WASHINGTON STATE UNIVERSITY (NPI# 1487671194) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487671194 |
| Entity Type | Organization |
| Organization Name | WASHINGTON STATE UNIVERSITY |
| Other Organization Name | PEOPLE'S CLINIC |
| Practice Address |
829 W Broadway Ave Spokane WA 99201-2117 |
| Practice Telephone | 5097557624 |
| Mailing Telephone | 5097557624 |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | SHARYL 'KIM' CALAMIA-MCKEE (BUSINESS MANAGER) |
| Authorized Official Telephone | 5097557624 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
Physician Assistants & Advanced Practice Nursing Providers | ||
| X | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
Physician Assistants & Advanced Practice Nursing Providers | ||
| X | 363LF0000X |
Nurse Practitioner Specialization: Family |
Physician Assistants & Advanced Practice Nursing Providers | ||
| X | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 9628702 | 05 |
| Other Name | Type Code |
|---|---|
| People's Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154949733 | Washington State University | Clinical Medical Laboratory | Bustad Hall Room 155n, Pullman, WA 99164-0001 | 2020-07-09 |
| 1760909055 | Washington State University | Family Medicine | 1455 Ne Cougar Way Bohler Complex, Pullman, WA 99164-0001 | 2017-08-28 |
| 1861866535 | Washington State University | Psychologist | 305 Ne Troy Mall, Pullman, WA 99164 | 2015-11-18 |
| 1962559054 | Washington State University | Audiologist | Daggy Hall, Room 133, Pullman, WA 99164-2420 | 2007-01-04 |
| 1285713776 | Washington State University | Family Medicine | 1125 Se Washington Street, Pullman, WA 99164-2302 | 2006-11-03 |
| 1225525090 | Washington State University | Health Educator | 1919 Ne 78th St, Vancouver, WA 98665 | 2018-04-17 |
| 1427105030 | Washington State University | Pharmacy | 1125 Se Washington Street, Pullman, WA 99163 | 2007-01-04 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | WASHINGTON STATE UNIVERSITY | 240 French Administration Bldg, Pullman, WA 99164-0001 |
| Washington State Corporations | WASHINGTON STATE UNIVERSITY ALUMNI ASSOCIATION | Lewis Alumni Centre, 1 Grimes Way, Pullman, WA 99164-6150 |
| Oregon Corporations, Companies and Business Names | WASHINGTON STATE UNIVERSITY FOUNDATION | 255 E Main Ste 201, Pullman, WA 99163 |
| Washington State Corporations | WASHINGTON STATE UNIVERSITY FOUNDATION | 255 E Main St # 201, Pullman, WA 99164 |
| Washington State Corporations | WASHINGTON STATE UNIVERSITY LAMBDA PHI EPSILON ALUMNI ASSOCIATION | 3107 170th St Sw, Lynnwood, WA 98037 |
| Washington State Corporations | WASHINGTON STATE UNIVERSITY REAL ESTATE HOLDINGS | 1230 Se Bishop Blvd, Pullman, WA 99163 |
| Street Address |
829 W BROADWAY AVE |
| City | SPOKANE |
| State | WA |
| Zip Code | 99201-2117 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033104963 | Edward P Gruber | Family Medicine | 829 W Broadway Ave, Spokane, WA 99201-2117 | 2005-09-16 |
| 1437335569 | Susan Lorraine Weeks | Nurse Practitioner | 829 W Broadway Ave, Spokane, WA 99201-2117 | 2008-01-18 |
| 1457346108 | Randi K Obrien | Counselor | 829 W Broadway Ave, Spokane, WA 99201-2117 | 2005-09-19 |
