SEAN RODDA (NPI# 1477185874) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1477185874 |
Entity Type | Individual |
Full Name | SEAN RODDA |
Practice Address |
1305 Tacoma Ave S Tacoma WA 98402-1903 |
Practice Telephone | 2533965800 |
Enumeration Date | 2020-02-04 |
Last Update Date | 2020-02-04 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 175T00000X | Peer Specialist | Other Service Providers |
Street Address |
1305 TACOMA AVE S |
City | TACOMA |
State | WA |
Zip Code | 98402-1903 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528243375 | Jennifer Klein | Counselor | 1305 Tacoma Ave S, Tacoma, WA 98402-1903 | 2007-12-28 |
1740889732 | April Leigh Richardson | Psychologist | 1305 Tacoma Ave S, Tacoma, WA 98402-1903 | 2020-10-20 |
1306444310 | Jamaul O Jackson | Counselor | 1305 Tacoma Ave S, Tacoma, WA 98402-1903 | 2020-10-12 |
1669085197 | Alexandra Hailey Bergeson | Counselor | 1305 Tacoma Ave S, Tacoma, WA 98402-1903 | 2020-08-25 |
1821609231 | Sokha Keo | Social Worker | 1305 Tacoma Ave S, Tacoma, WA 98402-1903 | 2020-08-11 |
1598388183 | Sarah Kim | Registered Nurse | 1305 Tacoma Ave S, Tacoma, WA 98402-1903 | 2020-05-18 |
1295357010 | Jaimie Marisa Flores | Counselor | 1305 Tacoma Ave S, Tacoma, WA 98402-1903 | 2020-05-14 |
1699309419 | Billi Schmitt | Counselor | 1305 Tacoma Ave S, Tacoma, WA 98402-1903 | 2020-03-02 |
1033756622 | Abigail Wynne-wilson | Counselor | 1305 Tacoma Ave S, Tacoma, WA 98402-1903 | 2019-12-03 |
1518501162 | Toirian Taylor | Counselor | 1305 Tacoma Ave S, Tacoma, WA 98402-1903 | 2019-11-06 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548898638 | Cimberleigh Mclean | Social Worker | 2367 Tacoma Ave S Ofc 211, Tacoma, WA 98402 | 2020-04-01 |
1831735802 | Nickolas Justin Wise | Case Manager/Care Coordinator | 1159 Market St, Tacoma, WA 98402 | 2019-11-25 |
1841835436 | Michael Roy Bolden | Counselor | 1205 Tacoma Ave S., Suite 1205, Tacoma, WA 98402 | 2019-11-07 |
1073024980 | Megan Elizabeth Charron Mourfield | Denturist | 725 St Helens Ave S, Tacoma, WA 98402 | 2017-10-18 |
1104367937 | Janelle Santiago | Counselor | Mcdonald Smith Building 110, Uw Autism Center Tacoma, Tacoma, WA 98402 | 2017-03-13 |
1891167862 | Tanya Larson Therapy | Community/Behavioral Health | 1102 A. St., Suite 109, (suite 109), Tacoma, WA 98402 | 2015-10-29 |
1609242148 | Ashley Lorraine Dahlgren | Peer Specialist | 702 S 14th St., Tacoma, WA 98402 | 2015-08-19 |
1821416470 | Nicole Villarreal Mccormick | Acupuncturist | 711 A Ct #100, Tacoma, WA 98402 | 2014-04-01 |
1184055824 | Robyn Marie Callahan | Social Worker | 1102 A Street, Suite 202 B, Tacoma, WA 98402 | 2013-12-05 |
1679909410 | Kristin Sweet Fischer | Counselor | 708 Market St Unit 411, Tacoma, WA 98402 | 2013-09-25 |
Find all providers in zip 98402 |
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 |
---|---|---|---|---|
1558982058 | Edward Thomas Gollihugh | Peer Specialist | 721 Fawcett Ave Ste 204, Tacoma, WA 98402-5502 | 2020-05-06 |
1689225625 | Belinda Lyndon Montgomery | Peer Specialist | 1602 N Orchard St, Tacoma, WA 98406-3346 | 2019-09-20 |
1609242148 | Ashley Lorraine Dahlgren | Peer Specialist | 702 S 14th St., Tacoma, WA 98402 | 2015-08-19 |
1134727092 | Francena Taylor | Peer Specialist | 5410 N 44th St, Tacoma, WA 98407-3799 | 2020-10-13 |
1710584313 | Crystal Lee | Peer Specialist | 5410 N 44th St, Tacoma, WA 98407-3799 | 2020-10-06 |
1275146896 | Jamaica Myers | Peer Specialist | 5410 N 44th St, Tacoma, WA 98407-3799 | 2020-08-24 |
1003434812 | Maryann Hartman | Peer Specialist | 1305 Tacoma Ave S Ste 201, Tacoma, WA 98402-1903 | 2020-07-08 |
1851917991 | Prossy Nageri Balome | Peer Specialist | 721 Fawcett Ave Ste 100, Tacoma, WA 98402-5502 | 2020-06-24 |
1659997427 | Michaele Renee Trujillo | Peer Specialist | 5410 N 44th St, Tacoma, WA 98407-3799 | 2020-06-17 |
1083238307 | Juliana Desiree Darlene Amesquita | Peer Specialist | 5410 N 44th St, Tacoma, WA 98407-3799 | 2020-06-02 |
Find all providers in TACOMA |
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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.