MISS ALYSSA KAYLE DERRICK (NPI# 1306116736) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306116736 |
| Entity Type | Individual |
| Full Name | MISS ALYSSA KAYLE DERRICK |
| Credential | L.M.P. |
| Practice Address |
4803 84th St Sw Mukilteo WA 98275-3023 |
| Mailing Address |
5521 186th Pl Sw Lynnwood WA 98037-4325 |
| Practice Telephone | 4252906024 |
| Mailing Telephone | 4257763000 |
| Enumeration Date | 2012-01-02 |
| Last Update Date | 2012-01-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | MA60253192 | WA | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | L.M.P. | MA60253192 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669904504 | Alyssa Derrick | Nurse's Aide | 1351 Newtown Pike, Lexington, KY 40511-1275 | 2017-03-30 |
| Street Address |
4803 84TH ST SW |
| City | MUKILTEO |
| State | WA |
| Zip Code | 98275-3023 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801922513 | Serene View Massage Therapy | Specialist | 4803 84th St Sw, Mukilteo, WA 98275-3023 | 2007-02-26 |
| 1285092700 | Joshua Sloane I | Specialist | 4803 84th St Sw, Mukilteo, WA 98275-3023 | 2016-01-29 |
| 1831471945 | Maria Lisa Pena | Specialist | 4803 84th St Sw, Mukilteo, WA 98275-3023 | 2011-09-14 |
| 1801177092 | Katherine Hanna Jaton | Massage Therapist | 4803 84th St Sw, Mukilteo, WA 98275-3023 | 2011-09-01 |
| 1871894956 | Amanda Rose Hiestand | Specialist | 4803 84th St Sw, Mukilteo, WA 98275-3023 | 2010-11-05 |
| 1851546915 | Rebekah Ann Peralta | Specialist | 4803 84th St Sw, Mukilteo, WA 98275-3023 | 2008-11-17 |
| 1821254442 | Serene Lake Massage | Clinic/Center | 4803 84th St Sw, Mukilteo, WA 98275-3023 | 2008-08-03 |
| 1881860955 | Rachael Autum Quintasket | Specialist | 4803 84th St Sw, Mukilteo, WA 98275-3023 | 2008-05-07 |
| 1245361294 | Amy Marie Braden | Specialist | 4803 84th St Sw, Mukilteo, WA 98275-3023 | 2007-03-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477030245 | Brandon Eugene Moore | Social Worker | 12303 Cyrus Way, Suite 107, Mukilteo, WA 98275 | 2018-07-25 |
| 1407349962 | Cascade Endocrinology Pllc | Internal Medicine | 8423 Mukilteo Spdwy Ste 102, Mukilteo, WA 98275 | 2018-06-10 |
| 1780059899 | Jamie Kowatch | Dietitian, Registered | 8423 Mukilteo Speedway Ste 102, Mukilteo, WA 98275 | 2015-12-01 |
| 1225479025 | Helen Ra | Pharmacist | 5600 Harbour Pointe Blvd., Unit 1-105, Mukilteo, WA 98275 | 2013-07-10 |
| 1861731333 | Lynn Sharon Schmidt | Physical Therapist | 10520 Harbour Pointe Blvd, Columbia Elementary School - Msd #6, Mukilteo, WA 98275 | 2013-02-04 |
| 1023318326 | Hillary E Hofstaedter | Registered Nurse | 10710 Mukilteo Speedway # 67, Mukilteo, WA 98275 | 2010-11-02 |
| 1528371416 | Zita Molnar Fekete | Counselor | 4460 73rd Pl Sw, Mukilteo, WA 98275 | 2010-07-20 |
| 1497900609 | Heidi S. Rendall | Family Medicine | 8227 44th Ave W., Ste E, Mukilteo, WA 98275 | 2008-12-02 |
| 1558583609 | Ana B Rountree | Physician Assistant | 10710 Mukilteo Spdwy, Mukilteo, WA 98275 | 2007-05-02 |
| 1376769752 | Wahid Elbahr | Dentist | 12121 Harbour Reach Dr., Ste 210, Mukilteo, WA 98275 | 2007-04-17 |
| Find all providers in zip 98275 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083952220 | Ronald A Krueger Md Inc Ps | Specialist | 828 2nd St Ste C, Mukilteo, WA 98275-1601 | 2013-01-23 |
| 1154657518 | Renee B Leshan | Specialist | 828 2nd St Ste L, Mukilteo, WA 98275-1603 | 2009-10-20 |
| 1114050101 | Julie Anne Lough | Specialist | 13000 Beverly Park Rd, Suite K, Mukilteo, WA 98275-5849 | 2007-03-13 |
| 1801922513 | Serene View Massage Therapy | Specialist | 4803 84th St Sw, Mukilteo, WA 98275-3023 | 2007-02-26 |
| 1609902204 | Shiloh Smith | Specialist | 12704 Mukilteo Speedway, Ste. C, Mukilteo, WA 98275-5720 | 2007-02-26 |
| 1790843530 | Seung C Lee | Specialist | 6768 Waterton Cir, Mukilteo, WA 98275-4860 | 2006-12-05 |
| 1659447639 | Judy A Rybak | Specialist | 11811 Mukilteo Speedway, Suite 105, Mukilteo, WA 98275-5442 | 2006-11-28 |
| 1285092700 | Joshua Sloane I | Specialist | 4803 84th St Sw, Mukilteo, WA 98275-3023 | 2016-01-29 |
| 1831471945 | Maria Lisa Pena | Specialist | 4803 84th St Sw, Mukilteo, WA 98275-3023 | 2011-09-14 |
| 1548550197 | Lawrence Rodney Amburgy | Specialist | 627 5th St, Suite 200, Mukilteo, WA 98275-1580 | 2011-04-17 |
| Find all providers in MUKILTEO | ||||
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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.