STACY PEDEGANA (NPI# 1477897783) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1477897783 |
Entity Type | Individual |
Full Name | STACY PEDEGANA |
Practice Address |
1300 44th St Se Everett WA 98203-2200 |
Practice Telephone | 4253392559 |
Mailing Telephone | 4253392559 |
Enumeration Date | 2012-11-27 |
Last Update Date | 2012-11-27 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 225000000X | Orthotic Fitter | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Street Address |
1300 44TH ST SE |
City | EVERETT |
State | WA |
Zip Code | 98203-2200 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417995895 | Cornerstone Prosthetics and Orthotics Inc | Prosthetic/Orthotic Supplier | 1300 44th St Se, Everett, WA 98203-2200 | 2006-06-04 |
1689224958 | Shawna Jone-kai Ziemer | Orthotist | 1300 44th St Se, Everett, WA 98203-2200 | 2019-09-18 |
1033612791 | Tuan-tu Duong | Orthotist | 1300 44th St Se, Everett, WA 98203-2200 | 2018-03-08 |
1679817985 | Ryan Allen | Orthotic Fitter | 1300 44th St Se, Everett, WA 98203-2200 | 2012-11-27 |
1245574565 | Michael Smith | Orthotist | 1300 44th St Se, Everett, WA 98203-2200 | 2012-11-27 |
1932426897 | Christine Goehle | Orthotist | 1300 44th St Se, Everett, WA 98203-2200 | 2010-04-30 |
1851618706 | Eric Goehle | Prosthetist | 1300 44th St Se, Everett, WA 98203-2200 | 2010-04-30 |
1831416791 | David John Hughes | Orthotist | 1300 44th St Se, Everett, WA 98203-2200 | 2010-04-30 |
1992022966 | Kristin Bennett | Orthotist | 1300 44th St Se, Everett, WA 98203-2200 | 2010-04-29 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1083226039 | Lisa Mcgregor | Counselor | Sea Mar Community Health Centers, 5007 Claremont Way, Everett, WA 98203 | 2020-08-20 |
1417572009 | Megan Ostermick-durkee | Student in an Organized Health Care Education/Training Program | Sunrise Services Inc., 811 Madison Street, Everett, WA 98203 | 2020-06-10 |
1134741424 | Tara Lin Garcia | Peer Specialist | 4256 Federal Avenue, Everett, WA 98203 | 2020-05-11 |
1225505241 | Reverie Aurora Shunny | Counselor | Sunrise Service Inc., 811 Madison Street, Everett, WA 98203 | 2018-10-29 |
1205313483 | Kristina Renee Bylenga | Counselor | Compass Health 4526 Federal Avenue M/s # 11, Everett, WA 98203 | 2018-07-20 |
1306384300 | Shantijoy Inc | Naturopath | 5208 S 2nd Ave, Everett, WA 98203 | 2017-02-09 |
1922545276 | Ekaterina Malinovska Dds Pllc | Dentist | 5920 Evergreen Way Suite E, Everett, WA 98203 | 2017-01-25 |
1326404104 | Job Oichoe | Counselor | 4625 Federal Ave, Everett, WA 98203 | 2016-01-08 |
1427423292 | Ross Lee Voorhees | Counselor | 4423 S 3rd Ave, Everett, WA 98203 | 2015-12-04 |
1447642376 | Adam Schneider | Counselor | 4526 Federal Ave # 40, Everett, WA 98203 | 2015-03-02 |
Find all providers in zip 98203 |
Taxonomy Code | 225000000X |
Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Classification | Orthotic Fitter |
An individual trained in the management of fitting prefabricated orthoses. |
Notes: Source: National Uniform Claim Committee [1/1/2011: title modified, definition modfied] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679817985 | Ryan Allen | Orthotic Fitter | 1300 44th St Se, Everett, WA 98203-2200 | 2012-11-27 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275040081 | Cameron Eric Rich | Orthotic Fitter | 530 Lilly Rd Se Ste 100, Olympia, WA 98501-2105 | 2018-01-02 |
1356667703 | Sandy Lee Warner | Orthotic Fitter | 2417 W Kennewick Ave, Suite A, Kennewick, WA 99336-3128 | 2010-04-09 |
1114168135 | Kelly Wilkerson | Orthotic Fitter | 1360 N Louisiana St Ste D, Kennewick, WA 99336-7171 | 2009-03-20 |
1316165483 | Beverly Jo Meissner | Orthotic Fitter | 330 Auburn Way N, Auburn, WA 98002-5007 | 2007-04-23 |
1306877592 | Robert John Cook | Orthotic Fitter | 16500 Se 15th St, Ste 100, Vancouver, WA 98683-9666 | 2006-07-05 |
1730423054 | Rosie Garcia | Orthotic Fitter | 1520 Roosevelt Ave, Mount Vernon, WA 98273-2685 | 2012-11-27 |
1235482704 | Christopher Davis | Orthotic Fitter | 600 Broadway Ste 190, Seattle, WA 98122-5371 | 2012-10-22 |
1427376573 | Brian Osborne | Orthotic Fitter | 4800 Sand Point Way Ne, M/s W4657, Seattle, WA 98105-3901 | 2010-05-13 |
1740412808 | Joseph Frederick Eads | Orthotic Fitter | 723 Martin Luther King Jr Way, Tacoma, WA 98405-4139 | 2009-08-21 |
1497983597 | Linda D Corbell | Orthotic Fitter | 600 Broadway Ste 190, Seattle, WA 98122-5371 | 2009-06-26 |
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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.