CHILDHAVEN - CREEKMORE BRANCH (NPI# 1245353887) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245353887 |
| Entity Type | Organization |
| Organization Name | CHILDHAVEN - CREEKMORE BRANCH |
| Practice Address |
1035 Sw 124th St Seattle WA 98146-2746 |
| Mailing Address |
316 Broadway Seattle WA 98122-5325 |
| Practice Telephone | 2062484903 |
| Practice Fax Number | 2064338566 |
| Mailing Telephone | 2066246477 |
| Mailing Fax Number | 2063823303 |
| Enumeration Date | 2007-04-09 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | VICKI NINO OSBY (ASSOCIATE DIRECTOR) |
| Authorized Official Telephone | 2069574804 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QS1000X |
Clinic/Center Specialization: Student Health |
2883 | WA | Ambulatory Health Care Facilities |
| Street Address |
1035 SW 124TH ST |
| City | SEATTLE |
| State | WA |
| Zip Code | 98146-2746 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972078020 | Jessica Peters | Occupational Therapist | 1035 Sw 124th St, Seattle, WA 98146-2746 | 2018-10-04 |
| 1184110413 | Nitara Dandapani | Social Worker | 1035 Sw 124th St, Seattle, WA 98146-2746 | 2018-07-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063998946 | Vinh T Nguyen | Pharmacist | 10248- 17th Ave Sw, Seattle, WA 98146 | 2018-07-13 |
| 1386032233 | Bowie James Mclean | Counselor | 480 Sw 134th St, Burien, WA 98146 | 2014-12-30 |
| 1518367200 | Joy Hilliker | Counselor | 10803 44th Ave Sw, Seattle, WA 98146 | 2014-08-29 |
| 1841534344 | Phuonglinh Tran | Speech-Language Pathologist | 10811 12th Avenue Southwest, Seattle, WA 98146 | 2012-11-21 |
| 1174867741 | Dorothy Winkler Phelps | Registered Nurse | 2725 Sw116th Street, Burien, WA 98146 | 2012-11-20 |
| 1578829529 | Aaron Thomas Kent | Massage Therapist | 304 Sw 106th St, Seattle, WA 98146 | 2012-04-04 |
| 1154651933 | Robert Anthony Yap | Nurse Practitioner | 12459 Ambaum Blvd S.w., Unit A, Burien, WA 98146 | 2009-12-30 |
| 1952536690 | Renee Dorothea Patterson | Massage Therapist | 11645 23rs Ave Sw, Seattle, WA 98146 | 2009-05-26 |
| 1518125368 | Leeanne Casal | Massage Therapist | 10223 16th Sw, Seattle, WA 98146 | 2008-05-29 |
| 1629299474 | Bryn Annette Karlberg | Massage Therapist | 12263 Shorewood Drive Sw, Seattle, WA 98146 | 2007-05-01 |
| Find all providers in zip 98146 | ||||
| Taxonomy Code | 261QS1000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Student Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912242769 | Whitman Middle School | Clinic/Center | 9201 15th Ave Nw, Seattle, WA 98117-2336 | 2012-12-05 |
| 1457474090 | Childhaven - Lake City | Clinic/Center | 2350 Ne 95th St, Seattle, WA 98115-2433 | 2007-04-09 |
| 1346464294 | Childhaven - Broadway Branch | Clinic/Center | 316 Broadway, Seattle, WA 98122-5325 | 2007-04-12 |
| 1841322252 | Seattle Children's Hospital | Clinic/Center | 2101 E Yesler Way, Suite 100, Seattle, WA 98122-5959 | 2007-03-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114241478 | Pacific Lutheran University | Clinic/Center | 12108 S Park Ave, Tacoma, WA 98447-0001 | 2010-03-16 |
| 1720313026 | Student Health Options | Clinic/Center | 534 S 3rd Ave, Suite 16, Walla Walla, WA 99362-3177 | 2009-10-05 |
| 1114040755 | Childhaven - Gogerty Branch | Clinic/Center | 1345 22nd St Ne, Auburn, WA 98002-3442 | 2007-04-09 |
| 1770557290 | University of Puget Sound | Clinic/Center | 1500 N Warner St, Cmb 1035, Tacoma, WA 98416-5000 | 2006-02-13 |
| 1629048848 | Wwu Campus Health & Wellness | Clinic/Center | 133 S College Ave, Suite 101, College Place, WA 99324-1193 | 2006-01-23 |
| 1114195898 | The Evergreen State College | Clinic/Center | 2700 Evergreen Pkwy Nw, Seminar 1 2110, Olympia, WA 98505-0005 | 2008-02-14 |
| 1326262452 | Western Washington University Student Health Center | Clinic/Center | 516 High St, Ms 9132, Bellingham, WA 98225-5946 | 2007-04-12 |
Please comment or provide details below to improve the information on CHILDHAVEN - CREEKMORE BRANCH.
| 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.