BOBBIE MADDEN (NPI# 1356885107) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356885107 |
| Entity Type | Individual |
| Full Name | BOBBIE MADDEN |
| Practice Address |
65 Tahuyeh Dr Nw Bremerton WA 98312-9610 |
| Practice Telephone | 3604340045 |
| Mailing Telephone | 3604340045 |
| Enumeration Date | 2016-12-13 |
| Last Update Date | 2016-12-13 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | LP60475888 | WA | Nursing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 163W00000X | 163W00000X | 01 |
| Street Address |
65 TAHUYEH DR NW |
| City | BREMERTON |
| State | WA |
| Zip Code | 98312-9610 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962025114 | Candace Mckenzie | Counselor | 2564 Cascades Pass Blvd, The Landings Bldg. 779, Bremerton, WA 98312 | 2020-05-22 |
| 1710473590 | Sandra Louise Walker | Family Medicine | 14301 Nw Coho Run, Bremerton, WA 98312 | 2018-07-05 |
| 1467947663 | Jason David Alexander | Military Health Care Provider | Uss Kentucky, Ssbn, Fpo, AE 98312 | 2018-06-29 |
| 1588176614 | Institute Family for Development | Community/Behavioral Health | 5610 Kitsap Way, Suite 315, Bremerton, WA 98312 | 2017-10-30 |
| 1720521321 | Debra Lynn Lemieux | Counselor | 5762 Chico Way Nw, Bremerton, WA 98312 | 2016-11-30 |
| 1164840047 | Amber Rose Morison | Chiropractor | 3963 Sand Dollar Road West, Bremerton, WA 98312 | 2014-03-28 |
| 1942625611 | Kristen Williams | Clinic/Center | 5112 Nw Taylor Rd., Bremerton, WA 98312 | 2014-03-04 |
| 1184049629 | Tariku Tsegaye Messele | Specialist/Technologist | 5112 Nw Taylor Road, Bremerton, WA 98312 | 2014-02-20 |
| 1063784064 | Johnson Chiropractic Clinic | Clinic/Center | 3721 Kitsap Way Suite #8, Bremerton, WA 98312 | 2012-02-06 |
| 1194013532 | Casey Mccann | Student in an Organized Health Care Education/Training Program | 1 Boone Rd., Naval Hospital Bremerton, Bremerton, WA 98312 | 2011-07-19 |
| Find all providers in zip 98312 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073144093 | Sybil Yvette Jordan | Licensed Practical Nurse | 1233 Poindexter Ave, Bremerton, WA 98312-4334 | 2020-01-29 |
| 1790316743 | Shannon Garner | Licensed Practical Nurse | 1520 Ne Riddell Rd Ste 150, Bremerton, WA 98310-3005 | 2020-01-29 |
| 1023658804 | Bertha Mae Banks | Licensed Practical Nurse | 925 Ne Opal Ct, Bremerton, WA 98311-8760 | 2020-01-09 |
| 1790306447 | Leighan Cunningham | Licensed Practical Nurse | 5455 Almira Dr Ne, Bremerton, WA 98311-8330 | 2020-05-05 |
| 1851912778 | Lilia Camal Gannon | Licensed Practical Nurse | 5455 Almira Dr Ne, Bremerton, WA 98311-8330 | 2020-05-01 |
| 1861013021 | Jennifer Ellis | Licensed Practical Nurse | 5455 Almira Dr Ne, Bremerton, WA 98311-8330 | 2020-04-29 |
| 1457983256 | Emily Carerro | Licensed Practical Nurse | 5455 Almira Dr Ne, Bremerton, WA 98311-8330 | 2020-02-10 |
| 1508421421 | Michael James Thai | Licensed Practical Nurse | 5455 Almira Dr Ne, Bremerton, WA 98311-8330 | 2019-05-06 |
| 1558858779 | Patricia Mcclarin | Licensed Practical Nurse | 5455 Almira Dr Ne, Bremerton, WA 98311-8330 | 2018-04-13 |
| 1275033946 | Samantha Fleeger | Licensed Practical Nurse | 5455 Almira Dr Ne, Bremerton, WA 98311-8330 | 2018-02-19 |
| Find all providers in BREMERTON | ||||
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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.