TABATHA BURRIS (NPI# 1326340456) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326340456 |
| Entity Type | Individual |
| Full Name | TABATHA BURRIS |
| Credential | LMP |
| Practice Address |
14410 Petrovistsky Rd Se #109 Renton WA 98058 |
| Mailing Address |
17533 151st Avenue Se Unit 8-9 Renton WA 98058 |
| Practice Telephone | 4252261856 |
| Enumeration Date | 2010-11-22 |
| Last Update Date | 2010-11-22 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | MA60160181 | WA | Other Service Providers |
| Street Address |
14410 PETROVISTSKY RD SE #109 |
| City | RENTON |
| State | WA |
| Zip Code | 98058 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639799471 | Fairwood Dental LLC | Dentist | 14250 Se 176th #j7, Renton, WA 98058 | 2020-04-22 |
| 1538641386 | Kenneth Graber | Physical Therapist | 17650 140th Avenue Sw, Suite B-07, Renton, WA 98058 | 2018-08-29 |
| 1508210154 | Lucy Johnson | Specialist/Technologist | 11808 Se 172nd Ln Apt N303, Renton, WA 98058 | 2016-04-20 |
| 1104253947 | Bertila Martinez | Dental Hygienist | 14600 Se 176th St #v4, Renton, WA 98058 | 2013-10-10 |
| 1295042570 | Hanh Q Nguyen | Pharmacist | 16940 116th Avenue Southeast, Renton, WA 98058 | 2010-09-08 |
| 1861692675 | Ernestine Johanna Rombouts | Counselor | 16205 128th Place Se, Renton, WA 98058 | 2007-07-19 |
| 1912100991 | Cara Rozell | Pharmacist | 400 South 43rd St, Renton, WA 98058 | 2007-06-07 |
| 1699821231 | Lynne Suzanne Balderson | Massage Therapist | 14410 Se Petrovitsky Rd #201, Renton, WA 98058 | 2007-01-26 |
| 1023173465 | Sara Jean Denherder | Massage Therapist | 17070 - 140th Ave Se, Renton, WA 98058 | 2006-12-26 |
| 1619037157 | Fairwood Orthodontics | Dentist | 14300 Se Petrovitsky Road, Renton, WA 98058 | 2006-12-12 |
| Find all providers in zip 98058 | ||||
| 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 |
|---|---|---|---|---|
| 1073940474 | Margarette Adelina Gagnon | Specialist | 110 Williams Ave S, Apt 305, Renton, WA 98057-5436 | 2013-09-30 |
| 1194150615 | Kelsey Maher | Specialist | 1208 Lincoln Pl Ne, Renton, WA 98056-2854 | 2013-09-04 |
| 1316216583 | Sarajane Priscilla Huff | Specialist | 2311 Ne 27th St, Renton, WA 98056-2234 | 2011-12-17 |
| 1699042358 | Tia Maumi Ballard | Specialist | 200 Sw 41st St Ste 100, Renton, WA 98057-4917 | 2011-11-23 |
| 1841589587 | Jennifer Marie Stoudt | Specialist | 318 Garden Ave N, Renton, WA 98057-5729 | 2011-04-04 |
| 1558668400 | Pain Associates of Washington Pllc | Specialist | 4300 Talbot Rd S Ste 200, Renton, WA 98055-6238 | 2011-02-11 |
| 1750536918 | Mitchael Gordon Welch | Specialist | 862 Aberdeen Ave Ne, Renton, WA 98056-2856 | 2008-12-01 |
| 1770746422 | Frank Fung Pllc | Specialist | 4033 Talbot Rd S Ste 430, Renton, WA 98055-5700 | 2008-07-02 |
| 1285812115 | Jennifer Loveless | Specialist | 19932 101st Ave Se, Renton, WA 98055-7306 | 2008-02-01 |
| 1881873297 | Minatsu Sunagawa | Specialist | 200 Sw 41st St Ste A, Renton, WA 98057-4917 | 2007-11-01 |
| Find all providers in RENTON | ||||
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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.