TAMARA L DYKSTRA (NPI# 1295945533) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295945533 |
| Entity Type | Individual |
| Full Name | TAMARA L DYKSTRA |
| Credential | ARNP |
| Practice Address |
9951 Mickelberry Rd Nw Suite 101 Silverdale WA 98383-8309 |
| Mailing Address |
2671 Ne Kevos Pond Dr Poulsbo WA 98370-8536 |
| Practice Telephone | 3606929362 |
| Practice Fax Number | 3606926214 |
| Mailing Telephone | 3607797882 |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
AP30006643 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
9951 MICKELBERRY RD NW SUITE 101 |
| City | SILVERDALE |
| State | WA |
| Zip Code | 98383-8309 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376582189 | Dale Michael King | Dentist | 9951 Mickelberry Rd Nw, Suite 223, Silverdale, WA 98383-8309 | 2006-06-06 |
| 1881136331 | Olympic Natural Medicine | Naturopath | 9951 Mickelberry Rd Nw, Suite 215, Silverdale, WA 98383-8309 | 2016-11-15 |
| 1487002713 | Kirsten Marie Thomassen | Acupuncturist | 9951 Mickelberry Rd Nw, Suite 215, Silverdale, WA 98383-8309 | 2016-05-26 |
| 1922359744 | Legacy Dental Group Pllc | Dentist | 9951 Mickelberry Rd Nw, Suite #215, Silverdale, WA 98383-8309 | 2012-09-20 |
| 1184986531 | Dale E Ireland | Dentist | 9951 Mickelberry Rd Nw, Suite 215, Silverdale, WA 98383-8309 | 2012-06-12 |
| 1740548395 | Kitsap Children's Speech Therapy | Speech-Language Pathologist | 9951 Mickelberry Rd Nw, Ste 127, Silverdale, WA 98383-8309 | 2012-05-01 |
| 1609108513 | Katherine Eileen Steinlicht | Speech-Language Pathologist | 9951 Mickelberry Rd Nw, Suite 127, Silverdale, WA 98383-8309 | 2010-02-02 |
| 1225265473 | Linda Hagood | Speech-Language Pathologist | 9951 Mickelberry Rd Nw, Suite 127, Silverdale, WA 98383-8309 | 2009-06-15 |
| 1528117058 | Sara Jung Campbell | Speech-Language Pathologist | 9951 Mickelberry Rd Nw, Ste 127, Silverdale, WA 98383-8309 | 2007-01-10 |
| 1982778650 | Kitsap Childrens Clinic | Pediatrics | 9951 Mickelberry Rd Nw, Suite 101, Silverdale, WA 98383 | 2006-11-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497397426 | Chaise Marie Gies | Student in an Organized Health Care Education/Training Program | 2041 Nw Myhre Rd, Suite 311, Silverdale, WA 98383 | 2019-10-10 |
| 1700432762 | Myles Sorokovsky | Physical Medicine & Rehabilitation | 2400 Mw Myhre Rd Ste 101, Silverdale, WA 98383 | 2019-08-15 |
| 1114485521 | Sarah Schiavone | Pharmacist | Silverdale Medical Center, 10452 Silverdale Way Nw, Silverdale, WA 98383 | 2019-03-05 |
| 1609385459 | Emily Ann Yee | Behavior Technician | 3100 Bucklin Hill Rd Suite 215, Silverdale, WA 98383 | 2017-09-25 |
| 1295108694 | Washington Dental Corporation | Dentist | 11065 Pacific Crest Place Nw, Suite B-105, Silverdale, WA 98383 | 2015-11-06 |
| 1780070888 | Kristen Bradley | Counselor | 2819 Nw Kitsap Place, Suite 2b, Silverdale, WA 98383 | 2015-04-15 |
| 1326448978 | Deborah Ann Nielson | Counselor | 10513 Silverdale Way Nw Ste 110, Silverdale, WA 98383 | 2014-09-02 |
| 1740610526 | Tallison Group, Inc | Counselor | 9119 Ridgetop Blvd, Suite #220, Silverdale, WA 98383 | 2013-11-15 |
| 1689000838 | Denise C Fairchild | Hearing Instrument Specialist | 2845 Ne Kitsap Pl, Silverdale, WA 98383 | 2013-09-19 |
| 1437459393 | Siegfried Ariel Naumann | Dentist | 3511 Nw Bucklin Hill Rd, Silverdale, WA 98383 | 2010-10-26 |
| Find all providers in zip 98383 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881200509 | Megan Maureen Bauer | Nurse Practitioner | 6057 California Ave Sw, Seattle, WA 98136-1612 | 2020-09-17 |
| 1265077960 | Hannah Thornton | Nurse Practitioner | 4800 Sand Point Way Ne # Fa.2114, Seattle, WA 98105-3901 | 2019-11-17 |
| 1598319683 | Jennifer Lynn Bryson | Nurse Practitioner | 8738 Falls Ave Se, Snoqualmie, WA 98065-9610 | 2019-07-28 |
| 1013494434 | Lindsay Bascom Brown | Nurse Practitioner | 12815 120th Ave Ne Ste A, Kirkland, WA 98034-3003 | 2018-07-27 |
| 1518475631 | Sarah Remorca Agtarap | Nurse Practitioner | 175 1st Pl Nw Ste A, Issaquah, WA 98027-2746 | 2018-01-11 |
| 1518470137 | Bear Creek Pediatrics | Nurse Practitioner | 105 W 8th Ave Ste 7035, Spokane, WA 99204-2313 | 2017-11-06 |
| 1871005298 | Alexis Anne Abel | Nurse Practitioner | 15650 Ne 24th St Ste C, Bellevue, WA 98008-2460 | 2017-10-25 |
| 1326569021 | Spencer Rorie Crihfield | Nurse Practitioner | Po Box 1452, Pasco, WA 99301-1223 | 2017-07-03 |
| 1912427386 | Melinda Ehren Kratzig | Nurse Practitioner | 4800 Sand Point Way Ne # Msoa9220, Seattle, WA 98105-3901 | 2017-06-26 |
| 1245766880 | Jennifer Jean Baker | Nurse Practitioner | 904 7th Ave Fl 3, Seattle, WA 98104-1132 | 2017-05-02 |
| Find all providers with the same taxonomy | ||||
| City | SILVERDALE |
| Zip Code | 98383 |
Please comment or provide details below to improve the information on TAMARA L DYKSTRA.
| 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.