MR. ISSACHAR NISTRIAN (NPI# 1679068852) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679068852 |
| Entity Type | Individual |
| Full Name | MR. ISSACHAR NISTRIAN |
| Credential | CRST |
| Practice Address |
3626 Factoria Blvd Se Bellevue WA 98006-6128 |
| Mailing Address |
5603 Elaine Ave Se Auburn WA 98092-8399 |
| Practice Telephone | 3104094277 |
| Enumeration Date | 2018-06-28 |
| Last Update Date | 2018-06-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 156F00000X | Technician/Technologist | 60736793 | WA | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | REGISTRATION | 6073693 | 01 |
| Street Address |
3626 FACTORIA BLVD SE |
| City | BELLEVUE |
| State | WA |
| Zip Code | 98006-6128 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659736056 | Jennifer Lee Smith | Dental Assistant | 3626 Factoria Blvd Se, Bellevue, WA 98006-6128 | 2015-12-30 |
| 1124644174 | Serghei Petcu | Dentist | 3626 Factoria Blvd Se, Bellevue, WA 98006-6128 | 2020-06-24 |
| 1740750942 | Joi Beene | Dental Hygienist | 3626 Factoria Blvd Se, Bellevue, WA 98006-6128 | 2018-11-29 |
| 1871072587 | Ana Fusu | Dentist | 3626 Factoria Blvd Se, Bellevue, WA 98006-6128 | 2018-08-13 |
| 1073030045 | Nhi Thi Yen Nguyen | Dental Assistant | 3626 Factoria Blvd Se, Bellevue, WA 98006-6128 | 2017-08-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033602628 | Junmei Jin | Acupuncturist | 4317 Factoria Blvd Se Ste C, Bellevue, WA 98006 | 2018-06-08 |
| 1144733106 | Justin J Ho | Physical Therapist | 12917 Se 38th St Ste 208, Bellevue, WA 98006 | 2017-11-13 |
| 1932507191 | & Foot Specialists of Puget Sound, Ps | Podiatrist | 4140 Factoria Blvd Se Suite 1b, Bellevue, WA 98006 | 2014-12-19 |
| 1437556347 | Hilla Asadi | Naturopath | 12600 Se 38th St. #130, Bellevue, WA 98006 | 2014-11-21 |
| 1023433141 | Lori Anne Price | Speech-Language Pathologist | 12 Lummi Key, Bellevue, WA 98006 | 2014-02-26 |
| 1841628344 | Cohen, Manavi & Pakrvan Inc | Dentist | 3630a Factoria Blvd Se, Bellevue, WA 98006 | 2013-10-17 |
| 1740617836 | Kathleen L Carter | Massage Therapist | 5446 119th Ave Se #d, Bellevue, WA 98006 | 2013-10-03 |
| 1790037547 | Mellissa Ann Ilgen | Dentist | 4100 Factoria Blvd. Se, Suite C, Bellevue, WA 98006 | 2012-10-03 |
| 1982994364 | Hero House | Community/Behavioral Health | 12838 Se 40th Pl, Bellevue, WA 98006 | 2011-04-19 |
| 1356657738 | Lilia Schastlivaya | Massage Therapist | 13210 Se Newport Way, K201, Bellevue, WA 98006 | 2010-08-24 |
| Find all providers in zip 98006 | ||||
| Taxonomy Code | 156F00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| A broad category grouping different kinds of technologists and technicians. See individual definitions. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982250700 | Xaynalin Soulisack | Technician/Technologist | 1412 140th Pl Ne, Bellevue, WA 98007-3915 | 2019-08-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700432671 | Jamie Lynn Hardy | Technician/Technologist | 750 Watson St N Apt D5, Enumclaw, WA 98022-7317 | 2019-08-15 |
| 1891204939 | Stacy Clirehugh | Technician/Technologist | 5402 Orca Pl Ne, Tacoma, WA 98422-4502 | 2017-09-20 |
| 1134729155 | Kristy Nicole Dalrymple | Technician/Technologist | 9040 Jackson Ave Attn: Mchj-clq-c, Tacoma, WA 98431-0001 | 2020-10-28 |
| 1760098693 | Ione Marie Dorris | Technician/Technologist | 1305 Tacoma Ave S Ste 305, Tacoma, WA 98402-1903 | 2020-09-16 |
| 1710449814 | Autumn Elisabeth Rose Arends | Technician/Technologist | 1116 Summit Ave, Seattle, WA 98101-2831 | 2019-04-05 |
| 1598234973 | Lawless Hilletheo Tolliver-warren | Technician/Technologist | 118 E 8th St, Port Angeles, WA 98362-6129 | 2018-11-15 |
| 1265900674 | Dawn Yvette Norbisrath | Technician/Technologist | 118 E 8th St, Port Angeles, WA 98362-6129 | 2018-11-05 |
| 1982171732 | Michael Anthony Jones Jr. | Technician/Technologist | 10710 Mukilteo Speedway, Mukilteo, WA 98275-5021 | 2018-10-30 |
| 1790252815 | Marva Denice Mcmillan | Technician/Technologist | 617 Benton St, Omak, WA 98841-9636 | 2018-10-26 |
| 1730662354 | Cherrissa Marie Tugade | Technician/Technologist | 1116 Summit Ave, Seattle, WA 98101-2831 | 2018-09-10 |
| Find all providers with the same taxonomy | ||||
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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.