DAVID A PECK (NPI# 1598831398) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598831398 |
| Entity Type | Individual |
| Full Name | DAVID A PECK |
| Credential | ARNP |
| Practice Address |
500 E. Webster Chewelah WA 99109 |
| Mailing Address |
Po Box 197 Chewelah WA 99109-0197 |
| Practice Telephone | 5099358211 |
| Mailing Telephone | 5099358211 |
| Enumeration Date | 2006-11-27 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
AP30003820 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 9636457 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770199648 | David Ford Peck Jr. | Marriage & Family Therapist | 1738 Union St Ste 302, San Francisco, CA 94123-4425 | 2020-09-16 |
| 1740815539 | David Peck | Driver | 853 S 17th St, Fort Dodge, IA 50501-5345 | 2020-03-11 |
| 1316001696 | David Ira Peck | Dentist | 174 Worthington St, Springfield, MA 01103-1220 | 2006-12-20 |
| 1851486625 | David Paul Peck | Optometrist | 1201 10th St, Woodward, OK 73801-3107 | 2006-10-04 |
| 1619260627 | David Peck | Pharmacist | 3400 Dudley Ave, Parkersburg, WV 26104-1810 | 2011-05-24 |
| 1063663326 | David Robert Peck | Physician Assistant | 852 Dacula Rd, Dacula, GA 30019 | 2008-10-06 |
| 1124103130 | David L Peck | Specialist | 1130 Belt Line Rd Ste 100, Garland, TX 75040-3668 | 2006-10-26 |
| 1336152313 | David John Peck | Emergency Medicine | 5525 Grossmont Center Dr, La Mesa, CA 91942-3009 | 2006-08-14 |
| 1114940392 | David B Peck | Physician Assistant | 200 Memorial Avenue, Carroll Hospital Center, Westminster, MD 21157-5799 | 2006-07-26 |
| 1023038098 | David Fraser Peck | Physician Assistant | 1500 East Medical Center Dr, B1 Floor University Hospital Recp C, Ann Arbor, MI 48109-5030 | 2006-07-20 |
| Street Address |
500 E. WEBSTER |
| City | CHEWELAH |
| State | WA |
| Zip Code | 99109 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609322528 | Providence Health & Services | In Home Supportive Care | 110 S. Third Street E., Chewelah, WA 99109 | 2016-08-31 |
| 1639525157 | Shelley Gail Schreibman | Specialist | 101 N Park Street, Po, Chewelah, WA 99109 | 2016-05-13 |
| 1518361831 | David Stroyan | Pharmacist | 518 E Clay, New Health Programs, Chewelah, WA 99109 | 2014-10-15 |
| 1942554712 | Renee S Thompson | Psychologist | 208 E Clay St, Chewelah, WA 99109 | 2012-11-01 |
| 1356616759 | Paul Michael Cockerham | Physical Therapist | 101 N. Park St., Chewelah, WA 99109 | 2012-03-19 |
| 1669768479 | Lori S King | Veterinarian | 1505 N Pinebrook Dr, Chewelah, WA 99109 | 2011-06-21 |
| 1619268281 | Providence Physician Services Co | Family Medicine | 100 W. South Ave Chewelah, Chewelah, WA 99109 | 2011-04-29 |
| 1245557917 | Providence Physician Services Co | Obstetrics & Gynecology | 518 Clay Street, Chewelah, WA 99109 | 2010-04-21 |
| 1033340088 | Scott Anthony Lake | Dentist | 616 E Main, Chewelah, WA 99109 | 2009-08-06 |
| 1659560787 | Robin D Bowman | Counselor | 2264 C. Sand Canyon Road, Chewelah, WA 99109 | 2007-10-15 |
| Find all providers in zip 99109 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437259025 | Diana Jane Bryant | Nurse Practitioner | 500 E Webster Ave, Chewelah, WA 99109-9523 | 2006-09-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447875752 | Vincent Gutierrez | Nurse Practitioner | 4120 N 19th St, Tacoma, WA 98406-4718 | 2020-06-11 |
| 1003463951 | Corene Kimberly Irvin | Nurse Practitioner | 15508 80th Avenue Ct E, Puyallup, WA 98375-8489 | 2019-08-23 |
| 1427527233 | Nikki Lillian Nino | Nurse Practitioner | 9819 Harborview Pl, Gig Harbor, WA 98332-1018 | 2018-11-21 |
| 1386134203 | Heather J Mckinney | Nurse Practitioner | 6420 Tacoma Mall Blvd Ste 101, Tacoma, WA 98409-6722 | 2018-05-16 |
| 1427551159 | Amanda Catherine Maclurg | Nurse Practitioner | 1802 S Yakima Ave Ste 302, Tacoma, WA 98405 | 2018-03-08 |
| 1568850154 | Cara Cook | Nurse Practitioner | 1504 Nw 57th St, Seattle, WA 98107-3017 | 2015-01-05 |
| 1770913022 | Amanda Ray | Nurse Practitioner | 118 Nw 188th St, Shoreline, WA 98177-3033 | 2013-11-24 |
| 1487999140 | Jessica Morgan White | Nurse Practitioner | 2607 Bridgeport Way W Ste 2e, University Place, WA 98466-4725 | 2012-12-06 |
| 1851625701 | Cathy Phan | Nurse Practitioner | 4029 Northwest Ave Ste 301a, Bellingham, WA 98226-9077 | 2009-09-24 |
| 1902054687 | Lk Healthcare Systems, L.L.C. | Nurse Practitioner | 12611 W Sunset Hwy, Suite B, Airway Heights, WA 99001-9427 | 2008-09-05 |
| 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.