MICHAEL R KOMANETZ


Address: 37624 Se Fury St, Ste 101, Snoqualmie, WA 98065-9680
Phone: 4258882016

MICHAEL R KOMANETZ (NPI# 1306216734) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1306216734
Entity Type Individual
Full Name MICHAEL R KOMANETZ
Credential MSN ARNP
Practice Address 37624 Se Fury St
Ste 101
Snoqualmie
WA 98065-9680
Mailing Address Po Box 25608
Salt Lake City
UT 84125-0608
Practice Telephone 4258882016
Practice Fax Number 2063205170
Mailing Telephone 2063204476
Mailing Fax Number 2065687043
Enumeration Date 2015-09-28
Last Update Date 2020-10-07
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 363L00000X Nurse Practitioner AP60577565 WA Physician Assistants & Advanced Practice Nursing Providers
Y 363LF0000X Nurse Practitioner
Specialization: Family
AP60577565 WA Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 37624 SE FURY ST
STE 101
City SNOQUALMIE
State WA
Zip Code 98065-9680

Providers in the same location

NPI Name Taxonomy Address Enumeration
1215041439 Gabriel Malouf Dentist 37624 Se Fury St, Snoqualmie, WA 98065-9680 2006-08-17
1548781131 Charley Liu Physical Therapist 37624 Se Fury St, Snoqualmie, WA 98065-9680 2017-07-05
1568867604 Linsey Tracy Physical Therapist 37624 Se Fury St, Ste C201, Snoqualmie, WA 98065-9680 2014-10-31
1952744609 Anna A Spengler Massage Therapist 37624 Se Fury St, Suite C201, Snoqualmie, WA 98065-9680 2013-04-12
1154666154 Elite Physical Therapy Clinic/Center 37624 Se Fury St, Suite C201, Snoqualmie, WA 98065-9680 2012-12-01
1972804573 Brandon Michael Johnson Dentist 37624 Se Fury St, Suite C220, Snoqualmie, WA 98065-9680 2010-11-12
1790092260 Gabriel Malouf, Dds, Pllc Dentist 37624 Se Fury St, Snoqualmie, WA 98065-9589 2010-09-07
1407163181 Gabriel Malouf, Dds, Pllc Dentist 37624 Se Fury St, Snoqualmie, WA 98065-9589 2010-09-02
1043468028 Hema Nirmal Pediatrics 37624 Se Fury St, Ste 101, Snoqualmie, WA 98065-9589 2008-09-03
1194987891 Craig M Schier Family Medicine 37624 Se Fury St, Ste 101, Snoqualmie, WA 98065-9680 2008-06-25
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1891265807 Adam Kutzner Dentist 34929 Se Ridge Street Suite 220, Snoqualmie, WA 98065 2018-12-03
1396215000 Anna Maher Counselor 37624 Se Fury St Ste 203, Snoqualmie, WA 98065 2018-11-26
1194271718 Cindy Costa Specialist 38579 Se River Street, Suite 13, Snoqualmie, WA 98065 2016-09-01
1548716830 Snoqualmie Family Dentistry Clinic/Center 38475 Se River Street, Snoqualmie, WA 98065 2016-08-28
1851769202 Greg Kiper Counselor 9571 Ethan Wade Way Se, Snoqualmie, WA 98065 2015-09-02
1952792814 Casi Davis Registered Nurse 8476 Se Reinig Pl, Snoqualmie, WA 98065 2015-02-13
1336484443 Heidi Biddle Counselor 7972 Maple Ave. Se, Snoqualmie, WA 98065 2012-11-29
1255675302 Patricia Soderlund Holladay Occupational Therapist 8001 Silva Ave Se, Snoqualmie, WA 98065 2012-11-15
1750635066 Anne Elizabeth Mcgavran Registered Nurse 8001 Silva Avenue South East, Snoqualmie, WA 98065 2012-11-08
1447552005 Friends of Youth Community/Behavioral Health 7972 Maple Ave. Se., Snoqualmie, WA 98065 2010-12-02
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1558869289 Public Hospital District No 4 King County Washington Nurse Practitioner 9801 Frontier Ave Se, Snoqualmie, WA 98065-5200 2018-01-29
1225566292 Jillian Alexa Rippey Nurse Practitioner 35020 Se Kinsey St, Snoqualmie, WA 98065-8992 2017-06-02
1598885378 Rachel Kathleen Robison Nurse Practitioner 35020 Se Kinsey St, Snoqualmie, WA 98065-8992 2007-03-29
1740229491 Karen Lajambe Nurse Practitioner 9575 Ethan Wade Way Se, Snoqualmie, WA 98065-9577 2006-06-06

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1740889369 Abigail E Mercure Nurse Practitioner 7618 Ne Champagne Point Pl, Kirkland, WA 98034-3448 2020-10-24
1043819907 Matthew Sean Krabbendam Nurse Practitioner 7315 212th St Sw Ste 207, Edmonds, WA 98026-7610 2020-10-21
1700485919 Yanique Ricie Nana Yakam Azah Nurse Practitioner 22829 Se 239th Ct, Maple Valley, WA 98038-5052 2020-10-19
1164029484 Chelsea Lauren Bresnahan Nurse Practitioner 7928 S Parway Ln, Cheney, WA 99004-8619 2020-10-08
1023615549 Brian D Ottesen Nurse Practitioner 2315 Crestwood Pl Nw, Olympia, WA 98502-4095 2020-10-07
1881291003 Allison Walzer Nurse Practitioner 526 Yale Ave N Apt 402, Seattle, WA 98109-5544 2020-10-01
1740896927 Maia Zink Nurse Practitioner 10837 E Riverside Dr Apt C, Bothell, WA 98011-6123 2020-09-22
1760098339 Yunyun Lu Nurse Practitioner 4922 51st Avenue Ct W, University Place, WA 98467-4828 2020-09-19
1255944278 Alexis Leanne Snyder Nurse Practitioner 717 S 51st St, Tacoma, WA 98408-5710 2020-08-28
1841800521 Lauren Levesque Nurse Practitioner 2744 Ne 54th St Unit B, Seattle, WA 98105-3146 2020-08-06
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Competitor

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City SNOQUALMIE
Zip Code 98065

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Dataset Information

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.

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