ANYA LISHA ANDRE


Address: 9245 Rainier Avenue South, Seattle, WA 98118
Phone: 2065483638

ANYA LISHA ANDRE (NPI# 1346775327) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1346775327
Entity Type Individual
Full Name ANYA LISHA ANDRE
Credential D.M.D
Practice Address 9245 Rainier Avenue South
Seattle
WA 98118
Practice Telephone 2065483638
Mailing Telephone 2065483638
Enumeration Date 2017-04-27
Last Update Date 2017-12-19
NPI Deactivation Date 11/29/2017
NPI Reactivation Date 2017-12-19
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 390200000X Student in an Organized Health Care Education/Training Program RR60760772 WA Student, Health Care
N 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Office Location

Street Address 9245 RAINIER AVENUE SOUTH
City SEATTLE
State WA
Zip Code 98118

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NPI Name Taxonomy Address Enumeration
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1992287650 Valentina Komarova Massage Therapist 4321 S Webster St Unit D, Seattle, WA 98118 2018-08-29
1750884672 Ka Hei Cheuk Behavior Technician 3815 S Othello Street, Suite 100 Box 361, Seattle, WA 98118 2018-03-16
1285150904 Crystal N White Counselor 3815 S Othello St Suite 100 #317, Seattle, WA 98118 2017-08-15
1710334552 Emeka Titus Okoye Durable Medical Equipment & Medical Supplies 4529 S. Henderson Street, #7, Seattle, WA 98118 2016-05-23
1104202191 Elizabeth Kittay Acupuncturist 5224 Wilson Avenue South, Suite 202, Seattle, WA 98118 2015-08-03
1194129601 Heather Vargas-lyon Massage Therapist 8338 Wolcott Ave S, Seattle, WA 98118 2014-10-13
1487069878 Tamikia Jones Massage Therapist 9260 57th Ave S, Seattle, WA 98118 2014-06-25
1023432663 Marie Nicole Hausauer Massage Therapist 4900 Rainer Ave S., Suite 102, Seattle, WA 98118 2014-02-18
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Taxonomy Information

Taxonomy Code 390200000X
Grouping Student, Health Care
Classification Student in an Organized Health Care Education/Training Program

Taxonomy Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Notes: [1/1/2005: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1396342358 Emma Peconga Student in an Organized Health Care Education/Training Program 3619 Ashworth Ave N, Seattle, WA 98103-8116 2020-10-02
1780290361 Compassionate Peer Counseling LLC Student in an Organized Health Care Education/Training Program 3250 Airport Way S Ste 608, Seattle, WA 98134-2172 2020-09-19
1336751684 Binabahen Shah Student in an Organized Health Care Education/Training Program 6035 4th Ave Nw, Seattle, WA 98107-2109 2020-08-18
1316558968 Jimmy Nguyen Student in an Organized Health Care Education/Training Program 5525 23rd Ave S, Seattle, WA 98108-2918 2020-08-16
1174133672 Selomie Habtemichael Student in an Organized Health Care Education/Training Program 10000 30th Ave Sw, Seattle, WA 98146-3720 2020-08-09
1659980720 Joseph Banham Student in an Organized Health Care Education/Training Program 12057 Lakeside Pl Ne, Seattle, WA 98125-5956 2020-07-24
1326662396 Dale Justin Podolsky Student in an Organized Health Care Education/Training Program 4800 Sand Point Way Ne, Ob.9.520, Seattle Children's, Seattle, WA 98105 2020-06-04
1659993723 Caroline Mullins Student in an Organized Health Care Education/Training Program 701 N 36th St Ste 3000, Seattle, WA 98103-8868 2020-05-12
1730700741 Christian Van Rooyen Student in an Organized Health Care Education/Training Program 1951 Pacific Street, Seattle, WA 98195 2020-04-30
1669092128 Ahmed Abdelrazek Student in an Organized Health Care Education/Training Program 1959 Ne Pacific Street, 356560, Department of Psychiart, Seattle, WA 98195-6560 2020-04-24
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Competitor

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City SEATTLE
Zip Code 98118

Improve Information

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Dataset Information

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.

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