SABRINA ARNOTT KECKALO (NPI# 1316299381) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316299381 |
| Entity Type | Individual |
| Full Name | SABRINA ARNOTT KECKALO |
| Credential | PA-C |
| Practice Address |
800 West Maple Street Medical Lake WA 99022-0800 |
| Mailing Address |
Po Box 800 Medical Lake WA 99022-0800 |
| Practice Telephone | 5095654000 |
| Mailing Telephone | 5095654000 |
| Enumeration Date | 2012-10-15 |
| Last Update Date | 2012-10-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA60311571 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
800 WEST MAPLE STREET |
| City | MEDICAL LAKE |
| State | WA |
| Zip Code | 99022-0800 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437149440 | Imelda D. Goyanko-borrowmeo | Psychiatry & Neurology | 800 West Maple Street, Medical Lake, WA 99022-0800 | 2005-10-21 |
| 1912223454 | Robert Cory Fanto | Psychologist | 800 West Maple Street, Medical Lake, WA 99022-0800 | 2010-04-08 |
| 1184955874 | Sandra D Phillips | Dental Hygienist | 800 West Maple Street, Medical Lake, WA 99022-0800 | 2010-01-20 |
| 1508013764 | Nosrat Aflatooni | Physician Assistant | 800 West Maple Street, Medical Lake, WA 99022-0800 | 2008-08-19 |
| 1275793671 | Miranda J Gordon | Occupational Therapist | 800 West Maple Street, Medical Lake, WA 99022-0800 | 2008-06-10 |
| 1043488570 | Michelle D Wellman | Occupational Therapy Assistant | 800 West Maple Street, Medical Lake, WA 99022-0800 | 2008-02-19 |
| 1689749277 | Timothy J Pinnell | Occupational Therapy Assistant | 800 West Maple Street, Medical Lake, WA 99022-0800 | 2006-11-21 |
| 1225107287 | Janice L Williams | Dental Hygienist | 800 West Maple Street, Medical Lake, WA 99022-0800 | 2006-11-06 |
| 1881763928 | Marcia L Ryan | Speech-Language Pathologist | 800 West Maple Street, Medical Lake, WA 99022-0800 | 2006-11-06 |
| 1679651970 | Eastern State Hospital Pharmacy | Psychiatric Hospital | 800 West Maple Street, Medical Lake, WA 99022-0800 | 2006-11-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417462227 | Alicia Burton Dds Pllc | Clinic/Center | 47 E. Wa 902, Medical Lake, WA 99022 | 2017-12-04 |
| 1487100038 | Tammy Lee Adler | Pharmacist | 1010 W Fir St, Medical Lake, WA 99022 | 2016-09-01 |
| 1902281959 | Carmen Joy Berg | Pharmacist | 2320 South Salnave Road, Medical Lake, WA 99022 | 2015-07-20 |
| 1033546288 | Torrance Whitney Baldwin | Speech-Language Pathologist | 116 West 3rd St., Medical Lake, WA 99022 | 2013-10-02 |
| 1144572710 | Keri Lea Wissink | Speech-Language Pathologist | 116 West Thrird Street, Medical Lake, WA 99022 | 2012-10-08 |
| 1609153766 | Dutton Veterinary Medicine Pllc | Special Hospital | 212 East Lake Street, Medical Lake, WA 99022 | 2011-11-03 |
| 1881912962 | Susan L Vanwormer | Counselor | 108 N. Jefferson, Medical Lake, WA 99022 | 2010-05-13 |
| 1467774232 | Ryan K Love | Dentist | N 123 Brower Street, Medical Lake, WA 99022 | 2010-02-22 |
| 1023263464 | Emily S Mildes | Nurse Practitioner | 1451 W Maple, Medical Lake, WA 99022 | 2008-11-26 |
| 1619005014 | Maria Lydia Montenegro | General Practice | 2320 Salnave Rd, Lakeland Village, Medical Lake, WA 99022 | 2007-02-28 |
| Find all providers in zip 99022 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164647863 | Debra Jean Clinton | Physician Assistant | 850 West Maple Street, Medical Lake, WA 99022-0800 | 2007-04-16 |
| 1265414494 | Mark P. Dartley | Physician Assistant | 850 Maple Street, Medical Lake, WA 99022-0800 | 2005-11-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033735618 | Gavin Guard | Physician Assistant | 818 Mullis St Ste 6, Friday Harbor, WA 98250-7986 | 2020-06-19 |
| 1578110862 | Kaitlin E. Brotman | Physician Assistant | 315 Holton Ave Ste 100, Yakima, WA 98902-3245 | 2019-08-21 |
| 1700345196 | Kara Lynn Kime | Physician Assistant | 1200 Cooper Point Rd Sw Ste 100, Olympia, WA 98502-1172 | 2019-03-15 |
| 1679056824 | Katharine Loco-marshall | Physician Assistant | 4816 She-nah-num Drive, Olympia, WA 98513 | 2018-09-13 |
| 1841791274 | Sjs, Pllc | Physician Assistant | 900 Ocean Beach Hwy Ste B, Longview, WA 98632-4013 | 2018-02-21 |
| 1063928448 | Heidi April | Physician Assistant | 1410 N Pittsburgh St, Building A, Kennewick, WA 99336-8211 | 2017-12-20 |
| 1194251983 | Christopher Joseph Stanley | Physician Assistant | 1010 Ne Lilac St Apt 301, Issaquah, WA 98029-7878 | 2017-05-11 |
| 1366993362 | Vanessa Julie Iglesias Mehta | Physician Assistant | 5128 Yelm Hwy Se, Suite E, Lacey, WA 98503 | 2016-10-14 |
| 1801344601 | Jessica Ann Pettitt | Physician Assistant | 21200 Ne 190th Ct, Battle Ground, WA 98604-9636 | 2016-09-21 |
| 1407300098 | Joshua David Evans | Physician Assistant | 9040 Jackson Ave Mchj Clq C, Tacoma, WA 98431-1100 | 2016-08-11 |
| Find all providers with the same taxonomy | ||||
| City | MEDICAL LAKE |
| Zip Code | 99022 |
Please comment or provide details below to improve the information on SABRINA ARNOTT KECKALO.
| 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.