DEMETRIA F TENNEFOSS


Address: 123 E Indiana Ave, Spokane, WA 99207-2313
Phone: 8669047721

DEMETRIA F TENNEFOSS (NPI# 1184127169) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1184127169
Entity Type Individual
Full Name DEMETRIA F TENNEFOSS
Credential NP
Practice Address 123 E Indiana Ave
Spokane
WA 99207-2313
Mailing Address 1115 Se 164th Ave Dept 358
Vancouver
WA 98683-8004
Practice Telephone 8669047721
Practice Fax Number 5092483644
Mailing Telephone 3607291459
Mailing Fax Number 3607293066
Enumeration Date 2018-03-15
Last Update Date 2020-08-10
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 163W00000X Registered Nurse 2017076T8RN OR Nursing Service Providers
Y 363L00000X Nurse Practitioner AP61074664 WA Physician Assistants & Advanced Practice Nursing Providers
N 363L00000X Nurse Practitioner 201803923NP-PP OR Physician Assistants & Advanced Practice Nursing Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
1200 Hilyard St Ste 510, Eugene, OR 97401 5416876282 5416876154

Office Location

Street Address 123 E INDIANA AVE
City SPOKANE
State WA
Zip Code 99207-2313

Providers in the same location

NPI Name Taxonomy Address Enumeration
1346226750 Planned Parenthood of Greater Washington & North Idaho Obstetrics & Gynecology 123 E Indiana Ave, Spokane, WA 99207-2313 2005-12-16
1063071124 Lucas Merrill Leek Counselor 123 E Indiana Ave, Spokane, WA 99207-2313 2019-06-11
1356874259 Tracy Worley Nurse Practitioner 123 E Indiana Ave, Spokane, WA 99207-2313 2017-04-06
1720431182 Nicole Renee Sampson Advanced Practice Midwife 123 E Indiana Ave, Spokane, WA 99207-2313 2016-07-20
1578946539 Planned Parenthood of Greater Washington and North Idaho Nurse Practitioner 123 E Indiana Ave, Spokane, WA 99207-2313 2015-07-08
1194108340 Malorie Marguerite Mahan Nurse Practitioner 123 E Indiana Ave, Spokane, WA 99207-2313 2015-07-07
1811234115 Ellen Olson Nurse Practitioner 123 E Indiana Ave, Spokane, WA 99207-2313 2013-01-08
1073789731 Plannned Parenthood of The Inland Nw Clinic/Center 123 E Indiana Ave, Suite 100, Spokane, WA 99207-2313 2008-05-02
1750471843 Christine Racely Brown Advanced Practice Midwife 123 E Indiana Ave, Ste 100, Spokane, WA 99207-2313 2006-10-13
1235198672 Denise Bayuszik Obstetrics & Gynecology 123 E Indiana Ave, Spokane, WA 99207-2313 2006-03-23
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1437669231 Rebecca Althouse Massage Therapist 59 E. Queen Ave. Suite 104, Spokane, WA 99207 2017-10-05
1891142105 Kathleen Annette Love Counselor 2702 N. Perry, Spokane, WA 99207 2016-05-17
1184094831 Rachel Robles Massage Therapist 514 E. Providence Ave, Spokane, WA 99207 2015-10-06
1114345022 Lindsay Urso Physician Assistant 4001 N. Cook St, Riverstone Family Health, Spokane, WA 99207 2014-03-29
1780936930 Amber Elizabeth Riemersma Midwife 127 E Eculid, Spokane, WA 99207 2012-10-12
1376816108 Michelle Christine Rees Massage Therapist 1504 E. Everett, Spokane, WA 99207 2012-02-09
1750658241 Zita Lindell Nickeson Counselor 4407 N. Division Suite 304, Spokane, WA 99207 2011-11-28
1912282989 Carolyn C Millen Pharmacist 12 E. Empire Ave, Spokane, WA 99207 2011-10-20
1316222730 Brooke Pickering Pharmacist 12 E Empire, Spokane, WA 99207 2011-10-17
1891001277 Providence Physician Services Co Pediatrics 5901 N Linderwood, Suite 126, Spokane, WA 99207 2010-08-24
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Taxonomy Information

Taxonomy Code 363L00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner

Taxonomy Definition

(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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1417555871 Katy Jane Kovari Nurse Practitioner 2118 N Ruby St, Spokane, WA 99207-5043 2020-10-16
1184222820 Sidni Brianna Shoemaker Nurse Practitioner 4512 N Bessie Ln, Spokane, WA 99212-1793 2020-10-14
1316551286 Jamie Joelle Finnerty Nurse Practitioner 910 W 5th Avenue, Suite #1000, Spokane, WA 99204-2902 2020-09-08
1689285017 Carmen Snypp Nurse Practitioner 3331 W Holyoke Ave, Spokane, WA 99208-4672 2020-08-10
1649817024 Lisa Renee Giddings Nurse Practitioner 1617 E 65th Ave, Spokane, WA 99223-6703 2019-12-05
1134612500 Jill Johnston Nurse Practitioner 1418 S Tacoma St, Spokane, WA 99203 2018-06-11
1982118394 Dawn Marie Depriest Nurse Practitioner 600 N. Riverfront Blvd, Esfcom, Spokane, WA 99210 2017-11-21
1003190331 Katie L Gomez Nurse Practitioner 805 W. 5th Ave, Suite 518, Spokane, WA 99204 2011-10-05
1972807311 Wanping Zhang Nurse Practitioner 122 West 7th Ave, Suite 450, Spokane, WA 99204-2339 2010-12-28
1851694673 Michele Louise Moore Nurse Practitioner 9130 E Fraser Ct, Spokane, WA 99206-6083 2010-12-16
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Competitor

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City SPOKANE
Zip Code 99207

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Dataset Information

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.

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