AUDRA STAVE (NPI# 1205236650) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205236650 |
| Entity Type | Individual |
| Full Name | AUDRA STAVE |
| Practice Address |
13501 Ne 28th St Vancouver WA 98682 |
| Mailing Address |
Po Box 8910 Vancouver WA 98668-8910 |
| Practice Telephone | 3606046700 |
| Mailing Telephone | 3606046700 |
| Enumeration Date | 2014-09-03 |
| Last Update Date | 2018-08-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
PY60794634 | WA | Behavioral Health & Social Service Providers |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
13501 NE 28TH ST |
| City | VANCOUVER |
| State | WA |
| Zip Code | 98682 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346361748 | Kate Costelloe | Occupational Therapist | 13501 Ne 28th St, Vancouver, WA 98682-8091 | 2007-04-03 |
| 1487217709 | Denise Crist | Licensed Practical Nurse | 13501 Ne 28th St, Vancouver, WA 98682-8091 | 2019-04-22 |
| 1740743392 | Vonda Becker | Registered Nurse | 13501 Ne 28th St, Vancouver, WA 98682-8091 | 2019-04-10 |
| 1699238642 | Veronica Vitale | Registered Nurse | 13501 Ne 28th St, Vancouver, WA 98682-8091 | 2019-04-08 |
| 1134682180 | Anne E Battson | Registered Nurse | 13501 Ne 28th St, Vancouver, WA 98682-8091 | 2019-04-08 |
| 1750842050 | Debra L Fowler | Registered Nurse | 13501 Ne 28th St, Vancouver, WA 98682-8091 | 2019-03-28 |
| 1669933180 | Tai Phong | Registered Nurse | 13501 Ne 28th St, Vancouver, WA 98682-8091 | 2019-03-27 |
| 1700347267 | Karin Ksiezopolski | Registered Nurse | 13501 Ne 28th St, Vancouver, WA 98682-8091 | 2019-03-27 |
| 1255892717 | Alicia Dawn Curtis | Registered Nurse | 13501 Ne 28th St, Vancouver, WA 98682-8091 | 2019-03-27 |
| 1316408875 | Brenda Renee Anderson | Licensed Practical Nurse | 13501 Ne 28th St, Vancouver, WA 98682-8091 | 2019-03-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184230625 | Helen Trinidad Uy | Registered Nurse | 15814 Ne 72nd St., Vancouver, WA 98682 | 2020-09-21 |
| 1891258711 | Washington Dental Corporation, PC | Dentist | 14411 Ne Fourth Plain, Suite 134, Vancouver, WA 98682 | 2019-04-08 |
| 1588174833 | Oliver Uy | Nurse Practitioner | 15814 Ne 72nd, Vancouver, WA 98682 | 2017-10-01 |
| 1285095000 | Julia Melinda Zamora | Naturopath | 15640 Ne Fourth Plain Blvd Ste 120a, Vancouver, WA 98682 | 2016-03-08 |
| 1871999243 | Jumana Sayyam | Counselor | 13114 Ne 41st St, Vancouver, WA 98682 | 2014-11-13 |
| 1679998538 | Chris Briggs | Massage Therapist | 6700 N.e. 162 Ave, Suite 415, Vancouver, WA 98682 | 2014-02-28 |
| 1790113371 | Kaiser Foundation Health Plan of The Northwest | Pharmacy | 1230 7th Ave., Longview, WA 98682 | 2013-10-17 |
| 1821336736 | Carol Lynn Fischer | Occupational Therapist | 13501 Ne 28th Street, Vancouver, WA 98682 | 2013-01-28 |
| 1336412485 | Erica Paige Schmidt | Massage Therapist | 13025 Ne 4th Plain Blvd, Suite 102, Vancouver, WA 98682 | 2012-02-21 |
| 1669767828 | Scott Germann | Contractor | 15410 Ne 85th Street, Vancouver, WA 98682 | 2011-06-16 |
| Find all providers in zip 98682 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265055172 | Dani Nierenberg Phd Bcb Pllc | Psychologist | 108 Se 124th Ave Ste 12, Vancouver, WA 98684-6015 | 2020-05-27 |
| 1790311157 | Ryan Mangum | Psychologist | 2009 F St, Vancouver, WA 98663-3345 | 2020-03-18 |
| 1790217578 | Allison Rose Chambers-dixson | Psychologist | 750 Officers Row, Vancouver, WA 98661-3845 | 2017-03-30 |
| 1225408941 | Peter Weiss | Psychologist | 237 Ne Chkalov Dr Ste 118, Vancouver, WA 98684-5054 | 2015-10-07 |
| 1912281254 | Linda Lee | Psychologist | 13220 Nw 33rd Ave, Vancouver, WA 98685-2288 | 2011-10-05 |
| 1215241781 | Chrystal Joy Agnor | Psychologist | 10708 Ne 90th Ct, Vancouver, WA 98662-1455 | 2010-07-27 |
| 1093040743 | Gregory Allen May | Psychologist | 400 E Evergreen Blvd Ste 209, Vancouver, WA 98660-3264 | 2009-10-14 |
| 1780826289 | Kelly Ross Fielding | Psychologist | 201 E 19th St, Vancouver, WA 98663-3301 | 2009-03-30 |
| 1174764732 | Cecilia M Dominguez | Psychologist | 2101 Ne 139th St Ste 265, Vancouver, WA 98686-2311 | 2009-03-11 |
| 1265684765 | Gary Seeman | Psychologist | 9901 Ne 7th Ave Ste B231, Vancouver, WA 98685-4538 | 2008-10-15 |
| Find all providers in VANCOUVER | ||||
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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.