DEANNE MARIE SIRIDAKIS (NPI# 1336608710) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336608710 |
| Entity Type | Individual |
| Full Name | DEANNE MARIE SIRIDAKIS |
| Practice Address |
11567 Canterwood Blvd Nw Gig Harbor WA 98332-5812 |
| Mailing Address |
8420 36th St W University Place WA 98466-2008 |
| Practice Telephone | 2535302853 |
| Enumeration Date | 2019-03-15 |
| Last Update Date | 2019-03-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| Street Address |
11567 CANTERWOOD BLVD NW |
| City | GIG HARBOR |
| State | WA |
| Zip Code | 98332-5812 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710174164 | Matthew Alan Radel | Physician Assistant | 11567 Canterwood Blvd Nw, Gig Harbor, WA 98332-5812 | 2007-10-01 |
| 1316599715 | Brynna Bodle | Student in an Organized Health Care Education/Training Program | 11567 Canterwood Blvd Nw, Gig Harbor, WA 98332 | 2019-07-15 |
| 1902463862 | Emma Helms | Student in an Organized Health Care Education/Training Program | 11567 Canterwood Blvd Nw, Gig Harbor, WA 98332-5812 | 2019-05-24 |
| 1093291262 | Karisha Schall | Student in an Organized Health Care Education/Training Program | 11567 Canterwood Blvd Nw, Gig Harbor, WA 98332-5812 | 2018-07-11 |
| 1669970299 | Ashley Elizabeth Yates | Student in an Organized Health Care Education/Training Program | 11567 Canterwood Blvd Nw, Gig Harbor, WA 98332-5812 | 2018-01-29 |
| 1851766406 | Mary Christie | Occupational Therapist | 11567 Canterwood Blvd Nw, St Anthony Hospital Suite 20, Gig Harbor, WA 98332 | 2015-12-08 |
| 1114282019 | Ka Ning Jellison | Pharmacist | 11567 Canterwood Blvd Nw, Gig Harbor, WA 98332-5812 | 2012-07-08 |
| 1609135821 | Blesserene Punzalan Kazacos | Emergency Medicine | 11567 Canterwood Blvd Nw, Gig Harbor, WA 98332-5812 | 2012-05-08 |
| 1841597523 | Franciscan Health Systems | General Acute Care Hospital | 11567 Canterwood Blvd Nw, Gig Harbor, WA 98332-5812 | 2011-02-16 |
| 1942501945 | Kathryn Marie Brokaw | Pharmacist | 11567 Canterwood Blvd Nw, Gig Harbor, WA 98332-5812 | 2010-11-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023584125 | William Edmondson Wells | Counselor | Wccw, 9601 Bujacick Rd. Nw, Gig Harbor, WA 98332 | 2018-10-17 |
| 1417446758 | Janelle Elizabeth Becker | Physician Assistant | 11511 Canterwood Blvd Nw Ste 205, Gig Harbor, WA 98332 | 2018-05-02 |
| 1205252046 | Jenny Wical | Registered Nurse | 12201 Osprey Dr. Nw, Gig Harbor, WA 98332 | 2014-03-17 |
| 1134486616 | Jacinda Leigh Pickett | Pharmacist | 10990 Harbor Hill Dr, Gig Harbor, WA 98332 | 2012-04-20 |
| 1114242898 | Michael Robert Conger | Urology | 9704 Woodworth Ave Nw, Gig Harbor, WA 98332 | 2010-04-06 |
| 1346473899 | Robert Howard Lerman | Internal Medicine | 9770 44th Ave Nw, Suite 102, Gig Harbor, WA 98332 | 2009-09-01 |
| 1447406699 | Franciscan Health System | General Acute Care Hospital | 11567 Canterwood Blvd, Gig Harbor, WA 98332 | 2008-08-07 |
| 1730303249 | Richard Mason Coyner | Dentist | 7715 Pioneer Way, Gig Harbor, WA 98332 | 2007-04-13 |
| 1902978711 | Byron D Fenton | Chiropractor | 14619 Purdy Dr, Gig Harbor, WA 98332 | 2006-11-15 |
| 1063515351 | Gordon Bernstein | Radiology | 5304 W Old Stump Dr Nw, Gig Harbor, WA 98332 | 2006-09-05 |
| Find all providers in zip 98332 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417488818 | Marta Larson | Counselor | 7786 Skansie Ave, Gig Harbor, WA 98335-8309 | 2017-03-27 |
| 1437507076 | Amanda Boley | Counselor | 5262 Olympic Dr Nw Ste C, Gig Harbor, WA 98335-1795 | 2016-05-24 |
| 1225409667 | Tanya Murdock Lewis | Counselor | 3003 Judson St, Gig Harbor, WA 98335-1219 | 2015-10-12 |
| 1033597778 | Lisa Lynn Waugh | Counselor | 5224 Olympic Dr Nw, Suite 101, Gig Harbor, WA 98335-1790 | 2015-05-14 |
| 1285036368 | Bonnie Mckenney | Counselor | 5262 Olympic Dr Nw, Suite A, Gig Harbor, WA 98335-1795 | 2014-09-20 |
| 1891125472 | Co-vision Wellness, Inc | Counselor | 3288 50th St Ct Nw Bldg C, Suite 200, Gig Harbor, WA 98335 | 2013-11-19 |
| 1124453733 | Desiree Gaffney, Ma, Lmhc, LLC | Counselor | 4700 Point Fosdick Dr Nw Ste 302, Gig Harbor, WA 98335-1706 | 2013-09-13 |
| 1033468814 | Amanda Lynn Harmon | Counselor | 6626 Wagner Way Ste 200, Gig Harbor, WA 98335-6904 | 2012-09-07 |
| 1285943233 | Karla Ann Cain | Counselor | 4423 Pt. Fosdick Dr. Nw, Ste. 100-6, Gig Harbor, WA 98335-1797 | 2010-09-24 |
| 1366777849 | Lucretia M Devine | Counselor | 5816 Reid Dr Nw, Gig Harbor, WA 98335-1342 | 2009-10-16 |
| Find all providers in GIG HARBOR | ||||
| City | GIG HARBOR |
| Zip Code | 98332 |
Please comment or provide details below to improve the information on DEANNE MARIE SIRIDAKIS.
| 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.