BRIAN TYRELL WHITE (NPI# 1396218566) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396218566 |
| Entity Type | Individual |
| Full Name | BRIAN TYRELL WHITE |
| Practice Address |
1007 Koala Dr Omak WA 98841-9247 |
| Practice Telephone | 5098266191 |
| Practice Fax Number | 5098263029 |
| Mailing Telephone | 5098266191 |
| Mailing Fax Number | 5098263029 |
| Enumeration Date | 2019-01-09 |
| Last Update Date | 2019-01-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 175T00000X | Peer Specialist | CG60878786 | WA | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801369095 | Brian White | Counselor | 334 Agriculture Dr # 845, Monroeville, AL 36460-8691 | 2019-01-10 |
| 1912474305 | Brian A White | Behavior Technician | 6n202 Boxwood Ln, St Charles, IL 60175-8327 | 2018-10-24 |
| 1144394958 | Brian Paul White | Chiropractor | 3405 Kenyon Street, Suite 206, San Diego, CA 92110 | 2006-11-20 |
| 1821106725 | Brian White | Social Worker | 259 W Main St, Decaturville, TN 38329-8033 | 2006-08-29 |
| 1710937610 | Brian Andrew White | Nurse Practitioner | 8108 N Nebraska Ave, Tampa, FL 33604-3103 | 2006-05-11 |
| 1598767865 | Brian John White | Internal Medicine | 27 Livingston Mnr, Dobbs Ferry, NY 10522-1729 | 2005-06-01 |
| 1669002325 | Brian D White | Counselor | 3900 S Stonebridge Dr, Mckinney, TX 75070-7899 | 2020-01-22 |
| 1639711567 | Brian White | Behavioral Analyst | 4600 Forest Hill Ave, Richmond, VA 23225-3246 | 2019-10-11 |
| 1942760715 | Brian Michael White | Internal Medicine | 2160 S 1st Ave, Maywood, IL 60153-3328 | 2019-03-20 |
| 1336677889 | Brian R White | Physical Therapist | 3760 Convoy St Ste 204, San Diego, CA 92111-3744 | 2017-05-29 |
| Street Address |
1007 KOALA DR |
| City | OMAK |
| State | WA |
| Zip Code | 98841-9247 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346638855 | Katie Mae Sommers | Counselor | 1007 Koala Dr, Omak, WA 98841 | 2015-01-06 |
| 1477185288 | Juan M Rodriguez | Counselor | 1007 Koala Dr, Omak, WA 98841-9247 | 2020-02-10 |
| 1306486337 | Jennifer Vazquez | Counselor | 1007 Koala Dr, Omak, WA 98841-9247 | 2020-01-07 |
| 1285273870 | Robbin E Kamphaus | Counselor | 1007 Koala Dr, Omak, WA 98841-9247 | 2019-12-30 |
| 1891341756 | Ino Perfecto N Gonzales | Case Manager/Care Coordinator | 1007 Koala Dr, Omak, WA 98841-9247 | 2019-08-15 |
| 1841845526 | Amy Allison Alter Jones | Social Worker | 1007 Koala Dr, Omak, WA 98841-9247 | 2019-08-08 |
| 1417518960 | Diane N Foreman | Case Manager/Care Coordinator | 1007 Koala Dr, Omak, WA 98841-9247 | 2019-06-25 |
| 1811555857 | Jaima Rose Jameson | Peer Specialist | 1007 Koala Dr, Omak, WA 98841-9247 | 2019-06-04 |
| 1922661503 | Erica C Garcia | Case Manager/Care Coordinator | 1007 Koala Dr, Omak, WA 98841-9247 | 2019-04-18 |
| 1538620901 | Shirley Kuchta | Counselor | 1007 Koala Dr, Omak, WA 98841-9247 | 2019-03-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093210908 | Kellie Davies | Registered Nurse | 34 Valley View Dr, Omak, WA 98841 | 2018-03-24 |
| 1356860399 | In-home Care of Central Washington | In Home Supportive Care | 130 N. Main St, Ste 2, Omak, WA 98841 | 2017-09-11 |
| 1538615158 | J.r. Craig Webster D.d.s. | Preferred Provider Organization | 204 West 1st. Street, Omak, WA 98841 | 2016-09-01 |
| 1659702157 | Omak Audiology Center, LLC | Audiologist-Hearing Aid Fitter | 506 Riverside Drive, # B, Omak, WA 98841 | 2013-12-09 |
| 1265878417 | Stephen Cavender | Counselor | 1007 Koala Dr., Omak, WA 98841 | 2013-05-15 |
| 1467793497 | Kenari Breshem | Massage Therapist | 25 Ash St, Omak, WA 98841 | 2013-03-15 |
| 1710282645 | Jodie Dawn Field | Counselor | 17 N. Ash, Omak, WA 98841 | 2011-01-25 |
| 1720391659 | Providence Health & Services | Internal Medicine | 629 Jasmine St, Omak, WA 98841 | 2010-07-20 |
| 1871826453 | Stephanie Dawn Swezey | Specialist | 670 Riverside Drive, Omak, WA 98841 | 2009-09-14 |
| 1407090996 | Prabath Priyantha Malluwa Wadu | Pharmacist | 617 5th and Benton, Po Box C, Omak, WA 98841 | 2009-04-28 |
| Find all providers in zip 98841 | ||||
| Taxonomy Code | 175T00000X |
| Grouping | Other Service Providers |
| Classification | Peer Specialist |
| Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. |
| Notes: Source: National Uniform Claim Committee [7/1/2014: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811555857 | Jaima Rose Jameson | Peer Specialist | 1007 Koala Dr, Omak, WA 98841-9247 | 2019-06-04 |
| 1871065292 | Russell Franklin Matthynssens | Peer Specialist | 1007 Koala Dr, Omak, WA 98841-9247 | 2018-12-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992304703 | Corina Thornton | Peer Specialist | Arrow Lakes Street, Nespelem, WA 99155-0304 | 2020-10-22 |
| 1578161402 | Yavonnie Leslie Griggs | Peer Specialist | 3285 Ferguson Ln Sw, Tumwater, Wa 98512, Tumwater, WA 98512 | 2020-10-13 |
| 1306454061 | Ashley D Vinson-harris | Peer Specialist | 116 S 339th Cir, Federal Way, WA 98003-4537 | 2020-07-20 |
| 1184240301 | Aleric Hughes | Peer Specialist | 1200 Sw Holden St, Seattle, WA 98106-2054 | 2020-06-23 |
| 1013533876 | Alyssa Camille Meaker | Peer Specialist | 4350 Cordata Pkwy Ste 220, Bellingham, WA 98226-8278 | 2020-06-17 |
| 1134741424 | Tara Lin Garcia | Peer Specialist | 4256 Federal Avenue, Everett, WA 98203 | 2020-05-11 |
| 1558982058 | Edward Thomas Gollihugh | Peer Specialist | 721 Fawcett Ave Ste 204, Tacoma, WA 98402-5502 | 2020-05-06 |
| 1295356483 | Yvette Marie Sampson | Peer Specialist | Josephinum C/o Crew, 1902 2nd Ave., Seattle, WA 98101 | 2020-04-29 |
| 1043856123 | Jayde Wailani Albright | Peer Specialist | 5920 N Calispel St, Spokane, WA 99205-6214 | 2019-11-23 |
| 1033755244 | Willapa Behavioral Health | Peer Specialist | 2204 Pacific Ave. N., Long Beach, WA 98631 | 2019-11-22 |
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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.