STEPHANIE MARIE GARRISON (NPI# 1558599274) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558599274 |
| Entity Type | Individual |
| Full Name | STEPHANIE MARIE GARRISON |
| Credential | PSYD |
| Practice Address |
15418 Main St Mill Creek WA 98012-9030 |
| Mailing Address |
Po Box 5127 Everett WA 98206-5127 |
| Practice Telephone | 4253395453 |
| Practice Fax Number | 4252258028 |
| Mailing Telephone | 4252583900 |
| Enumeration Date | 2009-07-01 |
| Last Update Date | 2016-03-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
LH60090936 | WA | Behavioral Health & Social Service Providers |
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
PY60188217 | WA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 2013263 | 05 | |
| WA | STATE LICENSE | LH60090936 | 01 |
| WA | LICENSE | PY60188217 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962847640 | Stephanie W Garrison | Speech-Language Pathologist | 5929 Trent Walk Dr, Lithonia, GA 30038-1964 | 2013-05-08 |
| 1053676452 | Stephanie R Garrison | Licensed Practical Nurse | 5603 Old Blue Rock Rd, Cincinnati, OH 45247-2723 | 2012-07-11 |
| 1326137027 | Stephanie Garrison | Physical Therapist | 690 S Cooper Rd, Suite 101, Gilbert, AZ 85233-7163 | 2006-10-12 |
| 1841765286 | Stephanie Garrison | Nurse Practitioner | 8326 Naab Rd, Indianapolis, IN 46260-1920 | 2018-10-12 |
| 1871913038 | Stephanie Garrison | Counselor | 4025 St Cloud Dr, Ste. 230, Loveland, CO 80538-8960 | 2014-04-25 |
| 1215254701 | Stephanie L. Garrison | Physician Assistant | 3333 Burnet Ave, Ml 2017, Cincinnati, OH 45229-3026 | 2010-04-23 |
| 1124094446 | Stephanie R. Garrison | Physician Assistant | 4120 W Memorial Rd, Suite 300, Oklahoma City, OK 73120-9320 | 2006-02-27 |
| 1255310348 | Stephanie Garrison | Family Medicine | 4500 San Pablo Rd S, Jacksonville, FL 32224-1865 | 2006-01-17 |
| Street Address |
15418 MAIN ST |
| City | MILL CREEK |
| State | WA |
| Zip Code | 98012-9030 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275597551 | Elizabeth A Ormond | Nurse Practitioner | 15418 Main St, Mill Creek, WA 98012-9030 | 2006-04-13 |
| 1629636063 | Shannon Hudson | Massage Therapist | 15418 Main St, Mill Creek, WA 98012-9030 | 2019-05-31 |
| 1063939759 | Grace Hamilton | Clinical Neuropsychologist | 15418 Main St, Mill Creek, WA 98012-9030 | 2017-08-24 |
| 1639699861 | Terra Holloway | Nurse Practitioner | 15418 Main St, Mill Creek, WA 98012-9030 | 2017-06-20 |
| 1750831616 | Sarah King | Massage Therapist | 15418 Main St, Ste M106, Mill Creek, WA 98012-9030 | 2016-10-04 |
| 1841645447 | Daniel Shao | Internal Medicine | 15418 Main St, Mill Creek, WA 98012-9030 | 2016-05-02 |
| 1518311703 | Sanh Huy Luu | Family Medicine | 15418 Main St, Mill Creek, WA 98012 | 2016-04-14 |
| 1912362583 | Katelyn Haney | Massage Therapist | 15418 Main St, 106, Mill Creek, WA 98012-9030 | 2015-12-23 |
| 1538535539 | Kristina Porter | Massage Therapist | 15418 Main St, Ste 106, Mill Creek, WA 98012-9030 | 2015-08-13 |
| 1205222429 | Kathryn Jensen | Registered Nurse | 15418 Main St, Mill Creek, WA 98012-9030 | 2015-04-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811502032 | Malia Van-frances Chase | Behavioral Analyst | 18311 Bothel-everett Hwy, Suite 260, Bothell, Wa, WA 98012 | 2020-09-14 |
| 1154951804 | Thea E Byrne | Physical Therapist | 6030 Bothell Everett Hwy, #140, Mill Creek, WA 98012 | 2020-01-22 |
| 1861975526 | Jenifer Rae Denormandie | Pharmacist | 14529 North Creek Drive Apt B210, Mill Creek, WA 98012 | 2018-09-10 |
| 1780161760 | Azadeh Fariba | Naturopath | 15411 40th Dr Se, Bothell, WA 98012 | 2018-07-23 |
| 1720572902 | Rickey Lee Mcgregor | Counselor | 16300 Mill Creek Blvd, Suite 204, Mill Creek, WA 98012 | 2018-06-20 |
| 1306349865 | Rudi Lauren Romaine | Behavioral Analyst | 18311 Bothell-everett Hwy, Suite 260, Bothell, WA 98012 | 2018-03-12 |
| 1164961025 | Wickler Behavioral Consulting | Behavioral Analyst | 632 182nd Street Se, Bothell, WA 98012 | 2017-02-13 |
| 1588026413 | Nathan Earl Crawford | Massage Therapist | 18930 Bothell Everett Hwy, D302, Bothell, WA 98012 | 2016-03-21 |
| 1144618083 | Jocelyn Enabulele | Counselor | 19105 Waxen Road, Bothell, WA 98012 | 2014-12-30 |
| 1124426846 | Teeth R Us | Dentist | 1908 201 Pl Se Suite #201, Bothell, WA 98012 | 2014-12-11 |
| Find all providers in zip 98012 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730226796 | Caroline L Rinke | Psychologist | 15418 Main St., Ste. 301, Mill Creek, WA 98012-9031 | 2007-01-31 |
| 1265586754 | Roger L Clement | Psychologist | 2012 148th St Se, Mill Creek, WA 98012 | 2007-01-22 |
| 1124196951 | Sue Anne Slade | Psychologist | 15418 Main Street, Suite 301, Mill Creek, WA 98012-7361 | 2006-12-01 |
| 1578870648 | Matthew Ralph De Haan | Psychologist | 16000 Bothell Everett Hwy, Suite 340, Mill Creek, WA 98012-1742 | 2010-09-09 |
| 1528390424 | Barbara J. Graham | Psychologist | 16000 Bothell Everett Hwy, Suite 360, Mill Creek, WA 98012-1742 | 2010-02-03 |
| 1295921674 | Enid Carla Griffin | Psychologist | 16000 Bothell Everett Hwy, Suite 230, Mill Creek, WA 98012-1742 | 2007-09-19 |
| 1699830364 | David Grant Rasmussen | Psychologist | 16030 Bothell Everett Hwy, Suite 295, Mill Creek, WA 98012-1741 | 2006-12-23 |
| 1568525251 | Summit Consulting Group, Inc. | Psychologist | 15418 Main Street, Suite 301, Mill Creek, WA 98012 | 2006-12-18 |
| 1346318847 | Caroline Lea Rinke | Psychologist | 15418 Main Street, Suite 301, Mill Creek, WA 98012-9030 | 2006-12-01 |
| 1558438952 | Christian Michael Quayle | Psychologist | 15418 Main St, Suite 301, Mill Creek, WA 98012-9030 | 2006-11-29 |
| Find all providers in MILL CREEK | ||||
| City | MILL CREEK |
| Zip Code | 98012 |
Please comment or provide details below to improve the information on STEPHANIE MARIE GARRISON.
| 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.