MRS. BROOKE ADA-ROSE PHAGAN (NPI# 1225537590) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225537590 |
| Entity Type | Individual |
| Full Name | MRS. BROOKE ADA-ROSE PHAGAN |
| Credential | RN |
| Practice Address |
15029 70th Ave Ne Kenmore WA 98028-4967 |
| Practice Telephone | 4256150094 |
| Enumeration Date | 2018-02-01 |
| Last Update Date | 2018-02-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WS0200X |
Registered Nurse Specialization: School |
RN60764453 | WA | Nursing Service Providers |
| Street Address |
15029 70TH AVE NE |
| City | KENMORE |
| State | WA |
| Zip Code | 98028-4967 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275131237 | Pacifica Kenmore LLC | Alzheimer Center (Dementia Center) | 7221 Ne 182nd Street, Kenmore, WA 98028 | 2020-10-13 |
| 1487173183 | Reiko Margarete Kobayashi-wagner | Dietitian, Registered | 17512 83rd Pl Ne, C304, Kenmore, WA 98028 | 2017-09-13 |
| 1356866776 | Matthew Vaughn | Specialist/Technologist | 6741 Ne 182nd St, Unit C313, Kenmore, WA 98028 | 2017-08-07 |
| 1619407467 | Suzanne Marie Gisch | Family Medicine | 18151 68th Ave Ne, Unit 219, Kenmore, WA 98028 | 2017-06-14 |
| 1063853018 | Vinai Prakash | Podiatrist | 6610 Ne 181st St Ste 4, Kenmore, WA 98028 | 2013-07-07 |
| 1760732580 | Benjamin Dorantes Dds Pllc | Dentist | 5710 Bothell Way Ne, Ste. 5, Kenmore, WA 98028 | 2012-09-19 |
| 1538491378 | Kellie A Cheever | Massage Therapist | 8846 Ne 160th Pl, Kenmore, WA 98028 | 2010-02-04 |
| 1275867855 | Mei-hsuan Ko | Dentist | 5723 Ne Bothell Way Ste C, Kenmore, WA 98028 | 2009-09-29 |
| 1659521912 | Wayne E Carr | Psychologist | 7800 N E Bothell Way, Suite 155 B, Kenmore, WA 98028 | 2008-09-23 |
| 1366625899 | Kevin Michael Smith | Chiropractor | 7249 Ne 171st Ln, Kenmore, WA 98028 | 2007-12-06 |
| Find all providers in zip 98028 | ||||
| Taxonomy Code | 163WS0200X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | School |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740843184 | Lynn Collar | Registered Nurse | 15115 84th Ave Ne, Kenmore, WA 98028-4709 | 2019-04-22 |
| 1447680251 | Ashley Megan Cook | Registered Nurse | 7711 Ne 175th St # 106, Kenmore, WA 98028-3567 | 2013-11-14 |
| 1164706784 | Joanne Karen Cascio | Registered Nurse | 3756 Delaware Avenue, Kenmore, NY 14217 | 2011-09-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508467549 | Karen Adepoju | Registered Nurse | Karen Adepoju, 1058 E Mercer St., Seattle, WA 98102 | 2020-11-05 |
| 1790385458 | Cindy Daniel | Registered Nurse | 4012 S 158th St Apt L, Tukwila, WA 98188-2614 | 2020-10-30 |
| 1326655523 | Aerika Leigh Street | Registered Nurse | 18350 6th Ave Nw, Shoreline, WA 98177-3531 | 2020-09-30 |
| 1639799570 | Gabriel Hardt | Registered Nurse | 6208 60th Ave Ne, Seattle, WA 98115-7944 | 2020-04-21 |
| 1669012340 | Kesha Milne | Registered Nurse | 10001 School St, Peshastin, WA 98847-9728 | 2020-01-10 |
| 1639717432 | Rebecca Ann Baldwin | Registered Nurse | 1704 Gray St, Richland, WA 99352-3881 | 2019-12-12 |
| 1477198877 | Lisa Susan Link | Registered Nurse | 1132 172nd St Sw, Lynnwood, WA 98037-8255 | 2019-11-10 |
| 1376187104 | Kulwinder K Seera | Registered Nurse | 25 Rife Rd, Port Angeles, WA 98363-8433 | 2019-11-05 |
| 1679117931 | Sarah Rose Pierce | Registered Nurse | 2505 S Washington St, Port Angeles, WA 98362-6763 | 2019-10-30 |
| 1801439377 | Pamela Kay Snook | Registered Nurse | 15701 B Street East, Health Room, Tacoma, WA 98445 | 2019-10-28 |
| Find all providers with the same taxonomy | ||||
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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.