MIKKI PROFFITT (NPI# 1396375663) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396375663 |
| Entity Type | Individual |
| Full Name | MIKKI PROFFITT |
| Credential | CADCI |
| Practice Address |
19595 Se Martin Rd Sandy OR 97055-8241 |
| Mailing Address |
Po Box 1825 Estacada OR 97023-1825 |
| Practice Telephone | 5413061254 |
| Mailing Telephone | 5413061254 |
| Enumeration Date | 2020-01-24 |
| Last Update Date | 2020-01-24 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
CADCI | OR | Behavioral Health & Social Service Providers |
| Street Address |
19595 SE MARTIN RD |
| City | SANDY |
| State | OR |
| Zip Code | 97055-8241 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942712922 | Harmony Pediatric Dental Group LLC | Dentist | 37515 Se Hwy 26, Sandy, OR 97055 | 2017-10-30 |
| 1447595020 | Russell Roy Cross | Pharmacist | 16625 326nd Ave, Sandy, OR 97055 | 2012-12-07 |
| 1043566847 | Clackamas County | Clinic/Center | 37400 Se Bell Street, Sandy, OR 97055 | 2012-07-30 |
| 1992064646 | Mt. Hood Dental Clinic | Clinic/Center | 39880 Pleasant St, Sandy, OR 97055 | 2012-05-15 |
| 1760756472 | Sandy Chiropractic Clinic | Chiropractor | 38953 Pioneer Blvd., Sandy, OR 97055 | 2012-02-27 |
| 1861635328 | Anthony James Turin | Optometrist | 36840 Se Industrial Way Ste D, Sandy, OR 97055 | 2009-04-14 |
| 1982875894 | Bruce A. Biermann D.m.d.,p.c. | Dentist | 39870 Se Pleasant St, Sandy, OR 97055 | 2008-03-19 |
| 1386856862 | Kenneth George Claggett | Dentist | 39055 Pioneer Blvd, Sandy, OR 97055 | 2007-05-04 |
| 1053532218 | Matthew Insuok Sah | Family Medicine | 16605 Bluff Rd, Sandy, OR 97055 | 2007-05-02 |
| 1760539092 | Tammy Ann Nicodemus | Massage Therapist | 38916 Proctor Blvd, Sandy, OR 97055 | 2007-01-05 |
| Find all providers in zip 97055 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972133783 | Aspire365, LLC | Counselor | 772 E 8230 S, Sandy, UT 84094-0679 | 2020-01-21 |
| 1811486442 | Paul Stiles Randak | Counselor | 850 E 9400 S Ste 103, Sandy, UT 84094-4104 | 2018-05-09 |
| 1669909461 | Corinne Sullivan | Counselor | 8686 S 1300 E, Sandy, UT 84094-1947 | 2017-05-11 |
| 1730550690 | Ryan Barber | Counselor | 8961 S Stony Bend Ct, Sandy, UT 84094-7713 | 2015-10-16 |
| 1649685009 | Sandy Counseling Center LLP | Counselor | 39084 Proctor Blvd, Suite E, Sandy, OR 97055-8064 | 2014-06-24 |
| 1457482242 | Changes Counseling & Consultation, LLC | Counselor | 7370 Creek Rd Ste 102, Sandy, UT 84093-6162 | 2007-03-07 |
| 1154834398 | Alema Harrington | Counselor | 9160 S 300 W Ste 13, Sandy, UT 84070-2656 | 2017-11-09 |
| 1306278999 | Tammie Lue Dusoe | Counselor | 8465 S 700 E, Sandy, UT 84070-0501 | 2013-08-06 |
| 1275848699 | Sage J O'brien | Counselor | 230 W Towne Ridge Pkwy Ste 225, Sandy, UT 84070-2113 | 2010-08-10 |
| 1811052269 | Nancy Ashley | Counselor | 38872 Proctor Blvd, Sandy, OR 97055-8035 | 2006-12-26 |
| Find all providers in SANDY | ||||
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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.