BEAU FREDERICK MAR CHIBA (NPI# 1265856041) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265856041 |
| Entity Type | Individual |
| Full Name | BEAU FREDERICK MAR CHIBA |
| Practice Address |
6140 156th Pl Se Bellevue WA 98006-5308 |
| Practice Telephone | 4255181945 |
| Mailing Telephone | 4255181945 |
| Enumeration Date | 2014-02-13 |
| Last Update Date | 2014-02-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | CHIBABF107QR | WA | Student, Health Care |
| Street Address |
6140 156TH PL SE |
| City | BELLEVUE |
| State | WA |
| Zip Code | 98006-5308 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033602628 | Junmei Jin | Acupuncturist | 4317 Factoria Blvd Se Ste C, Bellevue, WA 98006 | 2018-06-08 |
| 1144733106 | Justin J Ho | Physical Therapist | 12917 Se 38th St Ste 208, Bellevue, WA 98006 | 2017-11-13 |
| 1932507191 | & Foot Specialists of Puget Sound, Ps | Podiatrist | 4140 Factoria Blvd Se Suite 1b, Bellevue, WA 98006 | 2014-12-19 |
| 1437556347 | Hilla Asadi | Naturopath | 12600 Se 38th St. #130, Bellevue, WA 98006 | 2014-11-21 |
| 1023433141 | Lori Anne Price | Speech-Language Pathologist | 12 Lummi Key, Bellevue, WA 98006 | 2014-02-26 |
| 1841628344 | Cohen, Manavi & Pakrvan Inc | Dentist | 3630a Factoria Blvd Se, Bellevue, WA 98006 | 2013-10-17 |
| 1740617836 | Kathleen L Carter | Massage Therapist | 5446 119th Ave Se #d, Bellevue, WA 98006 | 2013-10-03 |
| 1790037547 | Mellissa Ann Ilgen | Dentist | 4100 Factoria Blvd. Se, Suite C, Bellevue, WA 98006 | 2012-10-03 |
| 1982994364 | Hero House | Community/Behavioral Health | 12838 Se 40th Pl, Bellevue, WA 98006 | 2011-04-19 |
| 1356657738 | Lilia Schastlivaya | Massage Therapist | 13210 Se Newport Way, K201, Bellevue, WA 98006 | 2010-08-24 |
| Find all providers in zip 98006 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033724968 | Julia Yunkyung Yi | Student in an Organized Health Care Education/Training Program | 527 Bellevue Way Se Apt 203, Bellevue, WA 98004-6684 | 2020-09-08 |
| 1366055113 | Diana Spann | Student in an Organized Health Care Education/Training Program | 702 141st Ln Se, Bellevue, WA 98007-6764 | 2020-08-30 |
| 1558986356 | Malika Jhawar | Student in an Organized Health Care Education/Training Program | 5613 167th Pl Se, Bellevue, WA 98006-5543 | 2020-06-08 |
| 1760020341 | Ismael Chaparro De La O | Student in an Organized Health Care Education/Training Program | 1004 Kauii Dr, Bellevue, NE 68005-4135 | 2019-12-14 |
| 1528590791 | Jennifer Moon | Student in an Organized Health Care Education/Training Program | 2308 128th Ave Se, Bellevue, WA 98005-4238 | 2017-03-28 |
| 1952751836 | Mona Ebrahimi | Student in an Organized Health Care Education/Training Program | 14270 Ne 21st, Rainbow Creek, Bellevue, WA 98007 | 2016-06-21 |
| 1578939302 | Walgreen | Student in an Organized Health Care Education/Training Program | 15220 156th Ne, Bellevue, WA 98007 | 2015-08-17 |
| 1891172409 | Nicholas Michael | Student in an Organized Health Care Education/Training Program | 3500 Factoria Blvd Se, Bellevue, WA 98006-5276 | 2015-05-04 |
| 1427466580 | Katherine Emily White | Student in an Organized Health Care Education/Training Program | 15031 Se 65th St, Bellevue, WA 98006-5015 | 2014-07-31 |
| 1710145636 | Nadia Hameed | Student in an Organized Health Care Education/Training Program | 1231-116th Avenue N.e., Suite 400, Bellevue, WA 98004 | 2008-05-28 |
| Find all providers in BELLEVUE | ||||
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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.