THEPTHARA NUI PHOLSENA (NPI# 1588932495) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588932495 |
| Entity Type | Individual |
| Full Name | THEPTHARA NUI PHOLSENA |
| Other Name | NUI PHOLSENA |
| Practice Address |
17707 W Main St 1st Fl Monroe WA 98272-1967 |
| Mailing Address |
Po Box 34703 Seattle WA 98124-1703 |
| Practice Telephone | 3602823885 |
| Practice Fax Number | 3602823886 |
| Mailing Telephone | 2067643335 |
| Mailing Fax Number | 2067640489 |
| Enumeration Date | 2011-12-06 |
| Last Update Date | 2011-12-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
AP60248306 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
17707 W MAIN ST 1ST FL |
| City | MONROE |
| State | WA |
| Zip Code | 98272-1967 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508049008 | Sea-mar Community Health Center | Clinic/Center | 17707 W Main St, 1st Floor, Monroe, WA 98272-1967 | 2007-12-07 |
| 1760965867 | Gloria Angelica Fisher-herrera | Nurse Practitioner | 17707 W Main St, Monroe, WA 98272-1967 | 2018-09-13 |
| 1750803524 | Phami Lieu | Dental Hygienist | 17707 W Main St, Monroe, WA 98272-1967 | 2017-07-12 |
| 1730536400 | Rachel Burrington | Nurse Practitioner | 17707 W Main St, Monroe, WA 98272-1967 | 2016-05-23 |
| 1083086573 | Meghan Lea Devlin | Registered Nurse | 17707 W Main St, Monroe, WA 98272-1967 | 2015-10-23 |
| 1992114441 | Luis Acevedo Rodriguez | Dentist | 17707 W Main St, Monroe, WA 98272-1967 | 2014-08-08 |
| 1083020945 | Rodslyn Kenney | Counselor | 17707 W Main St, 1st Fl, Monroe, WA 98272-1967 | 2014-07-10 |
| 1942626072 | Sea-mar Community Health Center | Dentist | 17707 W Main St, Monroe, WA 98272-1967 | 2014-03-13 |
| 1982857157 | Sea-mar Community Health Center | Clinic/Center | 17707 W Main St, 1st Floor, Monroe, WA 98272-1967 | 2008-10-31 |
| 1598924391 | Andrea Britton-simmons | Counselor | 17707 W Main St, Sea Mar, Monroe, WA 98272-1967 | 2008-06-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710346135 | Kiran Agarwal | Internal Medicine | 17707 W Main St Fl 1, Monroe, WA 98272 | 2016-02-12 |
| 1982073136 | Rochelle Conway Toulouse | Behavioral Analyst | 642 North Street, Monroe, WA 98272 | 2015-09-17 |
| 1740658467 | Casey Jane Bahr | Social Worker | Casey Bahr, C.o. Tru- Sotap, 16550 177th Ave Se, Monroe, WA 98272 | 2015-09-11 |
| 1811395049 | Gianna M Rosewood | Massage Therapist | 101 East Main Street Set 201, Monroe, WA 98272 | 2014-12-22 |
| 1528478609 | Puget Sound Kidney Centers | Clinic/Center | 18121 149th Street Se, Monroe, WA 98272 | 2014-04-29 |
| 1215356878 | Sabiha K Barot | Emergency Medicine | Evergreenhealth Monroe, 14701 179th Ave. Se, Monroe, WA 98272 | 2014-04-10 |
| 1346677986 | Irina Emily Goldstein | Pharmacist | 179th Ave Se, Monroe, WA 98272 | 2013-09-27 |
| 1740612449 | Erik Michael Erxleben | Massage Therapist | 211 West Hill St., Monroe, WA 98272 | 2013-08-05 |
| 1780023796 | Jamie Marlo Selbe | Counselor | 16560 167th St Se, Monroe, WA 98272 | 2013-06-24 |
| 1942644620 | Robin Fenn | Counselor | 14841 179th Ave Se, St 230, Neary Naturopathic Clinic, Monroe, WA 98272 | 2013-04-24 |
| Find all providers in zip 98272 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144847211 | Pelican Mobile Health, LLC | Nurse Practitioner | 105 Aycock Rd, Monroe, LA 71203-9335 | 2020-07-06 |
| 1205370558 | Georgianne Ashley Summer | Nurse Practitioner | 538 Roscoe Davis Rd Sw, Monroe, GA 30656-7915 | 2016-12-06 |
| 1790146744 | Katerina Listopad | Nurse Practitioner | 24 Grandview Trl, Monroe, NY 10950-6623 | 2016-03-17 |
| 1851750749 | Barbara A. Mahon | Nurse Practitioner | 19 Turnberry Ct, Monroe, NY 10950-5574 | 2016-02-19 |
| 1417171232 | Sheryl E Allbert | Nurse Practitioner | 16730 177th Ave Se, Monroe, WA 98272 | 2007-04-12 |
| 1710974969 | Kami Worley Wiedeman | Nurse Practitioner | 2516 Broadmoor Blvd, Monroe, LA 71201-2988 | 2005-10-03 |
| 1457875908 | Patricia Ann O'rourke | Nurse Practitioner | 1016 E Spring St, Monroe, GA 30655-2469 | 2017-07-26 |
| 1164944294 | Taisha S Davis | Nurse Practitioner | 855 State Route 17m, Monroe, NY 10950-1600 | 2017-07-11 |
| 1003365008 | Brittany Simpson | Nurse Practitioner | 515 22nd Ave, Monroe, WI 53566-1569 | 2016-10-02 |
| 1508314667 | Yunmi Choi | Nurse Practitioner | 324 Elm St, 202b, Monroe, CT 06468-2280 | 2016-09-19 |
| Find all providers in MONROE | ||||
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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.