STACY ELIZABETH GARDEA (NPI# 1669827440) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669827440 |
| Entity Type | Individual |
| Full Name | STACY ELIZABETH GARDEA |
| Credential | CDPT |
| Practice Address |
23328 Robin Hood Dr Edmonds WA 98020-5115 |
| Practice Telephone | 4252688856 |
| Mailing Telephone | 4252688856 |
| Enumeration Date | 2016-04-28 |
| Last Update Date | 2019-02-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
CO60521553 | WA | Behavioral Health & Social Service Providers |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
23328 ROBIN HOOD DR |
| City | EDMONDS |
| State | WA |
| Zip Code | 98020-5115 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538688189 | Jennifer Ducharme | Massage Therapist | 51 W. Dayton St 304, Edmonds, WA 98020 | 2017-09-14 |
| 1164959987 | Emily Grooms | Counselor | 406 Main St Ste 115c, Edmonds, WA 98020 | 2017-05-11 |
| 1427449255 | Victoria Janssen | Registered Nurse | 2225 95th Pl W, Edmonds, WA 98020 | 2015-02-16 |
| 1922496553 | Paktia Pharmacy LLC | Pharmacy | 315 5th Ave S Unit #c, Edmonds, WA 98020 | 2015-01-06 |
| 1770928491 | Sarah Campbell | Counselor | 10016 Edmonds Way, Ste C #185, Edmonds, WA 98020 | 2013-05-08 |
| 1568765170 | Sondra Beres | Marriage & Family Therapist | 300 Admiral Way Ste 203, Edmonds, WA 98020 | 2010-12-21 |
| 1649586777 | Kelly Druin Sievertson | Social Worker | 144 Railroad Ave, Suite 212, Edmonds, WA 98020 | 2010-08-26 |
| 1588817233 | Everard Jimenez Espinosa | Anesthesiology | 911-12th Ave. North, Edmonds, WA 98020 | 2008-10-28 |
| 1811109705 | Dawud Raamah | Dentist | 7935 216th St Sw # D, # D, Edmonds, WA 98020 | 2007-05-04 |
| 1437225430 | Edmonds Vision Center Ps Inc | Optometrist | 201 5th Ave S Ste 102, Edmonds, WA 98020 | 2006-11-28 |
| Find all providers in zip 98020 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003387580 | Thomas Osterdahl | Counselor | 7935 Lake Ballinger Way, Edmonds, WA 98026-9166 | 2018-12-10 |
| 1164959987 | Emily Grooms | Counselor | 406 Main St Ste 115c, Edmonds, WA 98020 | 2017-05-11 |
| 1306045604 | Maggie C Ishaq | Counselor | 7500 212th St Sw Ste 205, Edmonds, WA 98026-7617 | 2007-07-16 |
| 1295881316 | Tammie Lynn Myers | Counselor | 9227 232nd St Sw, Edmonds, WA 98020-5025 | 2007-01-25 |
| 1023197795 | Center for Human Services | Counselor | 23200 100th Ave W, Edmonds, WA 98020-5020 | 2006-11-03 |
| 1285743450 | The Center for Counseling and Health Resources, Inc. | Counselor | 547 Dayton St, Edmonds, WA 98020-3431 | 2006-08-30 |
| 1023670528 | Susan Annette Cherry | Counselor | 7416 212th St Sw, Edmonds, WA 98026-7609 | 2019-07-03 |
| 1336610369 | William Healy | Counselor | 7935 Lake Ballinger Way, Edmonds, WA 98026-9166 | 2018-12-17 |
| 1699284356 | Brian James Murphy | Counselor | 547 Dayton St, Edmonds, WA 98020-3431 | 2017-09-26 |
| 1275059446 | Tara Ann Mounts | Counselor | 7500 212th St Sw Ste 205, Edmonds, WA 98026-7617 | 2017-08-18 |
| Find all providers in EDMONDS | ||||
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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.