KIM J ERICKSON (NPI# 1265572390) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265572390 |
| Entity Type | Individual |
| Full Name | KIM J ERICKSON |
| Credential | BCO |
| Practice Address |
422 W Riverside Ave Ste 730 Spokane WA 99201-0305 |
| Practice Telephone | 5097476148 |
| Practice Fax Number | 5096386705 |
| Mailing Telephone | 5097476148 |
| Mailing Fax Number | 5096386705 |
| Enumeration Date | 2007-02-07 |
| Last Update Date | 2015-12-10 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 156FX1700X |
Technician/Technologist Specialization: Ocularist |
OS00000010 | WA | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | EIN | 910717661 | 01 |
| ID | 003137000 | 05 | |
| WA | 9028838 | 05 | |
| WA | 566943 | 05 | |
| OR | 153267 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568612745 | Kim Erickson | Nurse Practitioner | 11661 Preston Rd Ste 120, Dallas, TX 75230-6199 | 2008-09-24 |
| 1881674042 | Kim K Erickson | Dentist | 511 10th Ave Suite 808, Portland, OR 97205-4661 | 2006-01-21 |
| 1568486769 | Kim L Erickson | Dentist | 4500 Cascade Rd Se, Suite #208, Grand Rapids, MI 49546-3665 | 2006-07-27 |
| Street Address |
422 W RIVERSIDE AVE STE 730 |
| City | SPOKANE |
| State | WA |
| Zip Code | 99201-0305 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669654331 | Ericksons Inc | Technician/Technologist | 422 W Riverside Ave Ste 730, Spokane, WA 99201-0305 | 2007-12-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013517952 | Maria Escobedo | Counselor | 1321 N. Ash, Spokane, WA 99201 | 2020-10-29 |
| 1619576774 | Bethany Heath Arnp-pmhnp Pllc | Nurse Practitioner | 1224 West Riverside, Apt 408, Spokane, WA 99201 | 2020-10-20 |
| 1811594658 | Kaaren Goeller-bloom | Counselor | 106 West Mission, Spokane, WA 99201 | 2020-10-05 |
| 1649732793 | Marsha Rose Valenzuela | Peer Specialist | Partners With Families and Children, 1321 W. Broadway, Spokane, WA 99201 | 2019-04-05 |
| 1770047896 | Rachel Nicole Burns | Counselor | 1321 W. Broadway Ave, Spokane, WA 99201 | 2019-01-23 |
| 1760953384 | Nicole Renee Breesnee | Counselor | 2308 W. 3rd Ave, Spokane, WA 99201 | 2018-12-07 |
| 1083184675 | Alicia L Paschall | Counselor | 222 S Howard St, Apt 310, Spokane, WA 99201 | 2018-11-27 |
| 1003383159 | Sandra Kay Robinson | Counselor | New Horizons Care Centers, Inc., 701 E 3rd Street, Spokane, WA 99201 | 2018-10-26 |
| 1801361191 | Michael Joseph Lehman | Naturopath | 316 W Boone Ave Ste 777, Spokane, WA 99201 | 2018-10-12 |
| 1316422454 | Cmdpn Medical Group of Washington, P.C. | Emergency Medicine | 707 West Main Ave. Ste B1, Pmb 117, Spokane, WA 99201 | 2018-09-25 |
| Find all providers in zip 99201 | ||||
| Taxonomy Code | 156FX1700X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| Specialization | Ocularist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972160612 | Monica D Erickson | Technician/Technologist | 421 W Riverside Ave Ste 770, Spokane, WA 99201-0402 | 2019-05-28 |
| 1669654331 | Ericksons Inc | Technician/Technologist | 422 W Riverside Ave Ste 730, Spokane, WA 99201-0305 | 2007-12-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649777418 | Dimitrios Gregory Sankey | Technician/Technologist | 10212 5th Ave Ne Ste 210, Seattle, WA 98125-7471 | 2018-04-09 |
| 1700995461 | Gregory Thomas Sankey | Technician/Technologist | 10212 5th Ave Ne, Suite 210, Seattle, WA 98125-7452 | 2006-08-29 |
| 1144882556 | Brian E Koceski | Technician/Technologist | 10212 5th Ave Ne Ste 210, Seattle, WA 98125-7471 | 2019-07-05 |
| 1770145138 | Custom Ocular Prosthetics LLC | Technician/Technologist | 10212 5th Ave Ne Ste 210, Seattle, WA 98125-7471 | 2019-07-05 |
| 1164580270 | Rebecca Sue Erickson | Technician/Technologist | 509 Olive Way, Suite 1421, Seattle, WA 98101-1749 | 2006-12-04 |
| 1528004769 | Christie Ann Erickson | Technician/Technologist | 12911 120th Ave Ne, Suite C-10, Kirkland, WA 98034-3027 | 2006-06-22 |
| 1215979836 | Todd Alan Cranmore | Technician/Technologist | 12911 120th Ave Ne, Suite C10, Kirkland, WA 98034-3027 | 2006-06-11 |
Please comment or provide details below to improve the information on KIM J ERICKSON.
| 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.