ELVIRA BRITTANY LOPEZ (NPI# 1538719752) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1538719752 |
Entity Type | Individual |
Full Name | ELVIRA BRITTANY LOPEZ |
Practice Address |
5301 Tieton Dr Ste C Yakima WA 98908-3479 |
Practice Telephone | 5099657100 |
Mailing Telephone | 5099657100 |
Enumeration Date | 2019-09-19 |
Last Update Date | 2019-09-19 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 101Y00000X | Counselor | CG61002390 | WA | Behavioral Health & Social Service Providers |
Y | 175T00000X | Peer Specialist | CG61002390 | WA | Other Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124261581 | Elvira Lopez | Social Worker | 4646 John R St, Detroit, MI 48201-1916 | 2009-04-15 |
1649475385 | Elvira Vega Lopez | Nurse's Aide | 12 W Beach St, Watsonville, CA 95076-4504 | 2007-06-20 |
Street Address |
5301 TIETON DR STE C |
City | YAKIMA |
State | WA |
Zip Code | 98908-3479 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669580320 | Shannon L Hetletvedt | Counselor | 5301 Tieton Dr Ste C, Yakima, WA 98908-3479 | 2006-08-25 |
1376196014 | Michelle Ann Johnson | Counselor | 5301 Tieton Dr Ste C, Yakima, WA 98908-3479 | 2019-07-22 |
1205497484 | Alicia Ann Justice | Behavior Technician | 5301 Tieton Dr Ste C, Yakima, WA 98908-3479 | 2019-06-27 |
1144798240 | Asael Munguia | Behavior Technician | 5301 Tieton Dr Ste C, Yakima, WA 98908-3479 | 2018-11-06 |
1073096962 | Berenice Garcia Hernandez | Case Manager/Care Coordinator | 5301 Tieton Dr Ste C, Yakima, WA 98908-3479 | 2018-09-07 |
1467931469 | Ayla Naomi Medina-ulloa | Counselor | 5301 Tieton Dr Ste C, Yakima, WA 98908-3479 | 2018-08-09 |
1851880660 | Juan Pablo Ortiz | Case Manager/Care Coordinator | 5301 Tieton Dr Ste C, Yakima, WA 98908-3479 | 2018-05-07 |
1235626755 | Rebekah Ann Brown | Case Manager/Care Coordinator | 5301 Tieton Dr Ste C, Yakima, WA 98908-3479 | 2018-04-19 |
1689171902 | Gina Marisol Perez | Interpreter | 5301 Tieton Dr Ste C, Yakima, WA 98908-3479 | 2018-04-12 |
1932605482 | Kelly Nutting | Counselor | 5301 Tieton Dr Ste C, Yakima, WA 98908-3479 | 2018-04-03 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447857941 | Hillary Leigh Frank | Massage Therapist | 607 S 48th Ave Suite A, Yakima, WA 98908 | 2020-10-07 |
1255976056 | Olusegun Adesesan Bamgbelu | Pharmacist | Memorial Cornerstone Pharmacy, 4003 Creekside Loop, Yakima, WA 98908 | 2019-11-15 |
1699325811 | Sunrise Dental of Yakima | Dentist | 1020 South 40th Avenue, Suite G, Yakima, WA 98908 | 2019-09-19 |
1558896175 | Alyssa Noelle Wickenhagen | Specialist/Technologist | 106 N 91st Ave, Yakima, WA 98908 | 2017-04-21 |
1962861591 | Vanessa Roth | Massage Therapist | 10607 Wide Hollow Road, Yakima, WA 98908 | 2016-02-10 |
1407214000 | Kristine Mcclure | Counselor | 506 N 40th Ave Ste 201, Yakima, WA 98908 | 2016-02-10 |
1245635069 | Harry Williams | Pharmacist | 6600 West Nob Hill Blvd, Yakima, WA 98908 | 2014-10-23 |
1508107509 | Richard Paul Bustetter | Registered Nurse | 6513 West Chestnut Ave, Elite Nursing P.l.l.c., Yakima, WA 98908 | 2013-03-15 |
1528305331 | Beverly Irene Chandler | Licensed Practical Nurse | 6573 W. Chestnut Ave, Yakima, WA 98908 | 2013-01-14 |
1225373764 | Susan Schell | Licensed Practical Nurse | 6513 W.chestnut Ave, Elite Nursing, Yakima, WA 98908 | 2012-12-11 |
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Taxonomy Code | 175T00000X |
Grouping | Other Service Providers |
Classification | Peer Specialist |
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. |
Notes: Source: National Uniform Claim Committee [7/1/2014: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1184238503 | Aleque Fraser-robinson | Peer Specialist | 402 S 4th Ave, Yakima, WA 98902-3546 | 2020-09-02 |
1679123251 | Rianna Davis | Peer Specialist | 402 S 4th Ave, Yakima, WA 98902-3546 | 2019-09-16 |
1104472885 | Terry Richey | Peer Specialist | 402 S 4th Ave, Yakima, WA 98902-3546 | 2019-08-17 |
1437627759 | Angelica Mercado | Peer Specialist | 402 S 4th Ave, Yakima, WA 98902-3546 | 2018-11-05 |
1669947545 | Ramon Razo Jr. | Peer Specialist | 918 E Mead Ave, Yakima, WA 98903-3720 | 2018-10-08 |
1942780275 | Valentin Mendoza | Peer Specialist | 918 E Mead Ave, Yakima, WA 98903-3720 | 2018-08-16 |
1730667072 | Andrea Walker | Peer Specialist | 402 S 4th Ave, Yakima, WA 98902-3546 | 2018-07-30 |
1881171452 | Adelle Sherry | Peer Specialist | 505 S 4th Ave, Yakima, WA 98902-3547 | 2018-07-25 |
1316424989 | Chad Hale | Peer Specialist | 402 S 4th Ave, Yakima, WA 98902-3546 | 2018-07-25 |
1437681483 | Jeanette Serrano | Peer Specialist | 402 S 4th Ave, Yakima, WA 98902-3546 | 2017-03-29 |
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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.