BRETT PARKS (NPI# 1457985574) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1457985574 |
Entity Type | Individual |
Full Name | BRETT PARKS |
Credential | D.D.S |
Practice Address |
2205 W Lincoln Ave Yakima WA 98902-2437 |
Mailing Address |
4009 Ortega St San Francisco CA 94122-3945 |
Practice Telephone | 5095751234 |
Mailing Telephone | 7754508824 |
Enumeration Date | 2020-02-27 |
Last Update Date | 2020-02-27 |
Gender Code | M |
Is Sole Proprietor | Y |
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 |
2205 W LINCOLN AVE |
City | YAKIMA |
State | WA |
Zip Code | 98902-2437 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801810924 | Eric Hohman | Physician Assistant | 2205 W Lincoln Ave, Yakima, WA 98902-2437 | 2006-07-26 |
1811521362 | Rosa Elvira Briseno | Case Manager/Care Coordinator | 2205 W Lincoln Ave, Yakima, WA 98902-2437 | 2020-02-24 |
1518510858 | Cecia Dianely Acevedo | Dietitian, Registered | 2205 W Lincoln Ave, Yakima, WA 98902-2437 | 2019-07-16 |
1619536034 | Maria Brnjic | Nurse Practitioner | 2205 W Lincoln Ave, Yakima, WA 98902-2437 | 2019-06-10 |
1336606300 | Stephanie Campbell | Student in an Organized Health Care Education/Training Program | 2205 W Lincoln Ave, Yakima, WA 98902-2437 | 2019-02-26 |
1295292266 | Emily Jean Loy | Student in an Organized Health Care Education/Training Program | 2205 W Lincoln Ave, Yakima, WA 98902-2437 | 2019-02-26 |
1124597281 | Jaime Lynn Wells | Registered Nurse | 2205 W Lincoln Ave, Yakima, WA 98902-2437 | 2018-11-19 |
1659856904 | Noemi Zarate | Case Manager/Care Coordinator | 2205 W Lincoln Ave, Yakima, WA 98902-2437 | 2018-10-02 |
1962999060 | Laboratory Corporation of America | Clinical Medical Laboratory | 2205 W Lincoln Ave, Yakima, WA 98902-2437 | 2018-04-16 |
1528565256 | Spencer Wesley Mullenaux | Student in an Organized Health Care Education/Training Program | 2205 W Lincoln Ave, Yakima, WA 98902-2437 | 2018-04-10 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922653203 | Laboratory Corporation of America | Clinical Medical Laboratory | 314 S 11th Ave Suite A, Yakima, WA 98902 | 2019-08-05 |
1669967865 | Rebecca Schrader | Speech-Language Pathologist | Children's Village 3801 Kern Road, Yakima, WA 98902 | 2018-06-29 |
1720572928 | Hyperbaric Centers of Washington | Preventive Medicine | 302 S. 12th Ave., Yakima, WA 98902 | 2018-06-20 |
1487155503 | Courtney Lombardi | Nurse Practitioner | 1515 W Yakima Ave, Yakima, WA 98902 | 2018-02-23 |
1003329665 | Maria-elena Mendoza | Case Manager/Care Coordinator | 918 E Mead Avenue, Yakima, WA 98902 | 2017-11-06 |
1679017610 | Claudia Zepeda | Massage Therapist | 3908 Creekside Loop Ste # 110, Yakima, WA 98902 | 2016-12-09 |
1093194425 | Silas Klaver | Podiatrist | 1607 Creekside Loop Ste 140, Yakima, WA 98902 | 2015-05-18 |
1821490905 | Jen Lynn Silver | Massage Therapist | 3512 Tieton Dr, Yakima, WA 98902 | 2014-09-20 |
1194131383 | Brenna Claire Hayes | Genetic Counselor, MS | 2903 W Walnut, Yakima, WA 98902 | 2014-07-08 |
1720400435 | Agnes Nadine Jeske | Speech-Language Pathologist | 621 S. 13th Ave., Mckinley Elementary School, Yakima, WA 98902 | 2014-01-15 |
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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 |
---|---|---|---|---|
1417556606 | Sarah Blau | Student in an Organized Health Care Education/Training Program | 1605 Ledwich Ave, Yakima, WA 98902-6022 | 2020-10-20 |
1639789761 | Aracely Flores | Student in an Organized Health Care Education/Training Program | 1317 Landon Ave, Yakima, WA 98902-5628 | 2020-08-04 |
1508495078 | Joshua A Macke | Student in an Organized Health Care Education/Training Program | 500 University Pkwy Apt 216, Yakima, WA 98901-8229 | 2020-04-06 |
1053949164 | Stephen Stabbert | Student in an Organized Health Care Education/Training Program | 500 University Pkwy Apt 554, Yakima, WA 98901-8244 | 2020-04-01 |
1215565502 | Krista Lea Luntsford | Student in an Organized Health Care Education/Training Program | 1205 W King St, Yakima, WA 98902-5768 | 2020-03-31 |
1548898067 | Tara L Kronen | Student in an Organized Health Care Education/Training Program | 500 University Pkwy Apt 143, Yakima, WA 98901-8225 | 2020-03-30 |
1093342685 | Christopher Paul Mcdonald Carbullido | Student in an Organized Health Care Education/Training Program | 500 University Pkwy Apt 318, Yakima, WA 98901-8233 | 2020-03-24 |
1386129021 | John Scott | Student in an Organized Health Care Education/Training Program | Pacific Northwest University of Health Sciences, 111 University Parkway, Suite 202, Yakima, WA 98901 | 2018-09-28 |
1013495027 | Isaac N Ginsberg | Student in an Organized Health Care Education/Training Program | 210b N 41st St, Yakima, WA 98901-1290 | 2018-08-01 |
1831687557 | Linsey Christensen | Student in an Organized Health Care Education/Training Program | 207 N 35th Ave, Yakima, WA 98902-2221 | 2018-04-27 |
Find all providers in YAKIMA |
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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.