MRS. PATRICIA ANN KAVIANI (NPI# 1568520617) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568520617 |
| Entity Type | Individual |
| Full Name | MRS. PATRICIA ANN KAVIANI |
| Credential | R.T.O. |
| Practice Address |
Mamc 9040 Fitsimmons Dr Tacoma WA 98431-1100 |
| Mailing Address |
14209 25th Ave E Tacoma WA 98445-4903 |
| Practice Telephone | 2539681606 |
| Practice Fax Number | 2539681586 |
| Mailing Telephone | 2539681606 |
| Mailing Fax Number | 2539681586 |
| Enumeration Date | 2006-12-04 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 222Z00000X | Orthotist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| X | 224P00000X | Prosthetist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
MAMC 9040 FITSIMMONS DR |
| City | TACOMA |
| State | WA |
| Zip Code | 98431-1100 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497212260 | Catrina Renee Grugin | Registered Nurse | Madigan Army Medical Center, Attn Mchj-clq-c, 9040 Jackson Ave, Tacoma, WA 98431 | 2019-02-27 |
| 1801307681 | Bianca Gomez | Dental Assistant | Bldg 9900 Lincoln Street, Jblm, WA 98431 | 2017-10-19 |
| 1184133225 | Darren Paris | Registered Nurse | Madigan Army Medical Center 9040 Jackson Ave., Attn: Mchj-clq-c, Tacoma, WA 98431 | 2017-09-20 |
| 1922538206 | Sarah Frerichs | Dentist | Madigan Annex, Second Floor, Bldg. 9900, Apo, AA 98431 | 2017-06-19 |
| 1740736495 | Misty Hill | Dental Assistant | 9119 Mill Park Ave, Tacoma, WA 98431 | 2016-08-31 |
| 1336695535 | Jacqueline D Massouda | Dentist | Jblm Dentac, 9900 Lincoln Sreet, 2nd Floor, Apo, AA 98431 | 2016-08-28 |
| 1609239375 | Gregg V Palmer | Licensed Practical Nurse | 17th and C Street, Bldg 11582, Tacoma, WA 98431 | 2016-03-31 |
| 1114323904 | Deanna Sheets | Nurse Practitioner | 911 Mil Park Ave, Tacoma, WA 98431 | 2014-11-06 |
| 1679905434 | Austin William Schaar | Dentist | Building 9900, 2nd Floor, Tacoma, WA 98431 | 2013-08-05 |
| 1518209758 | Maurice Ibrahim Khayat | Internal Medicine | 9040 Jackson Ave Mche-qd (creds), Tacoma, WA 98431 | 2013-03-26 |
| Find all providers in zip 98431 | ||||
| Taxonomy Code | 222Z00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Orthotist |
| A health care professional who is specifically educated and trained to manage comprehensive orthotic patient care, including musculoskeletal and neuromuscular anomalies resulting from injuries or disease processes involving the lower extremity, upper extremity or spinal segment/s and positional deformation of the cranium. Orthotists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care. |
| Notes: Source: American Board for Certification in Orthotics, Prosthetics, and Pedorthics, Inc. [7/1/2010: modified, 7/1/2013: modified] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144669342 | Glen Pigman | Orthotist | 3612 S 11th St, Tacoma, WA 98405-2126 | 2013-06-20 |
| 1669613360 | Ben George | Orthotist | 1901 South Union Ave, #b-6007, Tacoma, WA 98405-1806 | 2009-03-10 |
| 1275779993 | Lizotte P & O Associates LLC | Orthotist | 1902 S Cedar St, Tacoma, WA 98405-2301 | 2008-12-30 |
| 1336612753 | Richard Rex Marin | Orthotist | 723 Martin Luther King Jr Way, Tacoma, WA 98405-4139 | 2019-01-08 |
| 1700365152 | Desiree Fredericks | Orthotist | 723 Martin Luther King Jr Way, Tacoma, WA 98405-4139 | 2018-08-07 |
| 1821530890 | Nathan Dooley | Orthotist | 1902 S Cedar St, Tacoma, WA 98405-2301 | 2016-11-08 |
| 1962775205 | Scott Michael Holm | Orthotist | 723 Martin Luther King Jr Way, Tacoma, WA 98405-4139 | 2012-02-16 |
| 1811294598 | Jennifer Muir | Orthotist | 723 Martin Luther King Jr Way, Tacoma, WA 98405-4139 | 2011-02-16 |
| 1154553204 | Sara Elizabeth Heiberg | Orthotist | 723 Martin Luther King Jr Way, Tacoma, WA 98405-4139 | 2009-08-21 |
| 1619128170 | Brian C Roehr | Orthotist | 723 Martin Luther King Jr Way, Tacoma, WA 98405-4139 | 2008-10-02 |
| Find all providers in TACOMA | ||||
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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.