MARCIA L BENTLEY (NPI# 1518953587) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518953587 |
| Entity Type | Individual |
| Full Name | MARCIA L BENTLEY |
| Other Name | MARCIA L JACOBSEN |
| Credential | ARNP |
| Practice Address |
600 Broadway St Longview WA 98632-3256 |
| Mailing Address |
Po Box 3002 Longview WA 98632-0302 |
| Practice Telephone | 3604142236 |
| Practice Fax Number | 3604142788 |
| Mailing Telephone | 3604142048 |
| Mailing Fax Number | 3605756749 |
| Enumeration Date | 2005-09-23 |
| Last Update Date | 2007-07-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 163WP0809X |
Registered Nurse Specialization: Psych/Mental Health, Adult |
RN00075889 | WA | Nursing Service Providers |
| X | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
AP30001921 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 291822 | 05 | |
| WA | CRIME VICTIMS | 8925316 | 01 |
| WA | 9603564 | 05 |
| Street Address |
600 BROADWAY ST |
| City | LONGVIEW |
| State | WA |
| Zip Code | 98632-3256 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093710634 | Anca Balasu | Psychiatry & Neurology | 600 Broadway St, Longview, WA 98632-3256 | 2005-06-20 |
| 1568930576 | Fresenius Kidney Care Longview, LLC | Clinic/Center | 600 Broadway St, Longview, WA 98632-3256 | 2018-11-07 |
| 1841765864 | Tod C Peterson | Nurse Practitioner | 600 Broadway St, Longview, WA 98632-3256 | 2018-10-05 |
| 1861917882 | Roderick Jerome Williams | Nurse Practitioner | 600 Broadway St, Longview, WA 98632-3256 | 2017-08-10 |
| 1326490822 | Yehonatan Shilo | Psychiatry & Neurology | 600 Broadway St, Longview, WA 98632-3256 | 2016-07-07 |
| 1730547555 | Tonya Dorough | Counselor | 600 Broadway St, Longview, WA 98632-3256 | 2016-02-08 |
| 1013395094 | Bozena Drabik | Counselor | 600 Broadway St, Longview, WA 98632-3256 | 2015-05-11 |
| 1699049304 | Tanya Kehaulani Martin | Social Worker | 600 Broadway St, Longview, WA 98632-3256 | 2012-02-27 |
| 1235363763 | Joanne E Kooistra | Social Worker | 600 Broadway St, Longview, WA 98632-3256 | 2009-05-12 |
| 1679745624 | Andrea K. Street | Dietitian, Registered | 600 Broadway St, Longview, WA 98632-3256 | 2008-03-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851992366 | Honor Senior Care LLC | Home Health Aide | 1135 3rd Ave, Ste S101, Longview, WA 98632 | 2020-11-03 |
| 1417416728 | Sam Wise | Dentist | 1538 11th Ave Lowr Columbia, Longview, WA 98632 | 2019-03-16 |
| 1053870717 | Matthew Johnson | Physician Assistant | 900 Ocean Beach Hwy Ste 110, Longview, WA 98632 | 2019-03-12 |
| 1295205367 | Abid Valji | Occupational Therapist | Americana Health and Rehabilitation Center, 917 7th Ave, Longview, WA 98632 | 2018-11-30 |
| 1184106437 | Peacehealth | Durable Medical Equipment & Medical Supplies | Triangle Mall Suite 16 1015 Ocean Beach Hwy, Longview, WA 98632 | 2018-09-04 |
| 1982186318 | Linda Joan Mason | Licensed Practical Nurse | 1153 23rd Ave, Longview, WA 98632 | 2018-09-01 |
| 1891291910 | Ellen Sumner Hornbeak | Physical Therapist | 200 Triangle Shopping Ctr Ste 270, Longview, WA 98632 | 2018-04-05 |
| 1700399961 | Johnna Joyce Knapp | Speech-Language Pathologist | 2615 Lilac St, Longview, WA 98632 | 2017-11-09 |
| 1841711868 | Deborah Annette Burzynski | Registered Nurse | 1057 12th Avenue, Longview, WA 98632 | 2017-06-29 |
| 1598291122 | Cheyenne West | Counselor | 1616 10th Avenue, Longview, WA 98632 | 2017-05-02 |
| Find all providers in zip 98632 | ||||
| Taxonomy Code | 163WP0809X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Psych/Mental Health, Adult |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306832274 | Tina M Taylor | Registered Nurse | 922 Fir St, Longview, WA 98632-2525 | 2005-09-26 |
| 1407412216 | Judy Arlene Marsyla | Registered Nurse | 1338 Commerce Ave Ste 303, Longview, WA 98632-3726 | 2019-05-16 |
| 1033105036 | Ramona K Sherman | Registered Nurse | 600 Broadway St, Longview, WA 98632-3256 | 2005-09-25 |
| 1568458842 | Brent Arliss Francisco | Registered Nurse | 600 Broadway St, Longview, WA 98632-3256 | 2005-09-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710508247 | Gina Marie Croppi | Registered Nurse | 721 Fawcett Ave Ste 101, Tacoma, WA 98402-5502 | 2020-05-06 |
| 1225673817 | Cheryl Dann | Registered Nurse | 7224 Pacific Highway E, Milton, WA 98375 | 2019-11-07 |
| 1912473364 | Jill Marie Sackman | Registered Nurse | 2342 Herndon Dr, E Wenatchee, WA 98802-9567 | 2018-10-23 |
| 1891276937 | Laura Janet Savage | Registered Nurse | 2030 Division St # 200, Bellingham, WA 98226-8014 | 2018-08-27 |
| 1598205619 | Eric Jason Davidson | Registered Nurse | 590 G St, Blaine, WA 98230-5123 | 2017-03-08 |
| 1720441371 | Peter Kimani | Registered Nurse | 38036 39th Ave S, Auburn, WA 98001-8784 | 2016-03-31 |
| 1083074553 | Sandra O'brien | Registered Nurse | 6863 Whitmore Dr Nw, Gig Harbor, WA 98335-6259 | 2016-02-26 |
| 1962890137 | Holly M Dirk-layport | Registered Nurse | 3645 E. Mcleod Road, Bellingham, WA 98226 | 2014-12-22 |
| 1538444377 | Ann Karen Mulcahy | Registered Nurse | 1600 E Olive Street, Sound Mental Health, Seattle, WA 98122 | 2011-10-12 |
| 1023318326 | Hillary E Hofstaedter | Registered Nurse | 10710 Mukilteo Speedway # 67, Mukilteo, WA 98275 | 2010-11-02 |
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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.