SAMANTHA JOSEFINE MOANA BRODEHL (NPI# 1346654050) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346654050 |
| Entity Type | Individual |
| Full Name | SAMANTHA JOSEFINE MOANA BRODEHL |
| Other Name | SAMANTHA DUARTE |
| Practice Address |
1601 E Fourth Plain Blvd Vancouver WA 98661-3753 |
| Mailing Address |
217 Ne 68th St Vancouver WA 98665-8623 |
| Practice Telephone | 3606964061 |
| Mailing Telephone | 3608233562 |
| Enumeration Date | 2014-06-20 |
| Last Update Date | 2014-06-20 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2865M2000X |
Military Hospital Specialization: Military General Acute Care Hospital |
Hospitals |
| Street Address |
1601 E FOURTH PLAIN BLVD |
| City | VANCOUVER |
| State | WA |
| Zip Code | 98661-3753 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962452433 | Joanne Pascarella Parker | Family Medicine | 1601 E Fourth Plain Blvd, Vancouver, WA 98661-3713 | 2006-05-12 |
| 1366049389 | Keri Damsgaard | Registered Nurse | 1601 E Fourth Plain Blvd, Vancouver, WA 98661-3713 | 2020-10-02 |
| 1265048219 | Lindsey Lee Bittman | Social Worker | 1601 E Fourth Plain Blvd, V3crs, Vancouver, WA 98661-3713 | 2020-09-16 |
| 1104438282 | Aydree Lee Stuart | Peer Specialist | 1601 E Fourth Plain Blvd, Vancouver, WA 98661-3713 | 2020-08-19 |
| 1831716554 | Robin Lynn Miller | Registered Nurse | 1601 E Fourth Plain Blvd, Vancouver, WA 98661-3713 | 2020-06-29 |
| 1033733381 | Samantha Irene Tribon | Licensed Practical Nurse | 1601 E Fourth Plain Blvd, Vancouver, WA 98661-3713 | 2020-06-02 |
| 1790307163 | Sasha Micaella Rojas | Psychologist | 1601 E Fourth Plain Blvd, Vancouver, WA 98661-3713 | 2020-05-08 |
| 1174152466 | Angela Westbrooks | Counselor | 1601 E Fourth Plain Blvd, Vancouver, WA 98661-3713 | 2020-04-07 |
| 1871121137 | Mary Alice Parker | Peer Specialist | 1601 E Fourth Plain Blvd, Vancouver, WA 98661-3713 | 2020-03-31 |
| 1730712522 | Cadie Mae Marsh | Licensed Practical Nurse | 1601 E Fourth Plain Blvd, Vancouver, WA 98661-3713 | 2020-02-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982228417 | Cynthia Ann Holt | Social Worker | 4608 Ne 47 Street, Vancouver, WA 98661 | 2020-06-01 |
| 1235793027 | James Dostert | Counselor | 1601 E 4th Blvd. Bldg. 17, Ste A212, Vancouver, WA 98661 | 2019-04-26 |
| 1306305289 | Kathryn Susanne Scott | Social Worker | Attn: Kathryn Scott, V3cnh, 1601 E. Fourth Plain Blvd., Vancouver, WA 98661 | 2019-03-19 |
| 1952860637 | Alice Rogers | Occupational Therapist | Vancouver Public Schools, 2901 Falk Rd., Vancouver, WA 98661 | 2019-03-13 |
| 1053878538 | Paula Moore | Counselor | 9626 Ne Fourth Plain Blvd, Vancouver, WA 98661 | 2019-02-21 |
| 1558825729 | Cassandra Marie Nichols | Counselor | 1601 E 4th Blvd, Vancouver, WA 98661 | 2019-01-22 |
| 1548734148 | Lisa Kelly | Counselor | 1601 E 4th Blvd., Vancouver, WA 98661 | 2019-01-16 |
| 1518444025 | Columbia Pharmacy | Pharmacy | 2700 Ne Andresen Rd Ste E3, Vancouver, WA 98661 | 2018-07-26 |
| 1023505229 | Ellen Barbour | Counselor | 1601 E 4th Plain Blvd Bldg. 17, Ste A212, Vancouver, WA 98661 | 2018-04-13 |
| 1679096325 | Brian Scott Coleman | Counselor | 1601 East Fourth Plain Blvd., Bldg #17, Ste. A212, Vancouver, WA 98661 | 2017-07-24 |
| Find all providers in zip 98661 | ||||
| Taxonomy Code | 2865M2000X |
| Grouping | Hospitals |
| Classification | Military Hospital |
| Specialization | Military General Acute Care Hospital |
| A Department of Defense (DoD) health care organization furnishing inpatient care 24 hours per day in "fixed" facilities, primarily for DoD beneficiaries. Entity is Defense Health Program (DHP) funded. A "fixed" facility is a non-temporary, non-deployed facility usually used for health care services. It includes mobile specialty units such as Magnetic Resonance Imaging (MRI) units that may furnish services at the "fixed" facility. It includes those services and institutional costs usually included in a Diagnosis Related Group as well as "pass-through" items. |
| Notes: [1/1/2005: title modified, definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982962148 | Veterans Hospital | Military Hospital | 1660 S Columbian Way, Seattle, WA 98108-1532 | 2012-04-25 |
| 1336410646 | Madigan Army Medical Center | Military Hospital | Madigan Army Medical Ctr, Bldg 9040 Fitzsimmons Drive, Tacoma, WA 98431-0001 | 2012-01-18 |
| 1972825008 | Va Puget Sound | Military Hospital | 1660 S Columbian Way, Seattle, WA 98108-1532 | 2010-02-16 |
| 1982872347 | Jennifer Lynn Oltyan | Military Hospital | 1660 S Columbian Way, Seattle, WA 98108-1532 | 2008-02-19 |
| 1952597635 | Va Puget Sound Health Care System | Military Hospital | 1660 S Columbian Way, Seattle, WA 98108 | 2007-09-17 |
| 1730134206 | Naval Health Clinic Oak Harbor | Military Hospital | 3475 N Saratoga St, Oak Harbor, WA 98278-8800 | 2006-05-23 |
| 1427010420 | Naval Hospital Bremerton | Military Hospital | 1 Boone Rd, Code 08razd, Bremerton, WA 98312-1898 | 2006-04-05 |
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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.