BRANDI JO DESAVEUR (NPI# 1255411468) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255411468 |
| Entity Type | Individual |
| Full Name | BRANDI JO DESAVEUR |
| Credential | PA-C |
| Practice Address |
911 W. 5th Ave. Spokane WA 99204 |
| Mailing Address |
Po Box 8500 Lockbox 7642 Philadelphia PA 19178-7642 |
| Practice Telephone | 5094557844 |
| Practice Fax Number | 5096230415 |
| Mailing Telephone | 8132818115 |
| Mailing Fax Number | 8132818656 |
| Enumeration Date | 2006-10-16 |
| Last Update Date | 2018-08-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA10005083 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | RR MEDICARE | P00613585 | 01 |
| WA | CRIME VICTIMS | 0234704 | 01 |
| WA | L&I | 0234704 | 01 |
| WA | ID MEDICAID | 80768780 | 01 |
| WA | ASURIS | 8799DE | 01 |
| Street Address |
911 W. 5TH AVE. |
| City | SPOKANE |
| State | WA |
| Zip Code | 99204 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982608600 | Frank Robert Walchak | Plastic Surgery | 911 W. 5th Ave., Spokane, WA 99204 | 2005-06-09 |
| 1043330293 | Luanne A Ostlie | Physician Assistant | 911 W. 5th Ave., Spokane, WA 99204 | 2007-03-30 |
| 1124190772 | James Cecil Bonvallet | Specialist | 911 W. 5th Ave., Spokane, WA 99204 | 2006-11-15 |
| 1497761340 | Lloyd Halpern | Anesthesiology | 911 W. 5th Ave., Spokane, WA 99204 | 2006-07-31 |
| 1295773737 | William Tippets | Anesthesiology | 911 W. 5th Ave., Spokane, WA 99204 | 2006-06-04 |
| 1720033673 | William Bronson | Orthopaedic Surgery | 911 W. 5th Ave., Spokane, WA 99204 | 2006-05-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982250957 | Megan Elizabeth Dibenedetto | Pharmacist | 105 West 8th Avenue, 350e, Spokane, WA 99204 | 2019-08-14 |
| 1619521168 | Evelyn R Cabon | Genetic Counselor, MS | 101 W. 8th Avenue Suite 1100, Spokane, WA 99204 | 2019-08-01 |
| 1346700655 | Christina Rose | Student in an Organized Health Care Education/Training Program | 120 W. 8th Avenue, Spokane, WA 99204 | 2019-03-22 |
| 1508339862 | Cody J French | Physical Therapist | Washington Outpatient Rehab, 507 S Washington, Spokane, WA 99204 | 2019-01-09 |
| 1730655598 | Washington Outpatient Rehabilitation, LLC | Physical Therapist | 507 S. Washington St., Suite 10, Spokane, WA 99204 | 2018-10-19 |
| 1013405547 | Joel James Hayden | Student in an Organized Health Care Education/Training Program | Providence Sacred Heart, 101 West 8th Avenue, Spokane, WA 99204 | 2018-04-30 |
| 1144694787 | Brooksjohnsonpllc | Dentist | 1004 S. Monroe Street, Ste 100, Spokane, WA 99204 | 2015-11-19 |
| 1497184196 | Kathalene M Cassels | Physician Assistant | 810 W. 5th Ave. Ste 510, Spokane, WA 99204 | 2013-11-04 |
| 1174880454 | Kelly E Wurzel | Psychiatry & Neurology | 624 E. Front Ave, Spokane, WA 99204 | 2012-04-11 |
| 1003190331 | Katie L Gomez | Nurse Practitioner | 805 W. 5th Ave, Suite 518, Spokane, WA 99204 | 2011-10-05 |
| Find all providers in zip 99204 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033720495 | Riley Richardson | Physician Assistant | 1008 E Windemere Ct, Spokane, WA 99223-6228 | 2020-08-11 |
| 1295189066 | Thomas D Eskelsen | Physician Assistant | 910 W 5th Ave Ste 801, Spokane, WA 99204-2974 | 2016-04-19 |
| 1063818789 | Jeffrey Jason Hershey | Physician Assistant | 6022 N Vista Ridge Ln, Spokane, WA 99217-5503 | 2014-11-06 |
| 1114345022 | Lindsay Urso | Physician Assistant | 4001 N. Cook St, Riverstone Family Health, Spokane, WA 99207 | 2014-03-29 |
| 1891116216 | Heather Stout | Physician Assistant | 605 E Holland Ave Ste 101, Spokane, WA 99218-1246 | 2014-01-02 |
| 1497184196 | Kathalene M Cassels | Physician Assistant | 810 W. 5th Ave. Ste 510, Spokane, WA 99204 | 2013-11-04 |
| 1700218534 | Terry Anne Noyes | Physician Assistant | 528 E Spokane Falls Blvd Ste 502, Spokane, WA 99202 | 2013-08-03 |
| 1710237003 | Amber N Wilson | Physician Assistant | 1422 E Grassland Ct, Spokane, WA 99217-8700 | 2012-09-13 |
| 1669747275 | Tiffany Lynn Forquer | Physician Assistant | 601 West Fifth Avenue, Suite 400, Spokane, WA 99204-2457 | 2012-03-14 |
| 1235420498 | Lauren Patton | Physician Assistant | 9027 N Indian Trail Rd, Spokane, WA 99208-9116 | 2011-04-22 |
| Find all providers in SPOKANE | ||||
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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.