peacehealth | Durable Medical Equipment & Medical Supplies | Triangle Mall Suite 16 1015 Ocean Beach Hwy, Longview, WA 98632 | 2018-09-04 |
| 1982186318 | Linda Joan Mason | Licensed Practical Nurse | 1153 23rd Ave, Longview, WA 98632 | 2018-09-01 |
| 1891291910 | Ellen Sumner Hornbeak | Physical Therapist | 200 Triangle Shopping Ctr Ste 270, Longview, WA 98632 | 2018-04-05 |
| 1700399961 | Johnna Joyce Knapp | Speech-Language Pathologist | 2615 Lilac St, Longview, WA 98632 | 2017-11-09 |
| 1841711868 | Deborah Annette Burzynski | Registered Nurse | 1057 12th Avenue, Longview, WA 98632 | 2017-06-29 |
| 1598291122 | Cheyenne West | Counselor | 1616 10th Avenue, Longview, WA 98632 | 2017-05-02 |
| Find all providers in zip 98632 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508473893 | Kimberly Armstrong | Nurse Practitioner | 1104 Tiffany Ln, Longview, TX 75604-2803 | 2020-09-30 |
| 1194353730 | Dusty Rae Hane | Nurse Practitioner | Diagnostic Clinic of Longview, 2901 N Fourth St, Longview, TX 75605 | 2020-03-30 |
| 1639542046 | Megan Wilder | Nurse Practitioner | 800 Padon St, Longview, TX 75601-6611 | 2015-11-06 |
| 1134504426 | Siobain Kay Rogers | Nurse Practitioner | 703 E Marshall Ave Ste 4003, Longview, TX 75601 | 2015-07-28 |
| 1780712257 | Jennifer Boynton | Nurse Practitioner | 705 E Marshall Ave Ste 3000, Longview, TX 75601 | 2007-02-28 |
| 1528115755 | Melissa A Sutton | Nurse Practitioner | 709 Hollybrook Drive, Suite 2301, Longview, TX 75605-2411 | 2007-01-03 |
| 1811060874 | Mary Lucille Jansma | Nurse Practitioner | 600 N. Broadway, Longview, WA 98632-0302 | 2006-11-16 |
| 1164499661 | Linda C Boggs | Nurse Practitioner | 3211 N 4th St, Suite A, Longview, TX 75605-5145 | 2006-03-02 |
| 1104804582 | Libbie Sue Stokke | Nurse Practitioner | 911 W Loop 281 Ste 300, Longview, TX 75604-2934 | 2006-01-05 |
| 1801408547 | Jacquline D Jansen | Nurse Practitioner | 121 Gilmer Rd, Longview, TX 75604-4616 | 2020-08-22 |
| Find all providers in LONGVIEW | ||||
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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.