KENNETH J HANSEL (NPI# 1568647238) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568647238 |
| Entity Type | Individual |
| Full Name | KENNETH J HANSEL |
| Practice Address |
14406 Ne 20th Ave Vancouver WA 98686-1448 |
| Mailing Address |
284 N X St Washougal WA 98671-8521 |
| Practice Telephone | 5032617541 |
| Mailing Telephone | 5032617541 |
| Enumeration Date | 2007-12-31 |
| Last Update Date | 2020-09-23 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
00014775 | WA | Pharmacy Service Providers |
| Street Address |
14406 NE 20TH AVE |
| City | VANCOUVER |
| State | WA |
| Zip Code | 98686-1448 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700889748 | Panagiotis Fourtounis | Specialist | 14406 Ne 20th Ave, Vancouver, WA 98686-1448 | 2005-05-23 |
| 1821632944 | Aleksandra S Velychko | Dental Assistant | 14406 Ne 20th Ave, Vancouver, WA 98686-1448 | 2019-10-31 |
| 1346892759 | Rebecca Olmsted | Dental Assistant | 14406 Ne 20th Ave, Vancouver, WA 98686-1448 | 2019-07-15 |
| 1083184840 | Colleen Bernice Yoakum | Dental Hygienist | 14406 Ne 20th Ave, Vancouver, WA 98686-1448 | 2018-12-04 |
| 1649759531 | Maxwell Daniel Gruber | Student in an Organized Health Care Education/Training Program | 14406 Ne 20th Ave, Vancouver, WA 98686-1448 | 2018-08-10 |
| 1639656077 | Jeffrey Douglas Deyo | Pharmacist | 14406 Ne 20th Ave, Vancouver, WA 98686-1448 | 2018-07-27 |
| 1962994350 | Scott Shattuck | Pharmacist | 14406 Ne 20th Ave, Vancouver, WA 98686-1448 | 2018-06-01 |
| 1508318734 | Kaiser Foundation Health Plan of The Northwest | Dentist | 14406 Ne 20th Ave, Vancouver, WA 98686-1448 | 2016-11-04 |
| 1265984249 | Kaiser Foundation Health Plan of The Northwest | General Practice | 14406 Ne 20th Ave, Vancouver, WA 98686-1448 | 2016-10-26 |
| 1790160521 | Laurel Ann Staton-smith | Registered Nurse | 14406 Ne 20th Ave, Vancouver, WA 98686-1448 | 2015-07-22 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154891117 | Dorota Bozena Barton | Speech-Language Pathologist | 2121 Ne 139th Street Mob A, Suite 200, Vancouver, WA 98686 | 2018-12-03 |
| 1881161818 | Michelle Wolfe | Dental Assistant | A101, 1484, 14313 Ne 20th Ave, Vancouver, WA 98686 | 2018-10-29 |
| 1306321237 | Rainier Springs Physician Group, LLC | General Practice | 2805 Ne 129th Street, Vancouver, WA 98686 | 2018-09-26 |
| 1801382387 | Kristopher K Kostenko | Dentist | 14201 Ne 20th Ave Ste A101, Vancouver, WA 98686 | 2018-07-08 |
| 1689164071 | Tegan Mills | Occupational Therapist | 7101 Ne 109th Street, Apt 64, Vancouver, WA 98686 | 2018-05-11 |
| 1164924122 | Kate Kristin Lawrence | Speech-Language Pathologist | 2215 Ne 104th St, Vancouver, WA 98686 | 2018-03-06 |
| 1437609567 | Elina Baranets | Registered Nurse | 14204 Ne Salmon Creek Avenue, Vancouver, WA 98686 | 2016-10-13 |
| 1386039550 | Sean Vikram Bhatia | Internal Medicine | Kaiser Salmon Creek, 14406 Ne 20th Ave, Vancouver, WA 98686 | 2015-04-03 |
| 1376988642 | Lindsay Hussey-andersen | Orthopaedic Surgery | 2525 Ne 139th St Ste 140, Vancouver, WA 98686 | 2013-05-01 |
| 1710253109 | Legacy Salmon Creek Hospital | Speech-Language Pathologist | 2121 Ne 139th St., Mob A, Ste 200, Vancouver, WA 98686 | 2012-03-29 |
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| Taxonomy Code | 1835P0018X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
| Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management. |
| Notes: Source: National Uniform Claim Committee, 2007 [1/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659880938 | Hazel Ann Feist | Pharmacist | 14406 Nw 20th Ave, Vancouver, WA 98685-8007 | 2017-09-29 |
| 1417486127 | Teresa Michele Vaeretti | Pharmacist | 12607 Se Mill Plain Blvd, Vancouver, WA 98684 | 2017-06-06 |
| 1942751755 | Alison M Johnston | Pharmacist | 7101 Ne 137th Ave, Vancouver, WA 98682-4933 | 2016-10-17 |
| 1003366782 | Abera Geleto Abu | Pharmacist | 12607 Se Mill Plain Blvd, Vancouver, WA 98684-6055 | 2016-10-06 |
| 1578012738 | Shalli Deyo | Pharmacist | 7101 Ne 137th Ave, Vancouver, WA 98682-4933 | 2016-09-29 |
| 1083080634 | Lisa Janssen Carlson | Pharmacist | 5400 Macarthur Blvd, Vancouver, WA 98661-7049 | 2015-08-18 |
| 1427424084 | Robin Carney | Pharmacist | 5400 Macarthur Blvd, Vancouver, WA 98661-7049 | 2015-08-18 |
| 1124442587 | Ann L Anthony | Pharmacist | 400 Ne Mother Joseph Pl, Vancouver, WA 98664-3200 | 2014-02-05 |
| 1114369519 | Judith Annette Richardson | Pharmacist | 501 Se 172nd Ave, Vancouver, WA 98684-9542 | 2013-07-25 |
| 1669720645 | Ciprian Bogdan Pascu | Pharmacist | 1000 Se Tech Center Dr Ste 120, Vancouver, WA 98683-5548 | 2012-08-21 |
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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.