TAMMRA LYNN SANDALL (NPI# 1598242901) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598242901 |
| Entity Type | Individual |
| Full Name | TAMMRA LYNN SANDALL |
| Credential | CP00005903 |
| Practice Address |
2900 Beaudry Rd Moxee WA 98936-9425 |
| Practice Telephone | 5099307478 |
| Mailing Telephone | 5099307478 |
| Enumeration Date | 2018-07-27 |
| Last Update Date | 2018-07-27 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
CP00005903 | WA | Behavioral Health & Social Service Providers |
| Street Address |
2900 BEAUDRY RD |
| City | MOXEE |
| State | WA |
| Zip Code | 98936-9425 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275920282 | Edelmira Gonzalez | Case Manager/Care Coordinator | 914 Millenium Ave, Moxee, WA 98936-8806 | 2015-04-17 |
| 1548871122 | Carrie Destiny Gutierrez-simpson | Counselor | 801 Citra Ave, Moxee, WA 98936-8814 | 2020-08-16 |
| 1104304484 | Michelle Pauline Holman | Counselor | 103 Olympic Ave, Moxee, WA 98936-9019 | 2018-07-30 |
| 1902137581 | Misty Prince | Massage Therapist | 610 N Iler St, Moxee, WA 98936-9025 | 2010-01-21 |
| 1366075681 | Samantha Anderson | Massage Therapist | 214 Millenium St, Moxee, WA 98936-9358 | 2020-02-14 |
| 1740429166 | Heather Chronister | Counselor | 102 Rainier Ave, Moxee, WA 98936-9396 | 2009-02-09 |
| 1689207151 | Delora Hale | Home Health Aide | 102 Rainier Ave, Moxee, WA 98936-9396 | 2020-02-12 |
| 1982661138 | Amie Goroski | Pharmacist | 8201 Beauchene Rd, Moxee, WA 98936-9452 | 2006-04-28 |
| 1235534819 | Bruce Carey Samuels | Massage Therapist | 300 Alps Rd, Unit 1030, Moxee, WA 98936-9517 | 2014-10-25 |
| 1609049915 | Karen J Green | Counselor | 3870 Desmarais Rd, Moxee, WA 98936-9718 | 2008-04-08 |
| Find all providers in zip 98936 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104304484 | Michelle Pauline Holman | Counselor | 103 Olympic Ave, Moxee, WA 98936-9019 | 2018-07-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508467564 | Summit Health Management Pllc | Counselor | 6625 Wagner Way Ste 320, Gig Harbor, WA 98335-8392 | 2020-11-05 |
| 1013517952 | Maria Escobedo | Counselor | 1321 N. Ash, Spokane, WA 99201 | 2020-10-29 |
| 1457951311 | Jonathan B Hall | Counselor | 1107 Grant Ave, Port Angeles, WA 98362-2728 | 2020-10-29 |
| 1598365595 | Deepeka Taya | Counselor | 17123 120th Ln Se Apt S303, Renton, WA 98058-5992 | 2020-10-28 |
| 1447850904 | Bethany Baril | Counselor | 1800 112th Ave Ne Ste 150w, Bellevue, WA 98004-2993 | 2020-10-26 |
| 1588263032 | Mark Alan Jewett | Counselor | 528 208th Ave Ne, Sammamish, WA 98074-6936 | 2020-10-25 |
| 1184223869 | Season Silk | Counselor | 523 Rainier St, La Conner, WA 98257-4707 | 2020-10-22 |
| 1366041048 | Shawna Lynn Mokler | Counselor | 841 Central Ave N Ste 215, Kent, WA 98032-2014 | 2020-10-22 |
| 1548868276 | Mind Over Matters, Pllc | Counselor | 2525 55th Ave Ne, Tacoma, WA 98422-3404 | 2020-10-14 |
| 1770180200 | Arika Wydur | Counselor | 23912 27th Ave Ne, Arlington, WA 98223-7629 | 2020-10-07 |
| Find all providers with the same taxonomy | ||||
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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.