SCOTT PECKENPAUGH (NPI# 1457900888) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457900888 |
| Entity Type | Individual |
| Full Name | SCOTT PECKENPAUGH |
| Practice Address |
2200 Nw Myhre Rd Silverdale WA 98383-7681 |
| Mailing Address |
4311 11th Ave Ne Ste 200 Seattle WA 98105-6367 |
| Practice Telephone | 3607444989 |
| Mailing Telephone | 2066164001 |
| Enumeration Date | 2019-09-09 |
| Last Update Date | 2019-09-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
2200 NW MYHRE RD |
| City | SILVERDALE |
| State | WA |
| Zip Code | 98383-7681 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174504369 | Stephen F Lambert | Physical Therapist | 2200 Nw Myhre Rd, Silverdale, WA 98383-7681 | 2005-11-07 |
| 1811515034 | Salmon Surgery Center LLC | Clinic/Center | 2200 Nw Myhre Rd, Silverdale, WA 98383-7681 | 2020-07-14 |
| 1679038129 | Micah Paul Christensen | Physical Therapist | 2200 Nw Myhre Rd, Silverdale, WA 98383-7681 | 2019-02-08 |
| 1184123622 | Bianca Trinidad Mercado | Physician Assistant | 2200 Nw Myhre Rd, Silverdale, WA 98383-7681 | 2018-02-11 |
| 1346789070 | Julia M Naumes | Occupational Therapist | 2200 Nw Myhre Rd, Suite 302, Silverdale, WA 98383-7681 | 2017-02-14 |
| 1164976478 | Franciscan Medical Group | Clinic/Center | 2200 Nw Myhre Rd, Silverdale, WA 98383-7681 | 2016-08-04 |
| 1568839900 | Casey Ellen Burnham | Physical Therapist | 2200 Nw Myhre Rd, Silverdale, WA 98383-7681 | 2015-09-01 |
| 1598149890 | Jennifer Bird | Physical Therapist | 2200 Nw Myhre Rd, Silverdale, WA 98383-7681 | 2015-07-16 |
| 1023426459 | Chelsea Boe | Orthopaedic Surgery | 2200 Nw Myhre Rd, Silverdale, WA 98383-7681 | 2014-07-29 |
| 1164859435 | Rachel Waldman | Physician Assistant | 2200 Nw Myhre Rd, Silverdale, WA 98383-7681 | 2013-10-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497397426 | Chaise Marie Gies | Student in an Organized Health Care Education/Training Program | 2041 Nw Myhre Rd, Suite 311, Silverdale, WA 98383 | 2019-10-10 |
| 1700432762 | Myles Sorokovsky | Physical Medicine & Rehabilitation | 2400 Mw Myhre Rd Ste 101, Silverdale, WA 98383 | 2019-08-15 |
| 1114485521 | Sarah Schiavone | Pharmacist | Silverdale Medical Center, 10452 Silverdale Way Nw, Silverdale, WA 98383 | 2019-03-05 |
| 1609385459 | Emily Ann Yee | Behavior Technician | 3100 Bucklin Hill Rd Suite 215, Silverdale, WA 98383 | 2017-09-25 |
| 1295108694 | Washington Dental Corporation | Dentist | 11065 Pacific Crest Place Nw, Suite B-105, Silverdale, WA 98383 | 2015-11-06 |
| 1780070888 | Kristen Bradley | Counselor | 2819 Nw Kitsap Place, Suite 2b, Silverdale, WA 98383 | 2015-04-15 |
| 1326448978 | Deborah Ann Nielson | Counselor | 10513 Silverdale Way Nw Ste 110, Silverdale, WA 98383 | 2014-09-02 |
| 1740610526 | Tallison Group, Inc | Counselor | 9119 Ridgetop Blvd, Suite #220, Silverdale, WA 98383 | 2013-11-15 |
| 1689000838 | Denise C Fairchild | Hearing Instrument Specialist | 2845 Ne Kitsap Pl, Silverdale, WA 98383 | 2013-09-19 |
| 1437459393 | Siegfried Ariel Naumann | Dentist | 3511 Nw Bucklin Hill Rd, Silverdale, WA 98383 | 2010-10-26 |
| Find all providers in zip 98383 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982217170 | Rebecca Backus | Student in an Organized Health Care Education/Training Program | 9576 Ridgetop Blvd Nw # 101, Silverdale, WA 98383-8554 | 2020-08-26 |
| 1497397426 | Chaise Marie Gies | Student in an Organized Health Care Education/Training Program | 2041 Nw Myhre Rd, Suite 311, Silverdale, WA 98383 | 2019-10-10 |
| 1467680710 | Nathan Edwards | Student in an Organized Health Care Education/Training Program | 2400 Nw Myhre Rd, Suite 102, Silverdale, WA 98383-7672 | 2009-06-25 |
| 1013198266 | Deolia Deann Beeler | Student in an Organized Health Care Education/Training Program | 3561 Nw Anderson Hill Rd, Silverdale, WA 98383-9130 | 2007-11-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841890449 | Chad Savaikie | Student in an Organized Health Care Education/Training Program | 801 15th St Ne, Auburn, WA 98002-3337 | 2020-11-01 |
| 1942800362 | Pratishtha Chhabra | Student in an Organized Health Care Education/Training Program | 1727 14th Ln Ne, Issaquah, WA 98029-7637 | 2020-10-26 |
| 1790384642 | Scott Davis | Student in an Organized Health Care Education/Training Program | 14027 20th Pl W, Lynnwood, WA 98087-2010 | 2020-10-21 |
| 1417556606 | Sarah Blau | Student in an Organized Health Care Education/Training Program | 1605 Ledwich Ave, Yakima, WA 98902-6022 | 2020-10-20 |
| 1437757556 | Christina Brown | Student in an Organized Health Care Education/Training Program | 4526 Federal Ave Ms# 11, Everett, WA 98203-2132 | 2020-10-12 |
| 1396342358 | Emma Peconga | Student in an Organized Health Care Education/Training Program | 3619 Ashworth Ave N, Seattle, WA 98103-8116 | 2020-10-02 |
| 1174139596 | Kelsey Yared | Student in an Organized Health Care Education/Training Program | 11914 59th Ave W, Mukilteo, WA 98275-5569 | 2020-09-21 |
| 1780290361 | Compassionate Peer Counseling LLC | Student in an Organized Health Care Education/Training Program | 3250 Airport Way S Ste 608, Seattle, WA 98134-2172 | 2020-09-19 |
| 1033724968 | Julia Yunkyung Yi | Student in an Organized Health Care Education/Training Program | 527 Bellevue Way Se Apt 203, Bellevue, WA 98004-6684 | 2020-09-08 |
| 1366055113 | Diana Spann | Student in an Organized Health Care Education/Training Program | 702 141st Ln Se, Bellevue, WA 98007-6764 | 2020-08-30 |
| Find all providers with the same taxonomy | ||||
| City | SILVERDALE |
| Zip Code | 98383 |
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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.