AUDRA SISAK (NPI# 1578918207) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578918207 |
| Entity Type | Individual |
| Full Name | AUDRA SISAK |
| Practice Address |
7711 156th Street Ct E Puyallup WA 98375-7653 |
| Practice Telephone | 6093128261 |
| Mailing Telephone | 6093128261 |
| Enumeration Date | 2016-05-02 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | Other Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 610 Bourdois Ave, Bellport, NY 117131631 | 6318030088 |
| Street Address |
7711 156TH STREET CT E |
| City | PUYALLUP |
| State | WA |
| Zip Code | 98375-7653 |
| 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 | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124643978 | Roxanne Grant-duell | Specialist | 12811 Canyon Rd E Ste D, Puyallup, WA 98373-6301 | 2020-06-08 |
| 1568903664 | Lolita Arevalo | Specialist | 2535 S Meridian Apt W104, Puyallup, WA 98373-2735 | 2017-03-09 |
| 1104286921 | Karen Escudero | Specialist | 7503 144th St E, Puyallup, WA 98375-8269 | 2016-03-07 |
| 1346650967 | Bethany Bevier | Specialist | 502 14th St Sw, Puyallup, WA 98371-5758 | 2014-05-05 |
| 1598106114 | Susan Carol Richards | Specialist | 2717 E Main, Puyallup, WA 98372-3165 | 2013-07-11 |
| 1487931945 | Dawn K. Hammer | Specialist | 105 W Main Ste A, Puyallup, WA 98371-5388 | 2011-11-12 |
| 1134412596 | Jackie Marie Bennett | Specialist | 10508 123rd Street Ct E, Puyallup, WA 98374-2626 | 2011-05-18 |
| 1023336070 | Whitney Lin Smith | Specialist | 8112 112th Street Ct E, Puyallup, WA 98373-7815 | 2010-05-13 |
| 1194057604 | Ruth Keheley Burnett | Specialist | 818 39th Ave Sw Ste A, Puyallup, WA 98373-3308 | 2010-02-08 |
| 1053647701 | Kelly Riley | Specialist | 1011 E Main Ave Ste 201, Puyallup, WA 98372-6777 | 2009-10-29 |
| Find all providers in PUYALLUP | ||||
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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.