TRI-CITIES INFUSION AND WELLNESS CLINIC (NPI# 1417415530) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417415530 |
| Entity Type | Organization |
| Organization Name | TRI-CITIES INFUSION AND WELLNESS CLINIC |
| Practice Address |
7211 W Deschutes Ave Ste D202 Kennewick WA 99336-7715 |
| Mailing Address |
15205 S Mountain Ridge Ct Kennewick WA 99338-8325 |
| Practice Telephone | 4356683443 |
| Mailing Telephone | 4356684334 |
| Enumeration Date | 2019-03-07 |
| Last Update Date | 2019-07-18 |
| Authorized Official Name | TYLER THORNOCK (GOVENOR) |
| Authorized Official Telephone | 4356684334 |
| Authorized Official Credential | CRNA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | TRI-CITIES INFUSION AND WELLNESS CLINIC, PLLC | 7211 W Deschutes Ave Ste D202, Kennewick, WA 99336-7715 |
| Street Address |
7211 W DESCHUTES AVE STE D202 |
| City | KENNEWICK |
| State | WA |
| Zip Code | 99336-7715 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124257720 | Nouveau Jeunesse Associates, Pllc | Phlebology | 7211 W Deschutes Ave Ste D202, Kennewick, WA 99336-7728 | 2009-07-06 |
| 1972916575 | Buxbaum Family Chiropractic | Massage Therapist | 7211 W Deschutes Ave Ste D202, Kennewick, WA 99336-7715 | 2014-06-11 |
| 1649608316 | Jonathan Meshulam | Massage Therapist | 7211 W Deschutes Ave Ste D202, Kennewick, WA 99336-7715 | 2013-10-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497393888 | Kelsie D Parvinen | Massage Therapist | 8350 W. Grandridge Blvd, Suite 100, Kennewick, WA 99336 | 2019-12-16 |
| 1508403858 | New U Women's Clinic & Aesthetics Pllc | Nurse Practitioner | 35 S Louisiana St, Suite A120, Kennewick, WA 99336 | 2019-12-05 |
| 1457901944 | Solar Mobility LLC | Durable Medical Equipment & Medical Supplies | 949 S Keller St, Kennewick, WA 99336 | 2019-09-17 |
| 1023662590 | Shane Arthur Gulley | Counselor | 500 N. Morain St Suite 1250, Kennewick, WA 99336 | 2019-08-01 |
| 1063973873 | Farah Saleem | Student in an Organized Health Care Education/Training Program | 212 W. 10th Avenue,suite 202, Kennewick, WA 99336 | 2019-03-26 |
| 1255897690 | Thomas Stanley Mcgowan | Student in an Organized Health Care Education/Training Program | Tri-cities Cancer Center, 7350 W. Deschutes Ave, Building A, Kennewick, WA 99336 | 2019-02-11 |
| 1770068280 | Remedy Urgent Mobile Medicine Pllc | Nurse Practitioner | 3311 West Clearwater Avenue, Suite D210, Kennewick, WA 99336 | 2018-10-01 |
| 1740767011 | Zachary Wilber Fournier | Specialist/Technologist | Toyota Center - 7000 West Grandridge Blvd, Kennewick, WA 99336 | 2018-07-19 |
| 1649780693 | Alan Arnold Hanson | Chiropractor | 8350 W. Grandridge Blvd #100, Kennewick, WA 99336 | 2017-10-04 |
| 1922528827 | Sarah Nicole Childress | Counselor | 415 North Morain St, Kennewick, WA 99336 | 2017-06-21 |
| Find all providers in zip 99336 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821653106 | Encore Wellness 4 Life LLC | Nurse Practitioner | 135 Vista Way Ste E, Kennewick, WA 99336-3169 | 2019-05-02 |
| 1770068280 | Remedy Urgent Mobile Medicine Pllc | Nurse Practitioner | 3311 West Clearwater Avenue, Suite D210, Kennewick, WA 99336 | 2018-10-01 |
| 1629269592 | Jason Todd Paslean | Nurse Practitioner | 7350 W Deschutes Ave Ste B103, Kennewick, WA 99336-7802 | 2007-08-06 |
| 1407959851 | Mitra Rado | Nurse Practitioner | 7360 W. Deschutes Ave, Kennewick, WA 99336 | 2006-09-07 |
| 1104822931 | Planned Parenthood of Greater Washington & North Idaho | Nurse Practitioner | 7426 W Bonnie Pl, Kennewick, WA 99336-1124 | 2005-06-27 |
| 1558913178 | Elyse Collier | Nurse Practitioner | 7360 W Deschutes Ave, Kennewick, WA 99336-7774 | 2019-07-13 |
| 1508394180 | Scott Lee Roberts | Nurse Practitioner | 3900 S Zintel Way, Kennewick, WA 99337-5092 | 2017-05-26 |
| 1336689421 | Joshua Israel Morgan | Nurse Practitioner | 3730 Plaza Way Ste C6100, Kennewick, WA 99338-2718 | 2017-03-08 |
| 1497292221 | Paradigm Innovative Health Pllc | Nurse Practitioner | 92302 E Holly Rd, Kennewick, WA 99338-8336 | 2017-01-31 |
| 1720535453 | Nicole Michele Slade | Nurse Practitioner | 3730 Plaza Way Ste C6100, Kennewick, WA 99338-2718 | 2016-09-11 |
| Find all providers in KENNEWICK | ||||
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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.