CARISSA NICHOLE GARRARD (NPI# 1215127543) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215127543 |
| Entity Type | Individual |
| Full Name | CARISSA NICHOLE GARRARD |
| Credential | LMT |
| Practice Address |
12811 Se 38th St Bellevue WA 98006-1326 |
| Practice Telephone | 4253781800 |
| Mailing Telephone | 4253781800 |
| Enumeration Date | 2007-08-01 |
| Last Update Date | 2007-08-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | MA00022500 | WA | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | L&I | 0215669 | 01 |
| Street Address |
12811 SE 38TH ST |
| City | BELLEVUE |
| State | WA |
| Zip Code | 98006-1326 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639387921 | Tara Louis | Specialist | 12811 Se 38th St, Bellevue, WA 98006-1326 | 2007-05-18 |
| 1831659424 | Cwc Group, Ps | Acupuncturist | 12811 Se 38th St, Bellevue, WA 98006-1326 | 2019-03-21 |
| 1760835557 | Kyung-oh Suh | Chiropractor | 12811 Se 38th St, Bellevue, WA 98006-1326 | 2016-07-18 |
| 1760888085 | Blue Spring Chiropractic | Chiropractor | 12811 Se 38th St, Bellevue, WA 98006-1326 | 2014-11-13 |
| 1285057505 | Alexander Meadows | Chiropractor | 12811 Se 38th St, Bellevue, WA 98006-1326 | 2014-01-22 |
| 1851661573 | Advanced Therapy & Sports Rehabilitation,inc. | Physical Therapist | 12811 Se 38th St, Bellevue, WA 98006-1326 | 2012-01-11 |
| 1992934426 | Gober Chiropractic Center | Chiropractor | 12811 Se 38th St, Bellevue, WA 98006-1326 | 2009-07-06 |
| 1497914170 | Vitality Chiropractic Center Inc | Clinic/Center | 12811 Se 38th St, Bellevue, WA 98006-1326 | 2008-06-06 |
| 1023289618 | Jennifer Rebecca Jorgensen | Contractor | 12811 Se 38th St, Bellevue, WA 98006-1326 | 2008-03-21 |
| 1508048604 | Patrick Flowin Kendrick | Contractor | 12811 Se 38th St, Bellevue, WA 98006-1326 | 2007-11-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033602628 | Junmei Jin | Acupuncturist | 4317 Factoria Blvd Se Ste C, Bellevue, WA 98006 | 2018-06-08 |
| 1144733106 | Justin J Ho | Physical Therapist | 12917 Se 38th St Ste 208, Bellevue, WA 98006 | 2017-11-13 |
| 1932507191 | & Foot Specialists of Puget Sound, Ps | Podiatrist | 4140 Factoria Blvd Se Suite 1b, Bellevue, WA 98006 | 2014-12-19 |
| 1437556347 | Hilla Asadi | Naturopath | 12600 Se 38th St. #130, Bellevue, WA 98006 | 2014-11-21 |
| 1023433141 | Lori Anne Price | Speech-Language Pathologist | 12 Lummi Key, Bellevue, WA 98006 | 2014-02-26 |
| 1841628344 | Cohen, Manavi & Pakrvan Inc | Dentist | 3630a Factoria Blvd Se, Bellevue, WA 98006 | 2013-10-17 |
| 1740617836 | Kathleen L Carter | Massage Therapist | 5446 119th Ave Se #d, Bellevue, WA 98006 | 2013-10-03 |
| 1790037547 | Mellissa Ann Ilgen | Dentist | 4100 Factoria Blvd. Se, Suite C, Bellevue, WA 98006 | 2012-10-03 |
| 1982994364 | Hero House | Community/Behavioral Health | 12838 Se 40th Pl, Bellevue, WA 98006 | 2011-04-19 |
| 1356657738 | Lilia Schastlivaya | Massage Therapist | 13210 Se Newport Way, K201, Bellevue, WA 98006 | 2010-08-24 |
| Find all providers in zip 98006 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730686569 | Susan M Bowers | Specialist | 365 118th Ave Se Ste 201, Bellevue, WA 98005-9805 | 2018-04-09 |
| 1346610045 | Michael Rosengrant | Specialist | 10655 Ne 4th Street Suite 101, Bellevue, WA 98004 | 2015-10-07 |
| 1649616673 | Dana Pellegrini | Specialist | 12635 Se 26th Pl, Bellevue, WA 98005-4336 | 2013-05-16 |
| 1891031548 | Will S Fernyhough | Specialist | 10050 Ne 10th St Ste C, Bellevue, WA 98004-4121 | 2012-12-28 |
| 1083968911 | Healing Serenity Therapeutic Massage, LLC | Specialist | 5806 119th Ave Se, Bellevue, WA 98006-3749 | 2012-10-30 |
| 1265706303 | Eugene Robert Butenko | Specialist | 13250 Ne 55th Pl, Bellevue, WA 98005-1029 | 2012-03-07 |
| 1093084816 | Debra Jane Casey | Specialist | 303 145th Pl Ne, Bellevue, WA 98007-4933 | 2011-12-22 |
| 1033487699 | Shirley Ann Leeper-carcione | Specialist | 16610 Lake Hills Blvd, Bellevue, WA 98008-4746 | 2011-12-09 |
| 1821385600 | Jixing Yin | Specialist | 14100 Ne 20th St Ste 201, Bellevue, WA 98007-3727 | 2011-06-30 |
| 1588956445 | Melissa Jayne Fairshter | Specialist | 136 102nd Ave Se, Bellevue, WA 98004-8134 | 2011-05-11 |
| Find all providers in BELLEVUE | ||||
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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.