REDICLINIC OF WA, LLC (NPI# 1528445160) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1528445160 |
Entity Type | Organization |
Organization Name | REDICLINIC OF WA, LLC |
Practice Address |
9502 176th St E Puyallup WA 98375-9300 |
Mailing Address |
9 Greenway Plz Ste. 2950 Houston TX 77046-0905 |
Practice Telephone | 7133351742 |
Practice Fax Number | 7133584881 |
Mailing Telephone | 7133351754 |
Mailing Fax Number | 7133584870 |
Enumeration Date | 2015-05-04 |
Last Update Date | 2015-05-04 |
Authorized Official Name | DANIELLE BARRERA (CHIEF OPERATING OFFICER) |
Authorized Official Telephone | 7135809489 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588060974 | Rediclinic of Wa, LLC | Clinic/Center | 18022 68th Avenue Ne, Kenmore, WA 98028-2702 | 2014-11-12 |
1316340565 | Rediclinic of Wa, LLC | Clinic/Center | 17226 Smokey Point, Arlington, WA 98223 | 2014-10-02 |
1861895104 | Rediclinic of Wa, LLC | Clinic/Center | 15100 S.e. 38th Street, Bellevue, WA 98006-1763 | 2014-10-01 |
1114320496 | Rediclinic of Wa, LLC | Clinic/Center | 14035 Ne Woodinville-duvall, Woodinville, WA 98072-8504 | 2014-10-01 |
1164809703 | Rediclinic of Wa, LLC | Clinic/Center | 2131 Sw 336th St, Federal Way, WA 98023-2847 | 2015-05-04 |
1588041107 | Rediclinic of Wa, LLC | Clinic/Center | 22631 Bothell Everett Hwy, Bothell, WA 98021-8401 | 2015-05-04 |
1073990610 | Rediclinic of Wa, LLC | Clinic/Center | 21302 State Route 410 E, Bonney Lake, WA 98391-8468 | 2015-05-04 |
1235532482 | Rediclinic of Wa, LLC | Clinic/Center | 655 Nw Richmond Beach Rd, Shoreline, WA 98177-3121 | 2014-10-02 |
1770986929 | Rediclinic of Wa, LLC | Clinic/Center | 18906 State Route 2, Monroe, WA 98272-1415 | 2014-10-02 |
1831592062 | Rediclinic of Wa, LLC | Clinic/Center | 11700 Mukilteo Speedway Ste 500, Mukilteo, WA 98275-5435 | 2014-10-02 |
Street Address |
9502 176TH ST E |
City | PUYALLUP |
State | WA |
Zip Code | 98375-9300 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093035131 | Hee Do Park | Pharmacist | 9502 176th St E, Puyallup, WA 98375-9300 | 2010-06-10 |
1730660085 | Marisa Cuffin | Pharmacist | 9502 176th St E, Puyallup, WA 98375-9300 | 2018-08-24 |
1295250124 | Michael Durkin | Nurse Practitioner | 9502 176th St E, Puyallup, WA 98375-9300 | 2017-08-11 |
1548611973 | Dipty Rana | Nurse Practitioner | 9502 176th St E, Puyallup, WA 98375-9300 | 2016-06-27 |
1710299045 | Jay Hansen | Pharmacist | 9502 176th St E, Puyallup, WA 98375-9300 | 2010-07-01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225673817 | Cheryl Dann | Registered Nurse | 7224 Pacific Highway E, Milton, WA 98375 | 2019-11-07 |
1326554601 | Jasmanpreet Kaur Sidhu | Nurse's Aide | 17003 83rd Ave Cte, Puyallup, WA 98375 | 2017-12-21 |
1295257137 | Rafael Martin Morones IIi | Registered Nurse | 17802 87th Ave E, Puyallup, WA 98375 | 2017-07-12 |
1467990556 | Tessa D Parker | Massage Therapist | 17528 Meridian E Suite 207, Puyallup, WA 98375 | 2017-02-08 |
1144674326 | June Park | Social Worker | 9414 185th Street Ct E, Puyallup, WA 98375 | 2016-04-14 |
