DR. BONITA J SEUBERT (NPI# 1194017665) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1194017665 |
Entity Type | Individual |
Full Name | DR. BONITA J SEUBERT |
Other Name | DR. BONITA J SEUBERT |
Practice Address |
100 E 33rd St Ste 206 Vancouver WA 98663-2776 |
Mailing Address |
704 W 31st St Vancouver WA 98660-2046 |
Practice Telephone | 3606951334 |
Practice Fax Number | 3609921159 |
Enumeration Date | 2011-05-03 |
Last Update Date | 2017-03-23 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
363LF0000X | OR | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
100 E 33RD ST STE 206 |
City | VANCOUVER |
State | WA |
Zip Code | 98663-2776 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1346244043 | Jolanta Szewczyk Olson | Internal Medicine | 100 E 33rd St, Suite 206, Vancouver, WA 98663-2776 | 2005-06-09 |
1588133482 | Julia Zhukov Mccormick | Pharmacist | 100 E 33rd St, Vancouver, WA 98663-2776 | 2018-11-20 |
1114374006 | Lydia Raney | Family Medicine | 100 E 33rd St, Suite #100, Vancouver, WA 98663-2776 | 2016-05-20 |
1851748370 | Kerani Mcclelland | Family Medicine | 100 E 33rd St, Vancouver, WA 98663-2776 | 2016-05-16 |
1750751285 | Rolando Mendez | Physician Assistant | 100 E 33rd St, Suite 100, Vancouver, WA 98663-2776 | 2015-09-26 |
1003285420 | Sarah Haney | Student in an Organized Health Care Education/Training Program | 100 E 33rd St, #100, Vancouver, WA 98663-2776 | 2015-09-15 |
1922480045 | Janice Lee | Family Medicine | 100 E 33rd St, Suite 100, Vancouver, WA 98663-2776 | 2015-06-25 |
1154703601 | Abigail Kress | Family Medicine | 100 E 33rd St, Vancouver, WA 98663-2776 | 2015-06-22 |
1467834150 | Brant Granger | Family Medicine | 100 E 33rd St, Suite 100, Vancouver, WA 98663-2776 | 2015-06-18 |
1750782223 | Staci A. Sturges | Social Worker | 100 E 33rd St, Suite 100, Vancouver, WA 98663-2776 | 2014-09-15 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053946673 | Jessica Maree Carnes | Dental Hygienist | 6505 Nw Cherry Street, Vancouver, WA 98663 | 2020-03-04 |
1598247207 | Kristine Marie Mcginley | Acupuncturist | 100 East 33rd St., Ste 203a, Vancouver, WA 98663 | 2018-08-30 |
1932689460 | Jennifer Fowler | Behavioral Analyst | 1901 Broadway St Apt 103, Vancouver, WA 98663 | 2018-08-15 |
1083109755 | Kallie A Wikman | Physical Therapist | 100 E 33rd St Ste 204, Vancouver, WA 98663 | 2018-06-26 |
1407344872 | Kyle Besaw | Student in an Organized Health Care Education/Training Program | 300 E 33rd St Ste 100, Vancouver, WA 98663 | 2018-05-01 |
1023521747 | Focal Clinic Inc | Counselor | 3305 Main St Ste 205, Vancouver, WA 98663 | 2017-11-16 |
1215455365 | Thirty Three Oaks, LLC | Skilled Nursing Facility | 400 E. 33rd St., Vancouver, WA 98663 | 2017-09-08 |
1174047690 | Douglas Gangat Uy | Counselor | 1610 C Street, Suite 102, Vancouver, WA 98663 | 2017-07-26 |
1699206243 | Maggie May Mcgraw | Social Worker | 410 E 20th Street, Vancouver, WA 98663 | 2017-03-24 |
1356740328 | Joseph Kelly | Dentist | 1008 Nw 59th St., Vancouver, WA 98663 | 2014-08-15 |
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Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1942711767 | Julie B Lawrence | Nurse Practitioner | 900 Ne 139th Street, Suite 202, Vancouver, WA 98685 | 2017-10-19 |
1588174833 | Oliver Uy | Nurse Practitioner | 15814 Ne 72nd, Vancouver, WA 98682 | 2017-10-01 |
1780103549 | Rebecca Adele Rutledge | Nurse Practitioner | 10503 Ne 67th Ave, Vancouver, WA 98686-5103 | 2017-09-13 |
1689044182 | Moonstone Medical Group, Pllc | Nurse Practitioner | 9320 Ne Vancouver Mall Dr, Suite 103, Vancouver, WA 98662-8203 | 2015-09-28 |
1366821993 | Derek Simmons | Nurse Practitioner | 700 Ne 87th Ave # 260, Vancouver, WA 98664-1913 | 2015-05-28 |
1306155270 | Christie Anne Kratovil | Nurse Practitioner | 8614 E Mill Plain Blvd Ste 310, Vancouver, WA 98664-2058 | 2010-09-27 |
1780822916 | Stephanie Renee Jones | Nurse Practitioner | 406 Se 131st Ave Ste 203, Vancouver, WA 98683-4013 | 2009-01-26 |
1942484308 | Chrissie Collette Russell-wilson | Nurse Practitioner | 501 Se 172nd Ave Ste 130, Vancouver, WA 98684 | 2007-12-20 |
1093831752 | Sherrie Lee Thomas | Nurse Practitioner | Cascade Park Medical Office. 12607 Se Mill Plain Blvd, Vancouver, WA 98684-6055 | 2007-03-22 |
1669575692 | Debra Ann Goldstein | Nurse Practitioner | 12607 S.e. Mill Plain Blvd., Vancouver, WA 98684 | 2006-09-06 |
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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.