FELICIA STALEY (NPI# 1649741893) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1649741893 |
Entity Type | Individual |
Full Name | FELICIA STALEY |
Practice Address |
9720 S Tacoma Way Lakewood WA 98499-4456 |
Mailing Address |
7972 Maple Ave Se Snoqualmie WA 98065 |
Practice Telephone | 2533047753 |
Practice Fax Number | 2533028493 |
Enumeration Date | 2018-12-16 |
Last Update Date | 2019-01-25 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 175T00000X | Peer Specialist | Other Service Providers |
Address | Telephone Number | Fax Number |
---|---|---|
7972 Maple Ave Se, Snoqualmie, WA 98065 | 4252920743 |
Street Address |
9720 S TACOMA WAY |
City | LAKEWOOD |
State | WA |
Zip Code | 98499-4456 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255387783 | Joseph D. Ference | Physician Assistant | 9720 S Tacoma Way, Lakewood, WA 98499-4456 | 2006-05-26 |
1649871674 | Reta Kern | Counselor | 9720 S Tacoma Way, Lakewood, WA 98499-4456 | 2020-11-05 |
1497353981 | Tyanna Loder | Licensed Practical Nurse | 9720 S Tacoma Way, Lakewood, WA 98499-4456 | 2020-10-15 |
1346850112 | Marina Desouza | Counselor | 9720 S Tacoma Way, Lakewood, WA 98499-4456 | 2020-08-05 |
1164030821 | Francesca Goetz | Licensed Practical Nurse | 9720 S Tacoma Way, Lakewood, WA 98499-4456 | 2020-07-20 |
1114535317 | Denai Pabst | Licensed Practical Nurse | 9720 S Tacoma Way, Lakewood, WA 98499-4456 | 2020-07-14 |
1205459831 | Angela Johnson | Counselor | 9720 S Tacoma Way, Lakewood, WA 98499-4456 | 2020-05-18 |
1245852961 | Gary Holland | Licensed Practical Nurse | 9720 S Tacoma Way, Lakewood, WA 98499-4456 | 2020-05-15 |
1073142550 | Dennis Kish | Counselor | 9720 S Tacoma Way, Lakewood, WA 98499-4456 | 2020-04-06 |
1245865666 | Heather Hembree | Counselor | 9720 S Tacoma Way, Lakewood, WA 98499-4456 | 2020-03-05 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275159592 | Sea Mar Community Health Centers | Clinic/Center | 5700 100th Street Se, Suite 510, Lakewood, WA 98499 | 2020-06-23 |
1568018828 | Heather Leigh Andrade | Behavioral Analyst | 6210 75th St W Ste 100, Lakewood, WA 98499 | 2019-08-13 |
1043870876 | Seoul Chinese Herbs Inc | Acupuncturist | 8705 S. Tacoma Way, Lakewood, WA 98499 | 2019-06-14 |
1013572064 | Puget Sound Kidney Centers | Clinic/Center | 11950 47th Ave Sw, Lakewood, WA 98499 | 2019-05-06 |
1447736657 | Marcela Cunan | Counselor | 9330 59th Avenue Southest, Lakewood, WA 98499 | 2018-07-11 |
1609382381 | Leroy Moore IIi | Counselor | 8811 S. Tacoma Way, 106, Lakewood, WA 98499 | 2017-12-18 |
1578077657 | Andrea Gaston | Behavior Technician | 8815 S. Tacoma Way, Suite 122, Lakewood, WA 98499 | 2017-11-27 |
1609389931 | Jennifer King | Social Worker | 5900 100th St Sw Ste 17b, Lakewood, WA 98499 | 2017-11-08 |
1750806337 | Wonyoung Lee | Counselor | 8811 South Tacoma Way, Suite 106, Lakewood, WA 98499 | 2017-08-04 |
1043749443 | Frederick Paltron Edwards | Counselor | 9500 Front Street, Suite 100, Lakewood, WA 98499 | 2017-06-08 |
Find all providers in zip 98499 |
Taxonomy Code | 175T00000X |
Grouping | Other Service Providers |
Classification | Peer Specialist |
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. |
Notes: Source: National Uniform Claim Committee [7/1/2014: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275180846 | Amy Joe Wharton | Peer Specialist | 1265 Donald Ave, Lakewood, OH 44107-2805 | 2019-08-20 |
1043863145 | Ronald Edward Shelton Jr. | Peer Specialist | 2005 Carabel Ave Apt 5, Lakewood, OH 44107-5758 | 2019-07-18 |
1144880709 | Norm Weber | Peer Specialist | 14513 Athens Ave, Lakewood, OH 44107-5910 | 2019-06-17 |
1952882318 | Melody E Mesmer | Peer Specialist | 34 Van Gordon St Ste 210, Lakewood, CO 80228-1713 | 2018-08-23 |
1780178061 | Christopher B Hall | Peer Specialist | 1428 Maile Ave # Up, Lakewood, OH 44107-3315 | 2018-06-19 |
1912513136 | Ashley Maeve Marrow | Peer Specialist | 9330 59th Ave Sw, Lakewood, WA 98499-6600 | 2020-09-22 |
1477037513 | Crystal Jan Clark | Peer Specialist | 9720 S Tacoma Way, Lakewood, WA 98499-4456 | 2018-09-24 |
1124524376 | Glenn Alston Jr. | Peer Specialist | 9330 59th Ave Sw, Lakewood, WA 98499-2858 | 2018-04-04 |
1407367337 | Kristi Lynne Snyder | Peer Specialist | 9485 W Colfax Ave, Lakewood, CO 80215-3918 | 2017-10-18 |
1669833273 | Dina Eledge | Peer Specialist | 12055 W 2nd Pl, Lakewood, CO 80228-1506 | 2016-03-09 |
Find all providers in LAKEWOOD |
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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.