SUNNY DURHAM (NPI# 1417503517) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1417503517 |
Entity Type | Individual |
Full Name | SUNNY DURHAM |
Practice Address |
300 Ocean Ave Raymond WA 98577-3016 |
Practice Telephone | 3602456982 |
Mailing Telephone | 3602456982 |
Enumeration Date | 2019-08-14 |
Last Update Date | 2019-08-14 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 175T00000X | Peer Specialist | Other Service Providers |
Street Address |
300 OCEAN AVE |
City | RAYMOND |
State | WA |
Zip Code | 98577-3016 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1457972085 | Laura Christine Ayyad | Counselor | 300 Ocean Ave, Raymond, WA 98577-3016 | 2020-05-05 |
1871131615 | Lauren Alyse Woodbeck | Counselor | 300 Ocean Ave, Raymond, WA 98577-3016 | 2019-12-11 |
1518526425 | Joshua Calvin Browning | Dentist | 300 Ocean Ave, Raymond, WA 98577-3016 | 2019-06-13 |
1396202826 | Shannon Bishop | Counselor | 300 Ocean Ave, Raymond, WA 98577-3016 | 2019-02-20 |
1083187785 | Ray S Rojas | Case Manager/Care Coordinator | 300 Ocean Ave, Raymond, WA 98577-3016 | 2019-01-04 |
1396215562 | Brenda Brock | Counselor | 300 Ocean Ave, Raymond, WA 98577-3016 | 2018-11-30 |
1073007043 | Katie Wymore | Counselor | 300 Ocean Ave, Raymond, WA 98577-3016 | 2018-06-21 |
1578057840 | Carole Lynn Northover | Counselor | 300 Ocean Ave, Raymond, WA 98577-3016 | 2018-06-19 |
1073016739 | Cassandra Diane Arnett | Counselor | 300 Ocean Ave, Raymond, WA 98577-3016 | 2018-03-08 |
1790298214 | Lelia Lei Meas | Counselor | 300 Ocean Ave, Raymond, WA 98577-3016 | 2017-11-06 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265643613 | Cozette Arlene Little | Specialist | 3224 Sienko Road, Raymond, WA 98577 | 2007-05-25 |
1962614578 | Raymond United Drug LLC | Pharmacist | 707 Willapa Place, Raymond, WA 98577 | 2007-05-04 |
1063409134 | Jeffrey S Nevitt | Optometrist | 500 Willapa Place, Pacific Eye Clinic, Raymond, WA 98577 | 2005-10-04 |
1215427547 | Michaela Irene Eastham | Counselor | 1016 Commercial St, Raymond, WA 98577 | 2018-05-11 |
1164724555 | Herbert Horst Von Thiele | Family Medicine | 410 2nd St, Raymond, WA 98577-1710 | 2010-11-17 |
1376835744 | Brighton Rehabilitation LLC | Occupational Therapist | 223 Duryea St, Raymond, WA 98577-1718 | 2011-05-04 |
1114467214 | Kerstin Rae Jones | Massage Therapist | 223 Duryea St, Raymond, WA 98577-1718 | 2017-03-08 |
1659706273 | Kailyn Knight | Massage Therapist | 223 Duryea St, Raymond, WA 98577-1718 | 2013-09-13 |
1417172412 | Daniel Robert Hamilton | Dentist | 416 4th St, Raymond, WA 98577-1808 | 2007-04-16 |
1306992045 | City of Raymond | Ambulance | 212 Commercial St, Raymond, WA 98577-2415 | 2007-01-26 |
Find all providers in zip 98577 |
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 |
---|---|---|---|---|
1497289185 | Lacey Marie Longwith | Peer Specialist | 300 Ocean Ave, Raymond, WA 98577-3016 | 2017-04-19 |
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.