MS. KAREENA ANGELA FOUNTAIN


Address: 17719 Jordan St Sw, Rochester, WA 98579-8533
Phone: 3603592736

MS. KAREENA ANGELA FOUNTAIN (NPI# 1386941862) 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) 1386941862
Entity Type Individual
Full Name MS. KAREENA ANGELA FOUNTAIN
Credential LMP
Practice Address 17719 Jordan St Sw
Rochester
WA 98579-8533
Practice Telephone 3603592736
Practice Fax Number 3602735809
Mailing Telephone 3603592736
Mailing Fax Number 3602735809
Enumeration Date 2011-02-18
Last Update Date 2011-02-18
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 174400000X Specialist 601686008 WA Other Service Providers

Office Location

Street Address 17719 JORDAN ST SW
City ROCHESTER
State WA
Zip Code 98579-8533

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NPI Name Taxonomy Address Enumeration
1326510728 Courtney Jeanette Oliver Occupational Therapy Assistant 10140 Us-12, Rochester, WA 98579 2018-12-23
1104141878 Rochester Chiropractic Center Chiropractor 18234 Sargent Rd. Sw, Rochester, WA 98579 2010-04-06
1114139441 Chad Allen Martin Chiropractor 18234 Sargent Road Sw, Rochester, WA 98579 2007-05-07
1902958556 Claudia J Randall Specialist 18906 Nutmeg St. Sw, Rochester, WA 98579 2007-01-16
1669488516 Rochester School District Local Education Agency (LEA) 9917 Highway 12 Sw, Rochester, WA 98579 2006-07-31
1982100657 Morgane Marielle Le Guennec Nurse Practitioner 18313 Paulson St Sw Ste A, Rochester, WA 98579 2018-04-02
1376086124 Angela J Gelder Behavioral Analyst 18124 Sunshine Ln Sw, Rochester, WA 98579-7528 2016-11-28
1821646993 Yanet Flores Martinez Behavioral Analyst 18032 Daryl Ln Sw, Rochester, WA 98579-7530 2019-08-30
1336670637 Valerie Maden Massage Therapist 18234 Sargent Rd Sw, Rochester, WA 98579-8554 2017-03-27
1437402674 Janell Schade Case Manager/Care Coordinator 10140 Highway 12 Sw, Rochester, WA 98579-8621 2012-10-25
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Taxonomy Information

Taxonomy Code 174400000X
Grouping Other Service Providers
Classification Specialist

Taxonomy Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1518526128 Jill Russell Pavone Specialist 1850 Buffalo Rd Ste 200, Rochester, NY 14624-1550 2019-06-07
1205390887 Kristy Lynn Shields Specialist 640 Jefferson Ave, Rochester, NY 14611-3548 2019-01-28
1962986364 Allison Anne Skwirz Specialist 152 Barrington St Apt 108, Rochester, NY 14607-2957 2018-09-20
1811478373 University Orthopaedic Associates of Rochester Specialist 2300 W Ridge Rd Ste 202, Rochester, NY 14626-2801 2018-08-23
1619457496 University Orthopaedic Associates of Rochester Specialist 1000 South Ave Rm H-210, Rochester, NY 14620-2733 2018-08-21
1891201257 Kate Elizabeth Huggler-rubin Specialist 247 Wellington Ave, Rochester, NY 14611-3039 2017-12-21
1194259580 Jenny Elahi Specialist 99 Eastgate Dr, Rochester, NY 14617-4136 2017-04-12
1326591421 Rochester Endovascular Pllc Specialist 1892 Winton Rd S, Rochester, NY 14618-3996 2016-07-26
1912352329 Cesely Warren Specialist 82 Kafana Dr, Rochester, NY 14612-2718 2016-05-04
1043685472 Krista Gehm Specialist 2400 S Clinton Ave Ste 130, Rochester, NY 14618-2668 2015-12-10
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Competitor

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City ROCHESTER
Zip Code 98579

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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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