MR. JOHNNY LEE LEBORD (NPI# 1659584001) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659584001 |
| Entity Type | Individual |
| Full Name | MR. JOHNNY LEE LEBORD |
| Credential | M.P. |
| Practice Address |
9001 35th Ave Sw Seattle WA 98126-3820 |
| Mailing Address |
15539 Meridian Ave N Shoreline WA 98133-6038 |
| Practice Telephone | 2067550008 |
| Practice Fax Number | 2069336088 |
| Mailing Telephone | 2067550008 |
| Mailing Fax Number | 2069336088 |
| Enumeration Date | 2007-05-08 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | MA00015163 | WA | Other Service Providers |
| Street Address |
9001 35TH AVE SW |
| City | SEATTLE |
| State | WA |
| Zip Code | 98126-3820 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902989577 | West Seattle Community Clinic Pllc | Clinic/Center | 9001 35th Ave Sw, Seattle, WA 98126-4801 | 2006-10-24 |
| 1205014123 | Nancy Ann Serejch | Massage Therapist | 9001 35th Ave Sw, Seattle, WA 98126-3327 | 2008-02-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750926341 | Andre L Cherry | Counselor | Navos - West Seattle, 2600 Sw Holden St, Seattle, WA 98126 | 2019-11-07 |
| 1477071314 | Hailey Justine Long | Registered Nurse | 5444 29th Ave Sw, Seattle, WA 98126 | 2017-08-30 |
| 1952824153 | Margaret Jane Oliver | Behavior Technician | 7942 29th Ave Sw, Seattle, WA 98126 | 2017-07-19 |
| 1538610282 | Kathleen Unterreiner Licsw | Community/Behavioral Health | 3261 Sw Avalon Way, Apt 411, Seattle, WA 98126 | 2016-10-18 |
| 1689123507 | Omotade Adeola Mallum | Occupational Therapy Assistant | 9408 35th Ave Sw, Unit B, Seattle, WA 98126 | 2016-10-04 |
| 1598211732 | Christopher Shawn Osler | Physical Therapy Assistant | 7346 32nd Ave Sw, Seattle, WA 98126 | 2016-08-28 |
| 1871989368 | Sara Lynne Smith | Counselor | 5225 35th Avenue South West, Seattle, WA 98126 | 2015-04-10 |
| 1689083032 | Kristine Ellyn Highlander | Nurse Practitioner | 2600 Sw Holden St., Navos Inpatient Services, Seattle, WA 98126 | 2014-08-11 |
| 1346657814 | Buu Bui | Family Medicine | 4550 Fauntleroy Way Sw # Ms 206-01, Seattle, WA 98126 | 2014-07-16 |
| 1598015950 | Kimberly Pendergrass | Social Worker | 2600 S. W. Holden Street, Seattle, WA 98126 | 2012-09-13 |
| Find all providers in zip 98126 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477172963 | Gary W Bangs | Specialist | 325 9th Ave # Ms 359860, Seattle, WA 98104-2420 | 2020-04-14 |
| 1073153748 | Eric Vincent Currier | Specialist | 7218 Linden Ave. N., Seattle, WA 98103 | 2020-01-10 |
| 1447794391 | Ruth Aaronson | Specialist | 4636 E. Marginal Way, Seattle, WA 98134 | 2016-12-12 |
| 1386186807 | Kristin Jeanine Travis | Specialist | 8405 12th Ave S, Seattle, WA 98108-4418 | 2016-11-15 |
| 1700332186 | Dustin Eugene Taylor | Specialist | 9849 17th Ave Sw # 127, Seattle, WA 98106-2714 | 2016-08-26 |
| 1053865006 | Lifespan Biosciences | Specialist | 2401 4th Ave, Suite 900, Seattle, WA 98121-3419 | 2016-08-08 |
| 1699140426 | Trent L Tredway Md | Specialist | 901 Boren Ave Ste 600, Seattle, WA 98104-3596 | 2015-12-04 |
| 1467829226 | Elizabeth Terry | Specialist | 1601 N 52nd St, Seattle, WA 98103-6109 | 2015-08-27 |
| 1376929919 | Matthew Kory Grey | Specialist | 3001 Beacon Ave S, Seattle, WA 98144-5853 | 2015-08-05 |
| 1497130207 | Jaqulyn Nikole Carrell | Specialist | 3910 Montlake Blvd Ne, Seattle, WA 98195-0001 | 2015-07-22 |
| Find all providers in SEATTLE | ||||
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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.