SCOTT STURDIVAN (NPI# 1346698644) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346698644 |
| Entity Type | Individual |
| Full Name | SCOTT STURDIVAN |
| Practice Address |
401 Olympia Ave Ne Suite 345 Renton WA 98056-4117 |
| Mailing Address |
5532 18th Ave S Seattle WA 98108-2835 |
| Practice Telephone | 4255298367 |
| Enumeration Date | 2016-05-26 |
| Last Update Date | 2017-04-11 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
CP 00004028 | WA | Behavioral Health & Social Service Providers |
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
LH 60740062 | WA | Behavioral Health & Social Service Providers |
| Street Address |
401 OLYMPIA AVE NE SUITE 345 |
| City | RENTON |
| State | WA |
| Zip Code | 98056-4117 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558417071 | Kathryn Louise Peterson | Massage Therapist | 401 Olympia Ave Ne, Suite 213, Renton, WA 98056-4117 | 2007-01-26 |
| 1134409550 | Sherrie L. Holmes | Counselor | 401 Olympia Ave Ne, Suite 312, Box 20, Renton, WA 98056-4117 | 2011-08-17 |
| 1376848630 | Joanne Kay Dilley | Massage Therapist | 401 Olympia Ave Ne, Suite 316, Renton, WA 98056-4117 | 2011-01-18 |
| 1417288986 | Iulian Marius Ionescu | Naturopath | 401 Olympia Ave Ne, Suite 211 Box# 60, Renton, WA 98056-4117 | 2010-01-24 |
| 1295069581 | Annuciata Akongo | Registered Nurse | 401 Olympia Ave Ne, 255, Renton, WA 98056-4117 | 2009-09-21 |
| 1457504201 | Ha Thu Nguyen | Counselor | 401 Olympia Ave Ne, Suite 312, Renton, WA 98056-4117 | 2008-10-24 |
| 1851556906 | Leny Tiu Eidsmore | Naturopath | 401 Olympia Ave Ne, Suite 211, Renton, WA 98056-4117 | 2008-07-28 |
| 1467610444 | Karina L. Ray | Counselor | 401 Olympia Ave Ne, Suite 206, Renton, WA 98056-4117 | 2008-05-27 |
| 1982811808 | Shelli Beecher-seitzler | Counselor | 401 Olympia Ave Ne, Suite 347, Mailbox 32, Renton, WA 98056-4117 | 2007-05-17 |
| 1508079930 | Nicole J Ball | Massage Therapist | 401 Olympia Ave Ne, Suite 316, Renton, WA 98056-4117 | 2007-05-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912496456 | Lashanda Mccurdy | Massage Therapist | 401 Olympia Avenue Ne, Renton, WA 98056 | 2018-05-09 |
| 1962949545 | Andrea Floth | Behavioral Analyst | 1177 Harrington Ave Ne #304, Renton, WA 98056 | 2017-01-20 |
| 1841695467 | Angelica Tran | Pharmacist | 455 Bronson Way North East, Renton, WA 98056 | 2014-10-24 |
| 1992844534 | Kathleen Maura Koenig | Physical Therapist | 7215 116th Ave Se, Newcastle, WA 98056 | 2007-02-06 |
| 1104975226 | Letha Fernandez | Counselor | 2503 Camas Ave Ne, Renton, WA 98056 | 2007-01-09 |
| 1760402366 | See Jane Inc | Optometrist | 12660 164th Ave Ste A, Renton, WA 98056 | 2006-07-20 |
| 1205860509 | Marta E Long | Internal Medicine | 275 Bronson Way Se, Renton, WA 98056 | 2006-07-10 |
| 1538721931 | Kiabet Sarahi Patino | Counselor | 7972 Maple Ave Se, Snoqualmie, WV 98056 | 2019-07-05 |
| 1710331483 | Aditi Dhar | Family Medicine | 7203 129th Ave Se Ste 100, Newcastle, WA 98056 | 2016-04-19 |
| 1215212287 | Emmie Yun-mei Lo | Pharmacist | 3011 Ne Sunset Blvd, Renton, WA 98056 | 2011-10-20 |
| Find all providers in zip 98056 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831706456 | Therapeuo LLC | Counselor | 16503 Se 171st Pl, Renton, WA 98058-9589 | 2020-09-28 |
| 1033730254 | Sandra Martinez | Counselor | 17728 134th Ln Se, Renton, WA 98058-6818 | 2020-04-28 |
| 1174159495 | Anna Higgins | Counselor | 1200 Grant Ave S Apt X201, Renton, WA 98055-3099 | 2020-03-18 |
| 1881233328 | Hannah Mae Bergeron | Counselor | 15617 Se 173rd St, Renton, WA 98058-9121 | 2020-01-01 |
| 1609426030 | Robert Arthur Martin Jr. | Counselor | 15 S Grady Way Ste 241, Renton, WA 98057-3209 | 2019-09-17 |
| 1417509068 | Jamila Bates | Counselor | 360 Taylor Ave Nw Apt 311, Renton, WA 98057-5148 | 2019-07-14 |
| 1982261400 | Makaela M Hayward | Counselor | 1025 S 3rd St Ste B, Renton, WA 98057-2765 | 2019-05-20 |
| 1447721089 | Alice Coleman | Counselor | 15 S Grady Way Ste 246, Renton, WA 98057-3209 | 2018-12-07 |
| 1033636147 | Masako Mcbride | Counselor | 1200 Sw 27th St # D1e01, Renton, WA 98057-2603 | 2017-08-29 |
| 1437676004 | Ralph William Papke Jr. | Counselor | Kaiser Permanente of Wa, 1200 Sw 27th St, Renton, WA 98057 | 2017-08-24 |
| Find all providers in RENTON | ||||
Please comment or provide details below to improve the information on SCOTT STURDIVAN.
| 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.