MRS. DEYANIRA GONZALEZ (NPI# 1689181810) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689181810 |
| Entity Type | Individual |
| Full Name | MRS. DEYANIRA GONZALEZ |
| Other Name | MRS. DEYANIRA VALDEZ |
| Credential | MSW |
| Practice Address |
1515 E Columbia St Othello WA 99344-1846 |
| Practice Telephone | 5094885256 |
| Mailing Telephone | 5094885256 |
| Mailing Fax Number | 5094889939 |
| Enumeration Date | 2018-01-09 |
| Last Update Date | 2020-02-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
MC60784966 | WA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 2100261 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760823678 | Deyanira Gonzalez | Audiologist | 1977 Butler Blvd Ste E5.100, Houston, TX 77030 | 2013-07-09 |
| Street Address |
1515 E COLUMBIA ST |
| City | OTHELLO |
| State | WA |
| Zip Code | 99344-1846 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477507093 | Gabriel W Barrio | Pediatrics | 1515 E Columbia St, Othello, WA 99344-1846 | 2006-05-19 |
| 1821608647 | Loren P Knebl | Registered Nurse | 1515 E Columbia St, Othello, WA 99344-1846 | 2020-08-06 |
| 1124646260 | Flower Star | Dietitian, Registered | 1515 E Columbia St, Othello, WA 99344-1846 | 2020-07-06 |
| 1114548914 | Jessica Hu | Student in an Organized Health Care Education/Training Program | 1515 E Columbia St, Othello, WA 99344-1846 | 2020-05-03 |
| 1699302471 | Vickie Tamdoan Bui | Student in an Organized Health Care Education/Training Program | 1515 E Columbia St, Othello, WA 99344-1846 | 2020-03-24 |
| 1073162152 | Lisa Braudrick | Speech-Language Pathologist | 1515 E Columbia St, Othello, WA 99344-1846 | 2019-09-10 |
| 1033768957 | Steven Pitcher | Dentist | 1515 E Columbia St, Othello, WA 99344-1846 | 2019-09-04 |
| 1265091490 | Kristen A. Mcculloch-stevens | Registered Nurse | 1515 E Columbia St, Othello, WA 99344-1846 | 2019-06-11 |
| 1144889353 | Manuel Jimenez | Dentist | 1515 E Columbia St, Othello, WA 99344-1846 | 2019-06-11 |
| 1598236838 | Myrna Valerie Gomez | Dental Hygienist | 1515 E Columbia St, Othello, WA 99344-1846 | 2018-12-16 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073031613 | Robert Lee Mccrorie | Physician Assistant | Cbha 1515 East Columbia Street, Othello, WA 99344 | 2017-09-04 |
| 1134504145 | Body Kneads Massage Therapy | Preferred Provider Organization | 445 Cedar Blvd., Suite C, Othello, WA 99344 | 2015-07-21 |
| 1457756421 | Weeping Ridge Estate Adult Family Home Inc | Custodial Care Facility | 2455 W. Bench Rd, Othello, WA 99344 | 2014-11-03 |
| 1275938243 | Weeping Ridge West, Inc. | Custodial Care Facility | 2455 West Bench Rd, Othello, WA 99344 | 2014-11-03 |
| 1437572617 | Sterling Gerber | Physical Therapist | 315 Nth 14th Ave., Othello, WA 99344 | 2014-01-24 |
| 1346688330 | Amaris Suarez | Counselor | 425 E. Main Street, Suite 600, Othello, WA 99344 | 2013-06-12 |
| 1669679387 | Jessica Brooks Smith | Pharmacist | 140 E. Main St, Othello, WA 99344 | 2007-06-27 |
| 1174688030 | Percy N Erdmann | General Practice | 1207 E Main, Othello, WA 99344 | 2006-12-22 |
| 1962581405 | Ian Fuger | Dentist | 140 E Main Street, Othello, WA 99344 | 2006-11-03 |
| 1194819540 | Richard A Maywald | Counselor | 425 E Main Suite 600, Othello, WA 99344 | 2006-10-02 |
| Find all providers in zip 99344 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568908408 | Priscilla Cantu | Counselor | 740 S Mckinney Rd, Othello, WA 99344-9564 | 2017-01-17 |
| 1346688330 | Amaris Suarez | Counselor | 425 E. Main Street, Suite 600, Othello, WA 99344 | 2013-06-12 |
| 1194819540 | Richard A Maywald | Counselor | 425 E Main Suite 600, Othello, WA 99344 | 2006-10-02 |
| 1902410285 | Daisy Valdez | Counselor | 425 E Main St # 600, Othello, WA 99344-1146 | 2020-09-03 |
| 1891208203 | Teresa Ann Mancinelli-ryan | Counselor | 425 E Main St, Othello, WA 99344-1146 | 2017-11-07 |
| 1073035630 | Elsie Aileen Garza | Counselor | 1515 E Columbia St, Othello, WA 99344-1846 | 2017-07-14 |
| 1639606072 | Jael T Johnson | Counselor | 425 E Main St, Othello, WA 99344-1146 | 2017-05-16 |
| 1770028375 | Crystal Diane Watson | Counselor | 425 E Main St Ste 600, Othello, WA 99344-1146 | 2017-01-05 |
| 1588110126 | Caitlin Ballard | Counselor | 425 E Main Street, Othello, WA 99344-1146 | 2016-09-01 |
| 1740678812 | Xuezeng Xiong | Counselor | 425 E Main St, Othello, WA 99344-1146 | 2014-12-24 |
| Find all providers in OTHELLO | ||||
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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.