ALICIA ROSE (NPI# 1215380787) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1215380787 |
Entity Type | Individual |
Full Name | ALICIA ROSE |
Credential | CDPT |
Practice Address |
3773 Martin Way E Ste 105a Olympia WA 98506-5048 |
Practice Telephone | 3606887312 |
Practice Fax Number | 3606887318 |
Mailing Telephone | 3606887312 |
Mailing Fax Number | 3606887318 |
Enumeration Date | 2016-07-19 |
Last Update Date | 2016-07-19 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
CO60463986 | WA | Behavioral Health & Social Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245784735 | Alicia L Rose | Pharmacist | 71 W Main St, Buckhannon, WV 26201-2236 | 2016-08-12 |
1386018760 | Alicia Nicole Rose | Nurse Practitioner | 19056 Greenbush Road, Parksley, VA 23421 | 2015-11-22 |
1629317268 | Alicia Rose | Social Worker | 1716 E 30th Ave, Ste B, Hutchinson, KS 67502-1230 | 2013-02-01 |
1952649345 | Alicia Rose | Social Worker | 1300 N Jackson St, Milwaukee, WI 53202-2602 | 2013-01-21 |
1396034898 | Alicia Rose | Registered Nurse | 85 Metro Park, Rochester, NY 14623-2607 | 2011-04-05 |
1225259104 | Alicia Anne Rose | Dentist | 350 W Woodrow Wilson Ave, Jackson Medical Mall, Suite 3516, Jackson, MS 39213-7681 | 2007-05-01 |
Street Address |
3773 MARTIN WAY E STE 105A |
City | OLYMPIA |
State | WA |
Zip Code | 98506-5048 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477185460 | Chloe Harper | Technician, Other | 3443 Lilly Rd Se, Ste B, Olympia, WA 98506 | 2020-02-07 |
1912543539 | Jessica Marie Radakovich | Licensed Practical Nurse | 3426 Mary Elder Rd, Olympia, WA 98506 | 2019-11-19 |
1669014973 | Arlene Josephine Adams | Registered Nurse | 413 Lily Rd Ne, Olympia, WA 98506 | 2019-10-09 |
1861999120 | Debra Delores Barker | Licensed Practical Nurse | 3710 South Bay Rd Ne, Olympia, WA 98506 | 2018-04-12 |
1801304431 | Michelle Warner | Nurse Practitioner | 205 Lilly Rd Ne Ste A1, Olympia, WA 98506 | 2018-01-17 |
1396258364 | Institute for Family Development | Community/Behavioral Health | 204 Quince St. Ne, Suite 200, Olympia, WA 98506 | 2017-11-13 |
1083137715 | Cameron Kunkel | Specialist/Technologist | 2512 20th Ave Ne, Olympia, WA 98506 | 2017-07-25 |
1184144768 | Trevor Shane Kwan | Family Medicine | 525 Lilly Road Ne, Olympia, WA 98506 | 2017-06-23 |
1073043212 | Michael H Harburg | Behavior Technician | 3857 Martin Way Ne, Olympia, WA 98506 | 2017-06-19 |
1780114371 | Priscilla Kangyang Jadu | Counselor | 3857 Martin Way E., Olympia, WA 98506 | 2017-06-15 |
Find all providers in zip 98506 |
Taxonomy Code | 101YA0400X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Addiction (Substance Use Disorder) |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1689291163 | Rachel E Freer | Counselor | 3222 Friendly Grove Rd Ne, Olympia, WA 98506-2940 | 2020-06-30 |
1144854332 | Lisa Lorraine Gaul | Counselor | 1905 4th Ave E Ste B, Olympia, WA 98506-4631 | 2020-02-26 |
1083244644 | Audrey Jane Bengtson | Counselor | 3773 Martin Way E Ste 107, Olympia, WA 98506-4400 | 2020-01-23 |
1396385357 | Cecilia Chavez | Counselor | 1820 Ashwood Downs Ln Se Apt 315, Olympia, WA 98501-7664 | 2020-01-08 |
1376055947 | Ashleigh L Clark | Counselor | 11702 Yelm Hwy Se, Olympia, WA 98513-9109 | 2017-11-03 |
1225567415 | Thierry Buckner | Counselor | 2400 Bristol Court Sw, Olympia, WA 98502 | 2017-06-09 |
1609301381 | Petya Pacheva | Counselor | 2401 Bristol Ct Sw Ste D101, Olympia, WA 98502-6037 | 2017-05-01 |
1154770188 | Amelia Sohler | Counselor | 5326 80th Ave Sw, Olympia, WA 98512-2358 | 2016-06-09 |
1164870267 | Kelly Knittle | Counselor | 4820 She-nah-num Dr. Se, Olympia, WA 98520 | 2016-05-31 |
1093172066 | Kaila Michelle Eichhorn | Counselor | 2400 Bristol Ct Sw, Olympia, WA 98502-6004 | 2016-01-21 |
Find all providers in OLYMPIA |
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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.