LEYDIS MARLEN EAWAZ (NPI# 1225584584) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225584584 |
| Entity Type | Individual |
| Full Name | LEYDIS MARLEN EAWAZ |
| Other Name | LEYDIS MARLEN VARONA |
| Credential | ARNP |
| Practice Address |
4412 Rainier Ave S Seattle WA 98118 |
| Mailing Address |
Po Box 25608 Salt Lake City UT 84125-0608 |
| Practice Telephone | 8882273312 |
| Enumeration Date | 2016-08-28 |
| Last Update Date | 2018-06-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | RN60799319 | WA | Nursing Service Providers |
| Y | 363L00000X | Nurse Practitioner | AP60799983 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
95005358 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
ARNP9337001 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 1225584584 | 05 |
| Street Address |
4412 RAINIER AVE S |
| City | SEATTLE |
| State | WA |
| Zip Code | 98118 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386659357 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 4412 Rainier Ave S, Seattle, WA 98118-1373 | 2006-07-29 |
| 1598370637 | Liya W Tsegaye | Pharmacist | 4412 Rainier Ave S, Seattle, WA 98118-1373 | 2020-09-15 |
| 1811455587 | Binh Ly | Pharmacist | 4412 Rainier Ave S, Seattle, WA 98118-1373 | 2019-03-12 |
| 1013336593 | Anh Nguyen | Pharmacist | 4412 Rainier Ave S, Seattle, WA 98118-1373 | 2014-04-10 |
| 1841612199 | Abby Renee Edwards | Registered Nurse | 4412 Rainier Ave S, Seattle, WA 98118 | 2014-01-06 |
| 1376983049 | Amy M Tran | Pharmacist | 4412 Rainier Ave S, Seattle, WA 98118-1373 | 2013-06-26 |
| 1962789867 | Bindu Sam | Pharmacist | 4412 Rainier Ave S, Seattle, WA 98118-1373 | 2011-11-07 |
| 1992023329 | Sung Eun Yoon | Pharmacist | 4412 Rainier Ave S, Seattle, WA 98118-1373 | 2010-05-10 |
| 1437488327 | Ha Thi Hoang | Pharmacist | 4412 Rainier Ave S, Seattle, WA 98118-1373 | 2009-12-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386102812 | Psjh Pllc | Pharmacy | 3828 S Graham St Unit B, Seattle, WA 98118 | 2019-03-04 |
| 1912463670 | Hillman City Medical Pllc | Family Medicine | 3828 S Graham St Suite A, Seattle, WA 98118 | 2019-02-18 |
| 1992287650 | Valentina Komarova | Massage Therapist | 4321 S Webster St Unit D, Seattle, WA 98118 | 2018-08-29 |
| 1750884672 | Ka Hei Cheuk | Behavior Technician | 3815 S Othello Street, Suite 100 Box 361, Seattle, WA 98118 | 2018-03-16 |
| 1285150904 | Crystal N White | Counselor | 3815 S Othello St Suite 100 #317, Seattle, WA 98118 | 2017-08-15 |
| 1346775327 | Anya Lisha Andre | Student in an Organized Health Care Education/Training Program | 9245 Rainier Avenue South, Seattle, WA 98118 | 2017-04-27 |
| 1710334552 | Emeka Titus Okoye | Durable Medical Equipment & Medical Supplies | 4529 S. Henderson Street, #7, Seattle, WA 98118 | 2016-05-23 |
| 1104202191 | Elizabeth Kittay | Acupuncturist | 5224 Wilson Avenue South, Suite 202, Seattle, WA 98118 | 2015-08-03 |
| 1194129601 | Heather Vargas-lyon | Massage Therapist | 8338 Wolcott Ave S, Seattle, WA 98118 | 2014-10-13 |
| 1487069878 | Tamikia Jones | Massage Therapist | 9260 57th Ave S, Seattle, WA 98118 | 2014-06-25 |
| Find all providers in zip 98118 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548871007 | Holly Jean Irvin | Nurse Practitioner | 701 5th Ave N Unit 323, Seattle, WA 98109-5100 | 2020-08-10 |
| 1164080602 | Abigail Bracken | Nurse Practitioner | 2713 S Elmwood Pl, Seattle, WA 98144-3131 | 2019-05-30 |
| 1447813589 | Maria Elena Ovalles Van Gaver | Nurse Practitioner | 1604 14th Ave, Seattle, WA 98122-4026 | 2019-04-15 |
| 1043788292 | Zechariah T Thiry | Nurse Practitioner | 1600 2nd Ave Apt 811, Seattle, WA 98101-3278 | 2018-11-06 |
| 1124503974 | Katrina Korreckt | Nurse Practitioner | 135 Nw 76th St, Seattle, WA 98117-3016 | 2018-09-27 |
| 1275011470 | Amber Lynn Hawkins | Nurse Practitioner | 11531 Bartlett Ave Ne, Seattle, WA 98125-5832 | 2018-07-31 |
| 1346748985 | Thu Van Nguyen | Nurse Practitioner | 317 Ne Thornton Pl Ste 10a, Seattle, WA 98125-8020 | 2018-01-29 |
| 1356860886 | Taylor Donovan | Nurse Practitioner | 509 Olive Way Ste 752, Seattle, WA 98101-3171 | 2017-09-15 |
| 1215454574 | Shannon Duffy | Nurse Practitioner | 12704 76th Ave S, Seattle, WA 98178-4811 | 2017-08-28 |
| 1215458674 | Melissa Mary Fessel | Nurse Practitioner | 601 Broadway Ste 600, Seattle, WA 98122-5330 | 2017-07-06 |
| Find all providers in SEATTLE | ||||
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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.