DEONNA WILSON (NPI# 1427615715) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427615715 |
| Entity Type | Individual |
| Full Name | DEONNA WILSON |
| Credential | CG |
| Practice Address |
1601 E Fourth Plain Blvd Vancouver WA 98661-3713 |
| Mailing Address |
Po Box 1678 Vancouver WA 98668-1678 |
| Practice Telephone | 3603978246 |
| Mailing Telephone | 3603978246 |
| Enumeration Date | 2019-05-22 |
| Last Update Date | 2019-05-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 175T00000X | Peer Specialist | CG60966042 | WA | Other Service Providers |
| Street Address |
1601 E FOURTH PLAIN BLVD |
| City | VANCOUVER |
| State | WA |
| Zip Code | 98661-3713 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962452433 | Joanne Pascarella Parker | Family Medicine | 1601 E Fourth Plain Blvd, Vancouver, WA 98661-3713 | 2006-05-12 |
| 1366049389 | Keri Damsgaard | Registered Nurse | 1601 E Fourth Plain Blvd, Vancouver, WA 98661-3713 | 2020-10-02 |
| 1265048219 | Lindsey Lee Bittman | Social Worker | 1601 E Fourth Plain Blvd, V3crs, Vancouver, WA 98661-3713 | 2020-09-16 |
| 1104438282 | Aydree Lee Stuart | Peer Specialist | 1601 E Fourth Plain Blvd, Vancouver, WA 98661-3713 | 2020-08-19 |
| 1831716554 | Robin Lynn Miller | Registered Nurse | 1601 E Fourth Plain Blvd, Vancouver, WA 98661-3713 | 2020-06-29 |
| 1033733381 | Samantha Irene Tribon | Licensed Practical Nurse | 1601 E Fourth Plain Blvd, Vancouver, WA 98661-3713 | 2020-06-02 |
| 1790307163 | Sasha Micaella Rojas | Psychologist | 1601 E Fourth Plain Blvd, Vancouver, WA 98661-3713 | 2020-05-08 |
| 1174152466 | Angela Westbrooks | Counselor | 1601 E Fourth Plain Blvd, Vancouver, WA 98661-3713 | 2020-04-07 |
| 1871121137 | Mary Alice Parker | Peer Specialist | 1601 E Fourth Plain Blvd, Vancouver, WA 98661-3713 | 2020-03-31 |
| 1730712522 | Cadie Mae Marsh | Licensed Practical Nurse | 1601 E Fourth Plain Blvd, Vancouver, WA 98661-3713 | 2020-02-19 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982228417 | Cynthia Ann Holt | Social Worker | 4608 Ne 47 Street, Vancouver, WA 98661 | 2020-06-01 |
| 1235793027 | James Dostert | Counselor | 1601 E 4th Blvd. Bldg. 17, Ste A212, Vancouver, WA 98661 | 2019-04-26 |
| 1306305289 | Kathryn Susanne Scott | Social Worker | Attn: Kathryn Scott, V3cnh, 1601 E. Fourth Plain Blvd., Vancouver, WA 98661 | 2019-03-19 |
| 1952860637 | Alice Rogers | Occupational Therapist | Vancouver Public Schools, 2901 Falk Rd., Vancouver, WA 98661 | 2019-03-13 |
| 1053878538 | Paula Moore | Counselor | 9626 Ne Fourth Plain Blvd, Vancouver, WA 98661 | 2019-02-21 |
| 1558825729 | Cassandra Marie Nichols | Counselor | 1601 E 4th Blvd, Vancouver, WA 98661 | 2019-01-22 |
| 1548734148 | Lisa Kelly | Counselor | 1601 E 4th Blvd., Vancouver, WA 98661 | 2019-01-16 |
| 1518444025 | Columbia Pharmacy | Pharmacy | 2700 Ne Andresen Rd Ste E3, Vancouver, WA 98661 | 2018-07-26 |
| 1023505229 | Ellen Barbour | Counselor | 1601 E 4th Plain Blvd Bldg. 17, Ste A212, Vancouver, WA 98661 | 2018-04-13 |
| 1679096325 | Brian Scott Coleman | Counselor | 1601 East Fourth Plain Blvd., Bldg #17, Ste. A212, Vancouver, WA 98661 | 2017-07-24 |
| Find all providers in zip 98661 | ||||
| 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 |
|---|---|---|---|---|
| 1720554256 | Kay Marie Roberson | Peer Specialist | 1601 E Fourth Plain Blvd Ste A-152, Vancouver, WA 98661-3713 | 2018-10-23 |
| 1497241657 | Chelsey Nicole Parker | Peer Specialist | 9815 Ne 3rd St, Vancouver, WA 98664 | 2018-07-10 |
| 1043713449 | Claudia Gutierrez | Peer Specialist | 4601 E 18th St, Vancouver, WA 98661-6270 | 2018-03-12 |
| 1679082598 | Christopher Lewis Schwab | Peer Specialist | 5197 Nw Lower River Rd, Vancouver, WA 98660 | 2017-09-22 |
| 1225547151 | Dionne Marie Clark | Peer Specialist | 9105 Ne Highway 99 Ste 201a, Vancouver, WA 98665-8974 | 2017-09-22 |
| 1265974620 | Amanda Ewing | Peer Specialist | 16417 Ne 73rd St, Vancouver, WA 98682-1918 | 2016-11-15 |
| 1104438282 | Aydree Lee Stuart | Peer Specialist | 1601 E Fourth Plain Blvd, Vancouver, WA 98661-3713 | 2020-08-19 |
| 1548887870 | Oscar Daniel Beltran Leyva | Peer Specialist | 9300 Ne Oak View Dr, Vancouver, WA 98662-6157 | 2020-07-02 |
| 1336760917 | Lindsey Sinks | Peer Specialist | 9300 Ne Oak View Dr, Vancouver, WA 98662-6157 | 2020-05-05 |
| 1295356236 | Susan Mordick | Peer Specialist | 6926 Ne Fourth Plain Blvd, Vancouver, WA 98661-7254 | 2020-04-30 |
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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.