1417384348 | Washington Dental Corporation, PC | Dentist | 16810 Meridian East Suite J107, Puyallup, WA 98375 | 2013-10-10 |
1861825663 | L&t Chinese Medicine LLC | Acupuncturist | 16515 Meridian E., Ste. 200b, Puyallup, WA 98375 | 2013-08-15 |
1508110081 | Jennifer Gillings | Speech-Language Pathologist | 17418 74th Ave E, Puyallup, WA 98375 | 2012-11-05 |
1275887267 | Andrew Nelson Smith | Pharmacist | 14308 Meridian Ave E., Puyallup, WA 98375 | 2012-10-30 |
1538440714 | Zorawar Singh | Dentist | 16810 Meridian E Suite J107, Puyallup, CA 98375 | 2011-09-01 |
Find all providers in zip 98375 |
Taxonomy Code | 261Q00000X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194381905 | Washington Center for Pain Management LLC | Clinic/Center | 120 14th Ave Se Ste B, Puyallup, WA 98372-3718 | 2019-05-16 |
1760757850 | Kosnoski Eye Care Inc | Clinic/Center | 12511 Meridian E, Puyallup, WA 98373-3425 | 2012-03-21 |
1265620751 | Nicole M. Lauer Chiropractic P.a. | Clinic/Center | 2600 S Meridian, Apt 1412, Puyallup, WA 98373-1556 | 2007-10-09 |
1821097429 | Puyallup Radiological Assocs, Inc. | Clinic/Center | 800 S Meridian, Suite B, Puyallup, WA 98371-6995 | 2005-07-18 |
1598176893 | Merwin Chiropractic Inc | Clinic/Center | 15311 Canyon Rd E, Puyallup, WA 98375-7473 | 2014-05-08 |
1982924767 | John L. Diller, Md | Clinic/Center | 610 S Meridian, Puyallup, WA 98371-5908 | 2010-06-03 |
1497874903 | Puyallup Clinic Inc | Clinic/Center | 800 S Meridian Ste A, Puyallup, WA 98371-6994 | 2007-03-28 |
1386754661 | Lakes Family Medicine, Ps | Clinic/Center | 10116 116th St E, Suite 101, Puyallup, WA 98373-3543 | 2006-08-30 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407457153 | Scandia Wellness | Clinic/Center | 121 Naylor Rd, Mossyrock, WA 98564-9507 | 2020-11-07 |
1699376152 | Seattle Vision Therapy and Rehabilitation Center, Pllc | Clinic/Center | 13344 1st Ave Ne Ste 101, Seattle, WA 98125-3059 | 2020-11-02 |
1942811211 | Little Fin Therapies, LLC | Clinic/Center | 5942 31st Ave Sw, Seattle, WA 98126-2910 | 2020-08-11 |
1578187829 | Therapy Northwest Pllc | Clinic/Center | 310 3rd Ave Ne Ste 124, Issaquah, WA 98027-3350 | 2020-06-02 |
1922621721 | Riaz Pllc | Clinic/Center | 8378 W Grandridge Blvd Ste 110, Kennewick, WA 99336-5401 | 2020-05-27 |
1295356848 | Community Health Care | Clinic/Center | 16329 Se 318th St, Auburn, WA 98092-9284 | 2020-05-05 |
1720617533 | Nova Mind-body LLC | Clinic/Center | 116 13th Ave E Apt 1e, Seattle, WA 98102-6142 | 2020-04-03 |
1609403054 | Lavender Luxe Massage | Clinic/Center | 100 3rd St Ste 100, Davenport, WA 99122-5008 | 2020-03-25 |
1417582255 | Personalized Health, LLC | Clinic/Center | 7136 Mlk Jr Way S Ste 204, Seattle, WA 98118-3526 | 2020-03-11 |
1912530932 | Lummi Indian Business Council | Clinic/Center | 2924 Haxton Way, Bellingham, WA 98226-9265 | 2020-02-18 |
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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.