GLEB DESNITSKY (NPI# 1194008870) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1194008870 |
Entity Type | Individual |
Full Name | GLEB DESNITSKY |
Practice Address |
6226 196th St Sw Ste 2d Lynnwood WA 98036-5959 |
Mailing Address |
20818 59th Pl W Lynnwood WA 98036-7502 |
Practice Telephone | 4252865614 |
Mailing Telephone | 4257763617 |
Enumeration Date | 2011-09-20 |
Last Update Date | 2011-09-20 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 171W00000X | Contractor | 60230490 | WA | Other Service Providers |
Street Address |
6226 196TH ST SW STE 2D |
City | LYNNWOOD |
State | WA |
Zip Code | 98036-5959 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740781731 | Kwang Ho Chae | Naturopath | 6226 196th St Sw Ste 2d, Lynnwood, WA 98036-5959 | 2018-02-24 |
1740545656 | Shannon Harper | Massage Therapist | 6226 196th St Sw Ste 2d, Lynnwood, WA 98036-5959 | 2012-07-06 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396342630 | Zachary Perry | Behavior Technician | 4100 Veterans Way, Unit 100, Lynnwood, WA 98036 | 2020-10-08 |
1942832795 | Alexis Michelle Solomon-winne | Behavior Technician | 4100 Veterans Way Unit 100 Lynnwood, Wa 98036 United S, Lynnwood, WA 98036 | 2020-02-10 |
1881239028 | Endc Pllc | Psychologist | 19217 36th Ave W. Suite 219, Lynnwood, WA 98036 | 2019-11-12 |
1225507866 | Kyung Suk Seo | Massage Therapist | 18904 Hwy 99, Ste. K, Lynnwood, WA 98036 | 2018-11-13 |
1790270197 | Kabal Sriviboon | Behavior Technician | 20818 44th Ave W Suite 270, Lynnwood, WA 98036 | 2018-06-27 |
1992206148 | Kendal Ilyse Borison | Behavioral Analyst | 4100 194th Se, Suite 100, Lynnwood, WA 98036 | 2018-02-23 |
1205352515 | Doug Brant | Registered Nurse | 19931 Cypress Way, Lynnwood, WA 98036 | 2017-08-17 |
1588184980 | Evergreen Recovery Centers-lynnwood Detox | Substance Abuse Rehabilitation Facility | 20508 56th Ave W, Lynnwood, WA 98036 | 2017-06-27 |
1699213439 | Patrick J. Pacyga | Dentist | 19620 Wa-99, Suite 106, Lynnwood, WA 98036 | 2017-02-01 |
1134676646 | Fiona Green | Occupational Therapy Assistant | 21503 8th Place W, A, Lynnwood, WA 98036 | 2016-09-01 |
Find all providers in zip 98036 |
Taxonomy Code | 171W00000X |
Grouping | Other Service Providers |
Classification | Contractor |
A person who contracts to supply certain materials or do certain work for a stipulated sum; esp., one whose business is contracting work in any of the building trades. For purposes of the taxonomy, a person who contracts to complete home repairs or modifications to accommodate a health condition (e.g. wheelchair ramp, kitchen counter lowering). |
Notes: Source: Websters New World Dictionary of the American Language, Second College Edition, William Collins + World Publishing Co., Inc., New York: 1974, p. 308 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821499591 | Ronald Stanley King | Contractor | 14813 41st Ave W, Lynnwood, WA 98087-5574 | 2014-09-11 |
1548677180 | Kelsey Morgan Richey | Contractor | 2711 211th St Sw, Lynnwood, WA 98036 | 2014-07-15 |
1144634411 | Gloria Orias | Contractor | 14421 Ash Way, Lynnwood, WA 98087 | 2014-06-16 |
1629304316 | Jamie Bryan Campbell Jr. | Contractor | 6604 198th Pl Sw, Lynnwood, WA 98036-5901 | 2009-10-30 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376158410 | Luan Kim Do | Contractor | 1832 Pointe Woodworth Dr Ne, Tacoma, WA 98422-3466 | 2020-09-15 |
1023635026 | Vanessa L Mendez | Contractor | 4306 Vermilion Ln, Pasco, WA 99301-1321 | 2020-06-25 |
1144844150 | Michele Burtner | Contractor | 36 Salvaggi Ln, Elma, WA 98541-9063 | 2020-06-04 |
1760017495 | Estefani Perete Gomez | Contractor | 606 Lilly Rd Ne Apt 324, Olympia, WA 98506-5169 | 2020-03-03 |
1073144424 | Strom Holdings LLC | Contractor | 3335 Paine Ave, Everett, WA 98201-5301 | 2020-02-03 |
1528602182 | Deborah Harris | Contractor | 1284 Mt Baker Ave, Camano Island, WA 98282-8439 | 2019-11-06 |
1205486826 | Hattie Marie Stigum | Contractor | 2406 Ne 139th St Apt 298, Vancouver, WA 98686-2314 | 2019-09-16 |
1134774425 | Amanda Rene Collins | Contractor | 11905 N Guinevere Dr, Spokane, WA 99218-1715 | 2019-08-05 |
1720566755 | American Integrated Health | Contractor | 14121 Tukla Intl Blvd, Tukwila, WA 98168-4122 | 2018-08-01 |
1093202053 | Wilson Pershing Stevenson IIi | Contractor | 3250 Port of Benton Blvd Ste D, Richland, WA 99354-1670 | 2018-04-16 |
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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.