MARINA TIKHONOVA (NPI# 1366820029) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366820029 |
| Entity Type | Individual |
| Full Name | MARINA TIKHONOVA |
| Practice Address |
2419 E 8th Ave Spokane WA 99202-4213 |
| Practice Telephone | 5097504620 |
| Mailing Telephone | 5097504620 |
| Enumeration Date | 2015-05-14 |
| Last Update Date | 2015-05-14 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320600000X | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | WA | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 47-3995909 | 05 |
| Street Address |
2419 E 8TH AVE |
| City | SPOKANE |
| State | WA |
| Zip Code | 99202-4213 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669099552 | Morgan Physiotherapy, Pllc | Physical Therapist | 716 South Arthur Street, Spokane, WA 99202 | 2020-06-26 |
| 1659926863 | Hiliary Beatty | Marriage & Family Therapist | 3101 E Boone Avenue, Spokane, WA 99202 | 2019-08-05 |
| 1992359301 | Jennifer Pelzel | Pharmacist | Pbs, 205 E Spokane Falls Blvd, Spokane, WA 99202 | 2019-07-25 |
| 1750858171 | Elyse M Tullar | Counselor | 3101 E Boone Ave, Spokane, WA 99202 | 2018-10-24 |
| 1952830333 | Kaleb E Walker | Case Manager/Care Coordinator | 1002 N Superior, Spokane, WA 99202 | 2017-06-08 |
| 1659823987 | Laura Lenoue | Chiropractor | 301 E Sharp, Lenoue Integrative Medicine, Spokane, WA 99202 | 2016-11-03 |
| 1376095141 | Clinton George Ralph | Counselor | 624 S Cowley, Spokane, WA 99202 | 2016-10-27 |
| 1144772245 | Megan Nicole Korst | Counselor | 104 S. Freya, Red Flag Bldg, Suite 101b, Spokane, WA 99202 | 2016-10-25 |
| 1043766652 | Moffitt Children's Dentistry | Dentist | 520 S Cowley St Ste 101, Spokane, WA 99202 | 2016-09-01 |
| 1881147296 | Natalie Stine | Dietitian, Registered | 203 E Spague Avenue, Spokane, WA 99202 | 2016-08-02 |
| Find all providers in zip 99202 | ||||
| Taxonomy Code | 320600000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
| A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental disabilities and/or mental retardation and are not able to live independently. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700200011 | Stonewall Residential Care, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 28921 N. River Estates, Chattaroy, WA 99003 | 2014-02-06 |
| 1992149777 | Holly Renee Cordero | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 13224 E Tall Tree Rd, Spokane Valley, WA 99216-2411 | 2013-04-23 |
| 1538409826 | Life Works | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 906 New York St, Longview, WA 98632-4132 | 2013-02-22 |
| 1063717189 | Healthcare Harmony LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 11406 E Fairview Ave, Spokane Valley, WA 99206-4687 | 2011-01-20 |
| 1790038420 | Jody Lyn Genuard | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 9330 59th Ave Sw, Lakewood, WA 98499-2858 | 2012-10-18 |
| 1568625622 | Lyneeka Janee Collins | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 811 Madison St, Everett, WA 98203-4543 | 2008-07-08 |
| 1164547626 | Rainier State School | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 2120 Ryan Rd, Buckley, WA 98321-9115 | 2007-03-20 |
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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.