KRISTEN A. MCCULLOCH-STEVENS (NPI# 1265091490) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265091490 |
| Entity Type | Individual |
| Full Name | KRISTEN A. MCCULLOCH-STEVENS |
| Credential | RN |
| Practice Address |
1515 E Columbia St Othello WA 99344-1846 |
| Practice Telephone | 5094885256 |
| Mailing Telephone | 5094885256 |
| Enumeration Date | 2019-06-11 |
| Last Update Date | 2019-06-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163W00000X | Registered Nurse | RN60796959 | WA | Nursing Service Providers |
| Street Address |
1515 E COLUMBIA ST |
| City | OTHELLO |
| State | WA |
| Zip Code | 99344-1846 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477507093 | Gabriel W Barrio | Pediatrics | 1515 E Columbia St, Othello, WA 99344-1846 | 2006-05-19 |
| 1821608647 | Loren P Knebl | Registered Nurse | 1515 E Columbia St, Othello, WA 99344-1846 | 2020-08-06 |
| 1124646260 | Flower Star | Dietitian, Registered | 1515 E Columbia St, Othello, WA 99344-1846 | 2020-07-06 |
| 1114548914 | Jessica Hu | Student in an Organized Health Care Education/Training Program | 1515 E Columbia St, Othello, WA 99344-1846 | 2020-05-03 |
| 1699302471 | Vickie Tamdoan Bui | Student in an Organized Health Care Education/Training Program | 1515 E Columbia St, Othello, WA 99344-1846 | 2020-03-24 |
| 1073162152 | Lisa Braudrick | Speech-Language Pathologist | 1515 E Columbia St, Othello, WA 99344-1846 | 2019-09-10 |
| 1033768957 | Steven Pitcher | Dentist | 1515 E Columbia St, Othello, WA 99344-1846 | 2019-09-04 |
| 1144889353 | Manuel Jimenez | Dentist | 1515 E Columbia St, Othello, WA 99344-1846 | 2019-06-11 |
| 1598236838 | Myrna Valerie Gomez | Dental Hygienist | 1515 E Columbia St, Othello, WA 99344-1846 | 2018-12-16 |
| 1508337841 | Sidney Puentes | Dental Hygienist | 1515 E Columbia St, Othello, WA 99344-1846 | 2018-12-16 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073031613 | Robert Lee Mccrorie | Physician Assistant | Cbha 1515 East Columbia Street, Othello, WA 99344 | 2017-09-04 |
| 1134504145 | Body Kneads Massage Therapy | Preferred Provider Organization | 445 Cedar Blvd., Suite C, Othello, WA 99344 | 2015-07-21 |
| 1457756421 | Weeping Ridge Estate Adult Family Home Inc | Custodial Care Facility | 2455 W. Bench Rd, Othello, WA 99344 | 2014-11-03 |
| 1275938243 | Weeping Ridge West, Inc. | Custodial Care Facility | 2455 West Bench Rd, Othello, WA 99344 | 2014-11-03 |
| 1437572617 | Sterling Gerber | Physical Therapist | 315 Nth 14th Ave., Othello, WA 99344 | 2014-01-24 |
| 1346688330 | Amaris Suarez | Counselor | 425 E. Main Street, Suite 600, Othello, WA 99344 | 2013-06-12 |
| 1669679387 | Jessica Brooks Smith | Pharmacist | 140 E. Main St, Othello, WA 99344 | 2007-06-27 |
| 1174688030 | Percy N Erdmann | General Practice | 1207 E Main, Othello, WA 99344 | 2006-12-22 |
| 1962581405 | Ian Fuger | Dentist | 140 E Main Street, Othello, WA 99344 | 2006-11-03 |
| 1194819540 | Richard A Maywald | Counselor | 425 E Main Suite 600, Othello, WA 99344 | 2006-10-02 |
| Find all providers in zip 99344 | ||||
| Taxonomy Code | 163W00000X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.’s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span. |
| Notes: Sources: (2) American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346686623 | Penny Rodriguez | Registered Nurse | 2455 W Bench Rd, Othello, WA 99344-8901 | 2013-05-14 |
| 1649381815 | Virginia Alice Becker | Registered Nurse | 425 E Main St Ste 700, Othello, WA 99344-1146 | 2006-08-31 |
| 1821608647 | Loren P Knebl | Registered Nurse | 1515 E Columbia St, Othello, WA 99344-1846 | 2020-08-06 |
| 1003263872 | Laura Ely | Registered Nurse | 1515 E Columbia St, Othello, WA 99344-1846 | 2016-05-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437750254 | Ronel Kay Wilcox | Registered Nurse | 2516 104th Pl Se, Everett, WA 98208-4472 | 2020-11-06 |
| 1457952293 | Zoe Elizabeth Thomas | Registered Nurse | 3309 Nw Pacific Rim Dr, Camas, WA 98607-7773 | 2020-11-06 |
| 1366042947 | Samantha Taylor Kubota | Registered Nurse | 901 Hiawatha Pl S Unit 200, Seattle, WA 98144-2874 | 2020-10-31 |
| 1588264287 | Mary Elleinne Felix Valentin | Registered Nurse | 8452 N Farmdale Ct, Spokane, WA 99208-6884 | 2020-10-30 |
| 1538769401 | Tabitha Kay Gear | Registered Nurse | 206 Hogans Way, Chewelah, WA 99109-0049 | 2020-10-29 |
| 1114527280 | Gulmira Nagy | Registered Nurse | 180 Erica Dr, Richland, WA 99352-8463 | 2020-10-28 |
| 1124627468 | Courtney Johnson | Registered Nurse | 905 Mcgarigle Rd, Sedro Woolley, WA 98284-1296 | 2020-10-19 |
| 1457950800 | Melinda Lauber | Registered Nurse | 1901 N Sawbuck Ln, Spokane, WA 99224-9517 | 2020-10-17 |
| 1982202529 | Jennifer L Ridgeley | Registered Nurse | 1909 Clise Pl W, Seattle, WA 98199-4027 | 2020-10-15 |
| 1760080436 | Rebekah Inez Maldonado Nofziger | Registered Nurse | 1907 20th Ave S, Seattle, WA 98144-4415 | 2020-10-14 |
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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.