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).
| 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 |
| 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 |
| Street Address |
37624 SE FURY ST STE 101 |
| City | SNOQUALMIE |
| State | WA |
| Zip Code | 98065-9680 |
| 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 |
| Find all providers in the same location | ||||
| 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 |
| Find all providers in zip 98065 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| 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 |
| 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 |
| Find all providers with the same taxonomy | ||||
| City | SNOQUALMIE |
| Zip Code | 98065 |
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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.