WILLIAM TATLONGHARI (NPI# 1629628649) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629628649 |
| Entity Type | Individual |
| Full Name | WILLIAM TATLONGHARI |
| Practice Address |
616 6th St Bremerton WA 98337-1420 |
| Mailing Address |
Po Box 960 Bremerton WA 98337-0212 |
| Practice Telephone | 3603773776 |
| Mailing Telephone | 3603773776 |
| Enumeration Date | 2019-09-12 |
| Last Update Date | 2019-09-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
616 6TH ST |
| City | BREMERTON |
| State | WA |
| Zip Code | 98337-1420 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861483109 | Arthur Douglas Felts | Family Medicine | 616 6th St, Bremerton, WA 98337-1420 | 2005-11-04 |
| 1255952701 | Emily Grace Conway | Nurse Practitioner | 616 6th St, Bremerton, WA 98337-1420 | 2020-05-06 |
| 1457990509 | Peninsula Community Health Services | Clinic/Center | 616 6th St, Bremerton, WA 98337-1420 | 2020-01-06 |
| 1891257747 | Andrew Charles Lane | Dentist | 616 6th St, Bremerton, WA 98337-1420 | 2019-04-01 |
| 1992278030 | Peninsula Community Health Services | Clinic/Center | 616 6th St, Bremerton, WA 98337-1420 | 2019-01-10 |
| 1083187124 | Peninsula Community Health Services | Family Medicine | 616 6th St, Bremerton, WA 98337-1420 | 2019-01-10 |
| 1053823047 | Scott Jeffrey Clemons | Nurse Practitioner | 616 6th St, Bremerton, WA 98337-1420 | 2017-10-30 |
| 1891235388 | Edwin Gi Lim Kim | Dentist | 616 6th St, Bremerton, WA 98337-1420 | 2017-03-02 |
| 1205376977 | Peninsula Community Health Services | Dentist | 616 6th St, Bremerton, WA 98337-1420 | 2017-03-01 |
| 1346792108 | Ann Ms Jones | Dentist | 616 6th St, Bremerton, WA 98337-1420 | 2016-10-27 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902379563 | Paul Hastings | Physician Assistant | Peninsula Community Health Services, 400 Warren Ave, Suite 200, Bremerton, WA 98337 | 2019-01-07 |
| 1083199285 | Jacob Lawrence Barnes | Behavioral Analyst | 1709 13th St, Bremerton, WA 98337 | 2018-10-03 |
| 1295254092 | James Richard Mccormack | Counselor | 851 6th St Ste 135, Kitsap Hypnosis Center LLC, Bremerton, WA 98337 | 2017-09-12 |
| 1629593728 | Tina Mae Davis-munn | Registered Nurse | 345 6th St, Suite 300, Bremerton, WA 98337 | 2017-08-09 |
| 1962927384 | Linda Louise Tourigny | Registered Nurse | 345 6th St Suite 300, Bremerton, WA 98337 | 2017-08-07 |
| 1417480609 | Diane Marie Sabo | Counselor | 843 6th Street, Suite 220 and 240, Bremerton, WA 98337 | 2017-04-05 |
| 1659792265 | Allan L Hablutzel | Dentist | 820 Pacific Ave., Suite 204, Bremerton, WA 98337 | 2013-12-27 |
| 1881979722 | Sidestix Ventures Usa | Durable Medical Equipment & Medical Supplies | 410 Ida St. West, Ste 201, Bremerton, WA 98337 | 2011-10-11 |
| 1346545829 | Doyle & Associates Chiropractic Clinic Inc Ps | Chiropractor | 603 Chester Avenue, Bremerton, WA 98337 | 2011-01-14 |
| 1285762856 | Tracee Arlene Costa | Massage Therapist | 911 Adele Rd., Bremerton, WA 98337 | 2007-03-02 |
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| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689141442 | Joshua Anthony Hoskin | Student in an Organized Health Care Education/Training Program | 290 Ne Mcwilliams Ct, Bremerton, WA 98311-2505 | 2018-10-30 |
| 1730676503 | Leslie Pohl | Student in an Organized Health Care Education/Training Program | 3044 Viewcrest Dr Ne, Bremerton, WA 98310-9740 | 2018-04-17 |
| 1811341605 | Khuyen Tran | Student in an Organized Health Care Education/Training Program | 2512 Wheaton Way Ste B, Bremerton, WA 98310-3303 | 2016-04-18 |
| 1053788117 | Amber Lethin | Student in an Organized Health Care Education/Training Program | 1554 Shorewood Dr, Apt B, Bremerton, WA 98312-2323 | 2015-08-25 |
| 1194013532 | Casey Mccann | Student in an Organized Health Care Education/Training Program | 1 Boone Rd., Naval Hospital Bremerton, Bremerton, WA 98312 | 2011-07-19 |
| 1124626601 | Rebecca Martin-dean | Student in an Organized Health Care Education/Training Program | 5455 Almira Dr Ne, Bremerton, WA 98311-8330 | 2020-10-15 |
| 1144833112 | Makenzie Noel Good | Student in an Organized Health Care Education/Training Program | 5455 Almira Dr Ne, Bremerton, WA 98311-8330 | 2020-08-28 |
| 1538783154 | Livingston Pfalzgraf Martin | Student in an Organized Health Care Education/Training Program | 4207 Kitsap Way, Bremerton, WA 98312-2447 | 2020-05-29 |
| 1548884174 | Robert Thomas Platt | Student in an Organized Health Care Education/Training Program | 4207 Kitsap Way, Bremerton, WA 98312-2447 | 2020-05-29 |
| 1114541836 | Kessley Bleu Medina Scott | Student in an Organized Health Care Education/Training Program | 4207 Kitsap Way, Bremerton, WA 98312-2447 | 2020-05-29 |
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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.