SHANE RAY REECE (NPI# 1295762862) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295762862 |
| Entity Type | Individual |
| Full Name | SHANE RAY REECE |
| Credential | IDC |
| Practice Address |
4068 Redwing Trail Nw Bremerton WA 98312 |
| Practice Telephone | 3604763598 |
| Practice Fax Number | 3604763289 |
| Mailing Telephone | 3604763598 |
| Mailing Fax Number | 3604763289 |
| Enumeration Date | 2006-06-27 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1710I1002X |
Military Health Care Provider Specialization: Independent Duty Corpsman |
Other Service Providers |
| Street Address |
4068 REDWING TRAIL NW |
| City | BREMERTON |
| State | WA |
| Zip Code | 98312 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962025114 | Candace Mckenzie | Counselor | 2564 Cascades Pass Blvd, The Landings Bldg. 779, Bremerton, WA 98312 | 2020-05-22 |
| 1710473590 | Sandra Louise Walker | Family Medicine | 14301 Nw Coho Run, Bremerton, WA 98312 | 2018-07-05 |
| 1467947663 | Jason David Alexander | Military Health Care Provider | Uss Kentucky, Ssbn, Fpo, AE 98312 | 2018-06-29 |
| 1588176614 | Institute Family for Development | Community/Behavioral Health | 5610 Kitsap Way, Suite 315, Bremerton, WA 98312 | 2017-10-30 |
| 1720521321 | Debra Lynn Lemieux | Counselor | 5762 Chico Way Nw, Bremerton, WA 98312 | 2016-11-30 |
| 1164840047 | Amber Rose Morison | Chiropractor | 3963 Sand Dollar Road West, Bremerton, WA 98312 | 2014-03-28 |
| 1942625611 | Kristen Williams | Clinic/Center | 5112 Nw Taylor Rd., Bremerton, WA 98312 | 2014-03-04 |
| 1184049629 | Tariku Tsegaye Messele | Specialist/Technologist | 5112 Nw Taylor Road, Bremerton, WA 98312 | 2014-02-20 |
| 1063784064 | Johnson Chiropractic Clinic | Clinic/Center | 3721 Kitsap Way Suite #8, Bremerton, WA 98312 | 2012-02-06 |
| 1194013532 | Casey Mccann | Student in an Organized Health Care Education/Training Program | 1 Boone Rd., Naval Hospital Bremerton, Bremerton, WA 98312 | 2011-07-19 |
| Find all providers in zip 98312 | ||||
| Taxonomy Code | 1710I1002X |
| Grouping | Other Service Providers |
| Classification | Military Health Care Provider |
| Specialization | Independent Duty Corpsman |
| A Navy Independent Duty Corpsman (IDC) is an active duty Sailor who has successfully completed one of the Navy's specific IDC training programs. IDCs are formally trained and educated to perform primary medical care and minor surgical services in a variety of health care and non-health care settings worldwide under indirect physician supervision. IDCs provide care to Department of Defense operational forces and other supporting forces such as contractors and foreign nationals. |
| Notes: Source: Bureau of Medicine and Surgery, Department of the Navy [7/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598027237 | Epafara Jeffrey Vaitautolu | Military Health Care Provider | 30 Wencker Way Apt A, Bremerton, WA 98312-1861 | 2012-06-08 |
| 1083944409 | Joseph Enderton | Military Health Care Provider | 3864 Chum Ln Nw, Bremerton, WA 98312-9443 | 2010-01-07 |
| 1982934303 | Gordon John Bergman | Military Health Care Provider | 2821 Montwood Ln, Bremerton, WA 98312-1936 | 2010-01-07 |
| 1568633113 | Stephen Zachary Taylor | Military Health Care Provider | 62c Haven Rd, Bremerton, WA 98312 | 2008-03-21 |
| 1487850137 | Brian Albert Nielson | Military Health Care Provider | 1662 Northlake Way Nw, Bremerton, WA 98312-1716 | 2007-06-21 |
| 1013123405 | James Jon Ruane | Military Health Care Provider | 6935 Liverpool Ct Ne, Bremerton, WA 98311-9646 | 2007-05-15 |
| 1548289069 | Michael Nord | Military Health Care Provider | 7481 Bridlevale Blvd Nw, Bremerton, WA 98311-8987 | 2006-07-18 |
| 1164459707 | Steven Allen Bradsher | Military Health Care Provider | 3350 Narrows View Ln Ne, # 202, Bremerton, WA 98310-6605 | 2006-06-27 |
| 1669429213 | Alan D Garrigus | Military Health Care Provider | Branch Health Clinic Psns, 1400 Farragu Ave, Bremerton, WA 98314-0001 | 2006-05-28 |
| 1770976094 | Janne Lynne Wellborn | Military Health Care Provider | 1 Boone Rd, Bremerton, WA 98312 | 2015-03-11 |
| Find all providers in BREMERTON | ||||
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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.