FELICIA STALEY


Address: 9720 S Tacoma Way, Lakewood, WA 98499-4456
Phone: 2533047753

FELICIA STALEY (NPI# 1649741893) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 175T00000X Peer Specialist Other Service Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
7972 Maple Ave Se, Snoqualmie, WA 98065 4252920743

Office Location

Street Address 9720 S TACOMA WAY
City LAKEWOOD
State WA
Zip Code 98499-4456

Providers in the same location

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

Providers in the same zip code

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 Information

Taxonomy Code 175T00000X
Grouping Other Service Providers
Classification Peer Specialist

Taxonomy Definition

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]

Providers in the same taxonomy and city

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

Competitor

Search similar providers

City LAKEWOOD
Zip Code 98499

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Dataset Information

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.

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