MR. KENNETH ROBERT WARNER (NPI# 1477712701) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477712701 |
| Entity Type | Individual |
| Full Name | MR. KENNETH ROBERT WARNER |
| Credential | AAS |
| Practice Address |
2009 Ne 117th St Ste 101 Vancouver WA 98686-4022 |
| Practice Telephone | 3605669112 |
| Mailing Telephone | 3605669112 |
| Mailing Fax Number | 3609933047 |
| Enumeration Date | 2008-06-02 |
| Last Update Date | 2018-10-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
CP00005993 | WA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 101YA0400X | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2009 Ne 117th St Ste 100, Vancouver, WA 986864022 | 3605669112 | 3605669133 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417973231 | Kenneth H Warner | Physician Assistant | 3537 W Front St Ste E, Traverse City, MI 49684-7943 | 2006-07-14 |
| 1609419381 | Kenneth Warner | Counselor | 1040 Oak St, Eugene, OR 97401-3132 | 2019-10-24 |
| 1780043406 | Kenneth Warner | Registered Nurse | 777 Murphy Rd, Medford, OR 97504-8425 | 2016-02-23 |
| 1992817357 | Kenneth G. Warner | Surgery | 800 Washington St, Nemc Box #836, Boston, MA 02111-1552 | 2006-08-31 |
| Street Address |
2009 NE 117TH ST STE 101 |
| City | VANCOUVER |
| State | WA |
| Zip Code | 98686-4022 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427276252 | Linda Beth Fowler | Licensed Practical Nurse | 2009 Ne 117th St Ste 101, Vancouver, WA 98686-4022 | 2007-04-24 |
| 1770113052 | Abra Afoutou Todo | Licensed Practical Nurse | 2009 Ne 117th St Ste 101, Vancouver, WA 98686-4022 | 2020-01-25 |
| 1497385660 | Lesley Remington | Licensed Practical Nurse | 2009 Ne 117th St Ste 101, Vancouver, WA 98686-4022 | 2020-01-16 |
| 1669002838 | Brittney Grace Kyle | Licensed Practical Nurse | 2009 Ne 117th St Ste 101, Vancouver, WA 98686-4022 | 2020-01-16 |
| 1841833407 | Danielle Gardner | Licensed Practical Nurse | 2009 Ne 117th St Ste 101, Vancouver, WA 98686-4022 | 2019-10-25 |
| 1710531991 | Mandy Boge | Registered Nurse | 2009 Ne 117th St Ste 101, Vancouver, WA 98686-4022 | 2019-07-26 |
| 1194384032 | William Franklin Cooley IIi | Counselor | 2009 Ne 117th St Ste 101, Vancouver, WA 98686-4022 | 2019-06-12 |
| 1295291946 | James Aden Jones | Registered Nurse | 2009 Ne 117th St Ste 101, Vancouver, WA 98686-4022 | 2019-02-19 |
| 1104300276 | Brittany Jean Fraidenburg | Registered Nurse | 2009 Ne 117th St Ste 101, Vancouver, WA 98686-4022 | 2018-09-24 |
| 1750875795 | Paula Verean Knight | Licensed Practical Nurse | 2009 Ne 117th St Ste 101, Vancouver, WA 98686-4022 | 2018-06-21 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154891117 | Dorota Bozena Barton | Speech-Language Pathologist | 2121 Ne 139th Street Mob A, Suite 200, Vancouver, WA 98686 | 2018-12-03 |
| 1881161818 | Michelle Wolfe | Dental Assistant | A101, 1484, 14313 Ne 20th Ave, Vancouver, WA 98686 | 2018-10-29 |
| 1306321237 | Rainier Springs Physician Group, LLC | General Practice | 2805 Ne 129th Street, Vancouver, WA 98686 | 2018-09-26 |
| 1801382387 | Kristopher K Kostenko | Dentist | 14201 Ne 20th Ave Ste A101, Vancouver, WA 98686 | 2018-07-08 |
| 1689164071 | Tegan Mills | Occupational Therapist | 7101 Ne 109th Street, Apt 64, Vancouver, WA 98686 | 2018-05-11 |
| 1164924122 | Kate Kristin Lawrence | Speech-Language Pathologist | 2215 Ne 104th St, Vancouver, WA 98686 | 2018-03-06 |
| 1437609567 | Elina Baranets | Registered Nurse | 14204 Ne Salmon Creek Avenue, Vancouver, WA 98686 | 2016-10-13 |
| 1386039550 | Sean Vikram Bhatia | Internal Medicine | Kaiser Salmon Creek, 14406 Ne 20th Ave, Vancouver, WA 98686 | 2015-04-03 |
| 1376988642 | Lindsay Hussey-andersen | Orthopaedic Surgery | 2525 Ne 139th St Ste 140, Vancouver, WA 98686 | 2013-05-01 |
| 1710253109 | Legacy Salmon Creek Hospital | Speech-Language Pathologist | 2121 Ne 139th St., Mob A, Ste 200, Vancouver, WA 98686 | 2012-03-29 |
| Find all providers in zip 98686 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669012332 | Beatriz Soto Martinez | Counselor | 6816 Ne 131st Ave Unit 128, Vancouver, WA 98682-4625 | 2020-01-10 |
| 1871140350 | Anthony Douglas Dejesus | Counselor | 4305 Ne Thurston Way Ste E, Vancouver, WA 98662-6655 | 2019-08-20 |
| 1235793027 | James Dostert | Counselor | 1601 E 4th Blvd. Bldg. 17, Ste A212, Vancouver, WA 98661 | 2019-04-26 |
| 1811460231 | Matthew Mcelveen | Counselor | 4000 Ne 94th St, Vancouver, WA 98665-5313 | 2019-01-08 |
| 1164910840 | Lucyann Kendall | Counselor | 4949 Ne St Johns Rd Apt 1, Vancouver, WA 98661-2536 | 2018-04-27 |
| 1609364413 | Amanda Boden | Counselor | 12503 Se Mill Plain Blvd Ste 119a, Vancouver, WA 98684-4007 | 2018-04-26 |
| 1023505229 | Ellen Barbour | Counselor | 1601 E 4th Plain Blvd Bldg. 17, Ste A212, Vancouver, WA 98661 | 2018-04-13 |
| 1922501998 | Carl Albert Robinson | Counselor | 1601 E Fourth Plain Blvd Bldg 17b222, Vancouver, WA 98661-3713 | 2018-03-15 |
| 1891200531 | Craig Goold | Counselor | 18908 Se 23rd St, Vancouver, WA 98683-9793 | 2017-12-04 |
| 1679096325 | Brian Scott Coleman | Counselor | 1601 East Fourth Plain Blvd., Bldg #17, Ste. A212, Vancouver, WA 98661 | 2017-07-24 |
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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.