LESLIE WIERSUM (NPI# 1598018269) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598018269 |
| Entity Type | Individual |
| Full Name | LESLIE WIERSUM |
| Practice Address |
12033 Se 256th Street Kent WA 98030 |
| Mailing Address |
222 Queen Anne Ave Seattle WA 98109 |
| Practice Telephone | 2533737000 |
| Enumeration Date | 2012-10-18 |
| Last Update Date | 2012-10-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | OT60174905 | WA | Other Service Providers |
| Street Address |
12033 SE 256TH STREET |
| City | KENT |
| State | WA |
| Zip Code | 98030 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871193193 | Sarah V Swan | Occupational Therapist | 12033 Se 265th St, Kent, WA 98030 | 2020-10-27 |
| 1346889250 | Kaylee Meilahn | Nurse Practitioner | 219 State Ave. N, Suite 220, Kent, WA 98030 | 2019-12-26 |
| 1508417429 | Pamela Stefansky | Technician | 25927 119th Ct Se, Kent, WA 98030 | 2019-09-23 |
| 1144703885 | Healthpoint | Clinic/Center | 219 State Ave N, Ste 100, Kent, WA 98030 | 2018-09-10 |
| 1932681921 | Johana Sanchez-vidales | Massage Therapist | 24837 104th Ave Se #100, Kent, WA 98030 | 2018-09-05 |
| 1265925309 | Linda Tomkins | Chiropractor | 12901 Se Kent-kangley Rd, Kent, WA 98030 | 2018-06-13 |
| 1952809543 | Sarah Rose Collins | Massage Therapist | 13003 Se Kent Kangley Rd Ste 110, Kent, WA 98030 | 2018-01-29 |
| 1942726815 | Alexandra B Zigmont | Physical Therapist | 12926 Se Kent Kangley Road, Kent, WA 98030 | 2017-08-22 |
| 1659801256 | Mitra Lal Dhital | Counselor | 3639 Mlk Jr Way S Seattle, Seattle, WA 98030 | 2017-06-15 |
| 1952838658 | Elizabeth Burson | Registered Nurse | 25742 104th Avenue Se, Kent, WA 98030 | 2017-05-12 |
| Find all providers in zip 98030 | ||||
| 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 |
|---|---|---|---|---|
| 1366982761 | Estrellita Wagner- Villasenor | Specialist | 21413 111th Ct Se, Kent, WA 98031-2190 | 2017-03-03 |
| 1497125116 | Mariah Rock | Specialist | 12911 Southeast Kent Kangley Road, Kent, WA 98030 | 2015-10-07 |
| 1508251620 | Lori Michele Williams | Specialist | 524 W Meeker St Ste 4, Kent, WA 98032-5766 | 2015-04-06 |
| 1982012266 | Bed Bug Burners, LLC | Specialist | 330 Tallmadge Rd., Unit F2, Kent, OH 44240 | 2014-07-30 |
| 1922433515 | Ernest Fatta | Specialist | 23501 112th Ave Se, M102, Kent, WA 98031-3409 | 2013-09-13 |
| 1528318862 | Mary Margaret Altena | Specialist | 4014 S 270th St, Kent, WA 98032-7139 | 2012-09-13 |
| 1164797759 | Lisa Marie Shepard | Specialist | 21245 110th Ave Se, Kent, WA 98031-2145 | 2012-03-14 |
| 1629352752 | Brianna Dean | Specialist | 20430 95th Ave S, Kent, WA 98031-1464 | 2011-10-07 |
| 1043594658 | Karen Ann Little | Specialist | 28027 140th Lane Se, Kent, WA 98042 | 2011-09-30 |
| 1649571944 | Jeong Bum Lee | Specialist | 1048 W James St Ste 104, Kent, WA 98032-4600 | 2010-11-03 |
| Find all providers in KENT | ||||
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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.