KENZZI MARIE CALLAN (NPI# 1417413667) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417413667 |
| Entity Type | Individual |
| Full Name | KENZZI MARIE CALLAN |
| Practice Address |
4100 194th St Sw Ste 100 Lynnwood WA 98036-4613 |
| Mailing Address |
22712 1st Pl W Bothell WA 98021-8323 |
| Practice Telephone | 4254262761 |
| Mailing Telephone | 4253879646 |
| Enumeration Date | 2019-02-13 |
| Last Update Date | 2019-02-13 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3747P1801X |
Technician Specialization: Personal Care Attendant |
Nursing Service Related Providers |
| Street Address |
4100 194TH ST SW STE 100 |
| City | LYNNWOOD |
| State | WA |
| Zip Code | 98036-4613 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396179727 | Caitlin Anne Wilson | Behavioral Analyst | 4100 194th St Sw Ste 100, Lynnwood, WA 98036-4613 | 2013-08-21 |
| 1851992663 | Corinne Callihan Eischen | Behavior Technician | 4100 194th St Sw Ste 100, Lynnwood, WA 98036-4613 | 2020-11-06 |
| 1245839349 | Lloyd A Stray | Behavioral Analyst | 4100 194th St Sw Ste 100, Lynnwood, WA 98036-4613 | 2020-10-20 |
| 1912504382 | Maria Ysabel Sandoval | Behavior Technician | 4100 194th St Sw Ste 100, Lynnwood, WA 98036-4613 | 2020-10-07 |
| 1215534235 | Jazmin Quinones | Behavior Technician | 4100 194th St Sw Ste 100, Lynnwood, WA 98036-4613 | 2020-10-02 |
| 1174130355 | Ambrose Fey White | Behavioral Analyst | 4100 194th St Sw Ste 100, Lynnwood, WA 98036-4613 | 2020-09-30 |
| 1952911992 | Kathrina Camille Dumangas Napalan | Behavior Technician | 4100 194th St Sw Ste 100, Lynnwood, WA 98036-4613 | 2020-08-04 |
| 1821606781 | Sabrina Marie Rodriguez | Assistant Behavior Analyst | 4100 194th St Sw Ste 100, Lynnwood, WA 98036-4613 | 2020-07-16 |
| 1467079723 | Daniel Soo Lee | Behavior Technician | 4100 194th St Sw Ste 100, Lynnwood, WA 98036-4613 | 2020-07-01 |
| 1548895477 | Annelise Marie Colburn | Behavior Technician | 4100 194th St Sw Ste 100, Lynnwood, WA 98036-4613 | 2020-03-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396342630 | Zachary Perry | Behavior Technician | 4100 Veterans Way, Unit 100, Lynnwood, WA 98036 | 2020-10-08 |
| 1942832795 | Alexis Michelle Solomon-winne | Behavior Technician | 4100 Veterans Way Unit 100 Lynnwood, Wa 98036 United S, Lynnwood, WA 98036 | 2020-02-10 |
| 1881239028 | Endc Pllc | Psychologist | 19217 36th Ave W. Suite 219, Lynnwood, WA 98036 | 2019-11-12 |
| 1225507866 | Kyung Suk Seo | Massage Therapist | 18904 Hwy 99, Ste. K, Lynnwood, WA 98036 | 2018-11-13 |
| 1790270197 | Kabal Sriviboon | Behavior Technician | 20818 44th Ave W Suite 270, Lynnwood, WA 98036 | 2018-06-27 |
| 1992206148 | Kendal Ilyse Borison | Behavioral Analyst | 4100 194th Se, Suite 100, Lynnwood, WA 98036 | 2018-02-23 |
| 1205352515 | Doug Brant | Registered Nurse | 19931 Cypress Way, Lynnwood, WA 98036 | 2017-08-17 |
| 1588184980 | Evergreen Recovery Centers-lynnwood Detox | Substance Abuse Rehabilitation Facility | 20508 56th Ave W, Lynnwood, WA 98036 | 2017-06-27 |
| 1699213439 | Patrick J. Pacyga | Dentist | 19620 Wa-99, Suite 106, Lynnwood, WA 98036 | 2017-02-01 |
| 1134676646 | Fiona Green | Occupational Therapy Assistant | 21503 8th Place W, A, Lynnwood, WA 98036 | 2016-09-01 |
| Find all providers in zip 98036 | ||||
| Taxonomy Code | 3747P1801X |
| Grouping | Nursing Service Related Providers |
| Classification | Technician |
| Specialization | Personal Care Attendant |
| An individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards |
| Notes: [7/1/2003: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457967564 | Sandra R Hubbard | Technician | 495 Truman Hollow Rd, Lizemores, WA 25125 | 2020-09-23 |
| 1831705938 | Thomas W Hubbard | Technician | 495 Thurman Hollow Rd, Lizemores, WA 25125 | 2020-09-23 |
| 1932711967 | Susan Linda Hunter | Technician | 2627 E 4th Ave, Spokane, WA 99202-4024 | 2020-08-20 |
| 1053946400 | Rachel Ann Lahn | Technician | 4020 25th Ave W, Seattle, WA 98199-1551 | 2020-03-05 |
| 1356976799 | Lynn Adele Pankonin | Technician | 23201 W Charles Rd, Nine Mile Falls, WA 99026-9744 | 2020-03-05 |
| 1558995308 | Cheyenne Renae Calvert | Technician | 13918 Ne 91st St, Vancouver, WA 98682-2972 | 2020-03-01 |
| 1154962215 | Sally Davidson | Technician | 1705 Nw 3rd St, Battle Ground, WA 98604-4352 | 2019-09-30 |
| 1255988689 | Bonnie Anne Mager | Technician | 15220 W Dairyview Ln, Cheney, WA 99004-8839 | 2019-08-21 |
| 1114413838 | Zachary C Dorsett | Technician | 15404 Se 4th St, Bellevue, WA 98007-5316 | 2018-07-05 |
| 1861878076 | Warren Black | Technician | 9887 Adams St, Joint Base Lewis-mccord, WA 98433 | 2015-08-11 |
| Find all providers with the same taxonomy | ||||
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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.