MICHAELLA-LYANNE T MISKO (NPI# 1518154004) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518154004 |
| Entity Type | Individual |
| Full Name | MICHAELLA-LYANNE T MISKO |
| Credential | LMP |
| Practice Address |
22000 Marine View Dr S Suite 202 Des Moines WA 98198-6233 |
| Practice Telephone | 2063805430 |
| Mailing Telephone | 2063805430 |
| Enumeration Date | 2007-09-27 |
| Last Update Date | 2007-09-27 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | MA00023720 | WA | Other Service Providers |
| Street Address |
22000 MARINE VIEW DR S SUITE 202 |
| City | DES MOINES |
| State | WA |
| Zip Code | 98198-6233 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730132713 | Liliya V. Bilan | Physician Assistant | 22000 Marine View Dr S, Suite 100, Des Moines, WA 98198-6233 | 2006-05-18 |
| 1629329065 | Highline Medical Group | Family Medicine | 22000 Marine View Dr S, Suite 100, Des Moines, WA 98198-6233 | 2012-09-25 |
| 1326362260 | Dena Rene Johnson | Counselor | 22000 Marine View Dr S, Ste. 202, Des Moines, WA 98198-6233 | 2010-03-22 |
| 1790007144 | Im&g Pllc | Internal Medicine | 22000 Marine View Dr S, Suite 100, Des Moines, WA 98198-6233 | 2010-02-25 |
| 1487830899 | Carmen Bryson | Massage Therapist | 22000 Marine View Dr S, Suite 202, Des Moines, WA 98198-6233 | 2008-01-15 |
| 1073645230 | Mumin Daud Dimbil | Family Medicine | 22000 Marine View Dr S, Suite 100, Des Moines, WA 98198-6233 | 2007-03-12 |
| 1861432866 | Jerri L Virtue | Nurse Practitioner | 22000 Marine View Dr S, Suite 200, Des Moines, WA 98198-6233 | 2006-06-07 |
| 1487692471 | Stephanie Batalao | Nurse Practitioner | 22000 Marine View Dr S, Suite 200, Des Moines, WA 98198-6233 | 2006-06-03 |
| 1477507929 | Esther Henkle | Family Medicine | 22000 Marine View Dr S, Suite 100, Des Moines, WA 98198-6233 | 2006-05-20 |
| 1982657839 | Nilda Arbelo | Family Medicine | 22000 Marine View Dr S, Ste 200, Des Moines, WA 98198-6233 | 2006-05-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194273367 | Lisa Adams | Occupational Therapy Assistant | 933 S 262nd Pl, Des Moines, WA 98198 | 2016-09-16 |
| 1356894125 | Melissa Pearson | Nurse Practitioner | 1826 S 250th Pl, Des Moines, WA 98198 | 2016-07-28 |
| 1528432010 | Sea-mar Community Health Center | Dentist | 2781 South 242nd St, Seattle, WA 98198 | 2015-11-20 |
| 1578944864 | Alexander Stephen Topor | Dentist | 26401 Pacific Hwy S.#201, Des Moines, WA 98198 | 2015-06-12 |
| 1942699301 | Sunshine Luzano Yap | Occupational Therapy Assistant | 23600 Marine View Dr. S., Des Moines, WA 98198 | 2015-01-22 |
| 1326481136 | Mylinh Nguyen | Pharmacist | 21615 Pacific Highway So., Des Moines, WA 98198 | 2013-04-10 |
| 1922351527 | Healthpoint | Clinic/Center | 26401 Pacific Hwy S., Suite 101, Des Moines, WA 98198 | 2012-10-19 |
| 1326316142 | Sea-mar Community Health Center | Clinic/Center | 2781 S 242nd St, Des Moines, WA 98198 | 2011-12-07 |
| 1023318615 | Andrew Francis Torres | Physical Therapy Assistant | 2800 South 224th St., Des Moines, IA 98198 | 2010-10-28 |
| 1194032896 | Brigitte Rey Wagner | Physical Therapy Assistant | 815 S 216th St, Wesley Home, Des Moines, WA 98198 | 2010-09-02 |
| Find all providers in zip 98198 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316394489 | Alex Blaze | Specialist | 2311 S Kent Des Moines Rd Apt A103, Des Moines, WA 98198-7083 | 2016-05-19 |
| 1245494400 | Mary Van De Ven | Specialist | 23619 14th Ave S, Des Moines, WA 98198-7402 | 2008-07-16 |
| 1003032681 | Amber Marie Felix | Specialist | 22226 6th Ave S Ste 101, Des Moines, WA 98198-6246 | 2007-04-18 |
| 1629104518 | Heartland Plastic and Reconstructive Surgery P.C. | Specialist | 10611 Hickman Rd, Des Moines, IA 50322-3731 | 2007-02-26 |
| 1215071774 | Erin Mischel Everitt | Specialist | 22760 Marine View Dr S Ste 101, Des Moines, WA 98198-8408 | 2007-02-17 |
| 1780754044 | Janis Ann Jacobson | Specialist | 22760 Marine View Dr S, Des Moines, WA 98198-8408 | 2006-11-08 |
| 1285601641 | Jerusa Kamala | Specialist | 1250 9th Street, Des Moines, IA 50316-2765 | 2006-03-03 |
| 1457357642 | Roy Alden Hart | Specialist | 1801 Hickman Road, Broadlawns Medical Center, Des Moines, IA 50314 | 2005-06-22 |
| 1912901257 | Marc Alan Ewers | Specialist | 1301 Penn Ave, Ste 406, Des Moines, IA 50316-2350 | 2005-06-01 |
| 1598382830 | Patty Keeley | Specialist | 1409 Clark St, Des Moines, IA 50314-1916 | 2020-07-02 |
| Find all providers in DES MOINES | ||||
| City | DES MOINES |
| Zip Code | 98198 |
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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.