LUTRICIA LEVETTE CISCO (NPI# 1245852524) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245852524 |
| Entity Type | Individual |
| Full Name | LUTRICIA LEVETTE CISCO |
| Other Name | LUTRICIA L JACKSON |
| Credential | RN |
| Practice Address |
400 Union Ave Se Ste 244 Olympia WA 98501-2060 |
| Mailing Address |
1617 Fones Rd Se Trlr 35 Olympia WA 98501-7408 |
| Practice Telephone | 3609187240 |
| Practice Fax Number | 3604593705 |
| Mailing Telephone | 3609991910 |
| Mailing Fax Number | 3604593705 |
| Enumeration Date | 2020-05-10 |
| Last Update Date | 2020-05-10 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP1600X |
Counselor Specialization: Pastoral |
WA | Behavioral Health & Social Service Providers | |
| N | 163WP0808X |
Registered Nurse Specialization: Psych/Mental Health |
RN60086332 | WA | Nursing Service Providers |
| Street Address |
400 UNION AVE SE STE 244 |
| City | OLYMPIA |
| State | WA |
| Zip Code | 98501-2060 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124651880 | Marie T Bendig | Counselor | 900 Fairview St Se, #b5, Olympia, WA 98501 | 2020-02-20 |
| 1205469970 | Thurston County Fire Protection Dist 6 | Ambulance | 8047 Normandy St. Se, Olympia, WA 98501 | 2020-02-20 |
| 1134768799 | Living Sound Therapeutic Services, Pllc | Counselor | 729 Devoe St Se, Olympia, WA 98501 | 2019-12-31 |
| 1336797273 | Sea-mar Community Health Center | Dentist | 6004 Capitol Ave Sw, Tumwater, WA 98501 | 2019-09-03 |
| 1093272841 | Eye Love Pllc | Optometrist | 3409 Capitol Blvd Se, Tumwater, WA 98501 | 2019-02-28 |
| 1356815062 | Kerri Wright | Marriage & Family Therapist | 208 Lee St Sw Ste 108, Tumwater, WA 98501 | 2019-01-15 |
| 1952881161 | Paige Gautreaux | Peer Specialist | 908 5th Avenue Se, Olympia, WA 98501 | 2018-08-16 |
| 1548773997 | Carla Van Dam | Psychologist | 2620 Rw Johnson Blvd Sw Suite 204, Tumwater, WA 98501 | 2017-11-08 |
| 1528577202 | Ronald John San Nicolas | Counselor | 1011 10th Ave, Olympia, WA 98501 | 2017-09-25 |
| 1063964187 | Emily Rapesak | Pharmacist | 500 Cleveland Ave Se, Tumwater, WA 98501 | 2016-10-25 |
| Find all providers in zip 98501 | ||||
| Taxonomy Code | 101YP1600X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Pastoral |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033624820 | Deborah Kirkpatrick | Counselor | 1507 Bethel St Ne, Olympia, WA 98506-3304 | 2017-12-03 |
| 1053637751 | Carol Johnson Sorenson | Counselor | 1224 Legion Way Se, Olympia, WA 98501-1655 | 2010-04-20 |
| 1528033123 | Barbara J Brecheen | Counselor | 6922 Mill Ct Se, Olympia, WA 98503-3026 | 2006-02-17 |
| 1043579352 | Silvia R Behrend | Counselor | 1107 West Bay Dr Nw, Suite102, Olympia, WA 98502-4668 | 2012-05-07 |
| 1265617633 | John Edwards Anderson | Counselor | 1800 Cooper Point Rd Sw, Building #17, Olympia, WA 98502-1178 | 2008-01-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649870312 | Darnell Mosley | Counselor | 9600 Veterans Dr Sw Bldg 111, Tacoma, WA 98493-0003 | 2020-10-30 |
| 1902463813 | August Jensen | Counselor | 46 Stoller Rd, Trout Lake, WA 98650-9712 | 2019-05-27 |
| 1457823593 | Jonathan Prescott | Counselor | 7133 Glencoe Ln, Anacortes, WA 98221-8913 | 2018-12-31 |
| 1083184675 | Alicia L Paschall | Counselor | 222 S Howard St, Apt 310, Spokane, WA 99201 | 2018-11-27 |
| 1477047470 | Terri Lynn Martinez-williams | Counselor | 9901 Ne 7th Ave Ste A206, Vancouver, WA 98685-4526 | 2018-06-22 |
| 1629459854 | Kenneth Alford | Counselor | 302 Phoenix Ave Sw, Orting, WA 98360-9395 | 2015-06-12 |
| 1790120988 | Clare Alyce Brauer-rieke | Counselor | 4525 19th Ave Ne, Seattle, WA 98105-3301 | 2013-05-01 |
| 1104160340 | Cat Saunders | Counselor | 4906 Woodlawn Ave N, Seattle, WA 98103-6748 | 2012-11-10 |
| 1376894584 | Daniel Adam Sorensen | Counselor | 2415 S 320th St, Federal Way, WA 98003-5442 | 2012-09-27 |
| 1063726362 | Douglas Roy Mclemore | Counselor | 9125 Central Valley Rd. N.w., Bremerton, WA 98311-9157 | 2010-07-29 |
| 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.