| 1295720126 | Margaret Auld Bruya | Nurse Practitioner | 829 W Broadway Ave, Spokane, WA 99201-2117 | 2005-09-16 |
| 1417942368 | Linda D Ward | Family Medicine | 829 W Broadway Ave, Spokane, WA 99201-2117 | 2005-09-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013517952 | Maria Escobedo | Counselor | 1321 N. Ash, Spokane, WA 99201 | 2020-10-29 |
| 1619576774 | Bethany Heath Arnp-pmhnp Pllc | Nurse Practitioner | 1224 West Riverside, Apt 408, Spokane, WA 99201 | 2020-10-20 |
| 1811594658 | Kaaren Goeller-bloom | Counselor | 106 West Mission, Spokane, WA 99201 | 2020-10-05 |
| 1649732793 | Marsha Rose Valenzuela | Peer Specialist | Partners With Families and Children, 1321 W. Broadway, Spokane, WA 99201 | 2019-04-05 |
| 1770047896 | Rachel Nicole Burns | Counselor | 1321 W. Broadway Ave, Spokane, WA 99201 | 2019-01-23 |
| 1760953384 | Nicole Renee Breesnee | Counselor | 2308 W. 3rd Ave, Spokane, WA 99201 | 2018-12-07 |
| 1083184675 | Alicia L Paschall | Counselor | 222 S Howard St, Apt 310, Spokane, WA 99201 | 2018-11-27 |
| 1003383159 | Sandra Kay Robinson | Counselor | New Horizons Care Centers, Inc., 701 E 3rd Street, Spokane, WA 99201 | 2018-10-26 |
| 1801361191 | Michael Joseph Lehman | Naturopath | 316 W Boone Ave Ste 777, Spokane, WA 99201 | 2018-10-12 |
| 1316422454 | Cmdpn Medical Group of Washington, P.C. | Emergency Medicine | 707 West Main Ave. Ste B1, Pmb 117, Spokane, WA 99201 | 2018-09-25 |
| Find all providers in zip 99201 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982064507 | Kerrin Michele Sorrie | Nurse Practitioner | 309 E Farwell Rd, Suite 100, Spokane, WA 99218-8210 | 2016-02-24 |
| 1871608976 | Marcia Ann Richardson | Nurse Practitioner | 101 W 8th Ave, Spokane, WA 99204-2307 | 2006-08-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447875752 | Vincent Gutierrez | Nurse Practitioner | 4120 N 19th St, Tacoma, WA 98406-4718 | 2020-06-11 |
| 1003463951 | Corene Kimberly Irvin | Nurse Practitioner | 15508 80th Avenue Ct E, Puyallup, WA 98375-8489 | 2019-08-23 |
| 1427527233 | Nikki Lillian Nino | Nurse Practitioner | 9819 Harborview Pl, Gig Harbor, WA 98332-1018 | 2018-11-21 |
| 1386134203 | Heather J Mckinney | Nurse Practitioner | 6420 Tacoma Mall Blvd Ste 101, Tacoma, WA 98409-6722 | 2018-05-16 |
| 1427551159 | Amanda Catherine Maclurg | Nurse Practitioner | 1802 S Yakima Ave Ste 302, Tacoma, WA 98405 | 2018-03-08 |
| 1568850154 | Cara Cook | Nurse Practitioner | 1504 Nw 57th St, Seattle, WA 98107-3017 | 2015-01-05 |
| 1770913022 | Amanda Ray | Nurse Practitioner | 118 Nw 188th St, Shoreline, WA 98177-3033 | 2013-11-24 |
| 1487999140 | Jessica Morgan White | Nurse Practitioner | 2607 Bridgeport Way W Ste 2e, University Place, WA 98466-4725 | 2012-12-06 |
| 1851625701 | Cathy Phan | Nurse Practitioner | 4029 Northwest Ave Ste 301a, Bellingham, WA 98226-9077 | 2009-09-24 |
| 1902054687 | Lk Healthcare Systems, L.L.C. | Nurse Practitioner | 12611 W Sunset Hwy, Suite B, Airway Heights, WA 99001-9427 | 2008-09-05 |
| Find all providers with the same taxonomy | ||||
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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.