MATTHEW MIXON (NPI# 1275001620) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275001620 |
| Entity Type | Individual |
| Full Name | MATTHEW MIXON |
| Practice Address |
15318 14th Avenue Ct E Tacoma WA 98445-2496 |
| Practice Telephone | 2533243616 |
| Mailing Telephone | 2533243583 |
| Enumeration Date | 2018-11-04 |
| Last Update Date | 2018-11-04 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| Street Address |
15318 14TH AVENUE CT E |
| City | TACOMA |
| State | WA |
| Zip Code | 98445-2496 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801439377 | Pamela Kay Snook | Registered Nurse | 15701 B Street East, Health Room, Tacoma, WA 98445 | 2019-10-28 |
| 1982254827 | Stephanie Lavette Singleton | Technician | 905 131 St. Ct. E, Tacoma, WA 98445 | 2019-09-12 |
| 1164978714 | Stephanie Victoria Gulie | Massage Therapist | 2710 186th St E, Tacoma, WA 98445 | 2016-09-01 |
| 1013322726 | Total Renal Care Inc | Clinic/Center | 1822 112th Street East, Suite A, Tacoma, WA 98445 | 2014-06-23 |
| 1215280391 | David Lloyd Cook | Physical Therapist | 8601 E. B St., Latchmont Elementary School, Tacoma, WA 98445 | 2012-10-26 |
| 1144502931 | Rachel Renee Rudnick | Massage Therapist | 11028 Portland Ave. East, Apt L374, Tacoma, WA 98445 | 2011-09-16 |
| 1255635504 | Nachole M Berg | Massage Therapist | 807 125th Street Court East, Tacoma, WA 98445 | 2010-12-30 |
| 1396298683 | Lori Moore | Dental Assistant | 9119 Mil Park Ave, Ft Lewis, WA 98445 | 2016-08-03 |
| 1639498421 | Selena Ann Forgey | Massage Therapist | 10909 Portland Ave E, Suite F, Tacoma, WA 98445 | 2010-05-19 |
| 1912251828 | Jenny Atkins | Speech-Language Pathologist | 303 159th St E, Tacoma, WA 98445-1125 | 2012-10-30 |
| Find all providers in zip 98445 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548868276 | Mind Over Matters, Pllc | Counselor | 2525 55th Ave Ne, Tacoma, WA 98422-3404 | 2020-10-14 |
| 1376140541 | Debra Tone | Counselor | 1219 Earnest Brazill St, Tacoma, WA 98405-4025 | 2020-10-01 |
| 1881201028 | Dallas Renae Neighbors | Counselor | 711 S 25th St Ste B, Tacoma, WA 98405-4306 | 2020-09-30 |
| 1306310925 | Nancy Rubi Rosas Rodriguez | Counselor | 5915 Orchard St W., Tacoma, WA 98467 | 2019-01-16 |
| 1740751668 | Jay Yourglich | Counselor | 3315 S 23rd St Ste 102, Tacoma, WA 98405-1615 | 2018-12-17 |
| 1407327927 | Lewis A Wilson | Counselor | 721 Fawcett Ave Ste 201, Tacoma, WA 98402-5502 | 2018-12-10 |
| 1386113207 | Patricia A Neagle | Counselor | 2316 S State St Ste B, Tacoma, WA 98405-2813 | 2018-11-20 |
| 1457829343 | Ron Rn Wilkins | Counselor | 721 Fawcett Ave Ste 102, Tacoma, WA 98402-5502 | 2018-11-08 |
| 1124593017 | Elisa Marie Matthews | Counselor | 5315 S Orchard St, Tacoma, WA 98467-3686 | 2018-10-08 |
| 1578048062 | Ebonie Marie Clark | Counselor | 3101 S Tacoma Way, Tacoma, WA 98409-4717 | 2018-10-01 |
| Find all providers in TACOMA | ||||
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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.