TENNILLE ANNA LIGHTFOOT (NPI# 1699247130) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699247130 |
| Entity Type | Individual |
| Full Name | TENNILLE ANNA LIGHTFOOT |
| Other Name | TENNILLE CHAUSSEE |
| Credential | CP00005071 |
| Practice Address |
3400 W Garland Ave Spokane WA 99205-2119 |
| Mailing Address |
14025 N Koth Rd Newman Lake WA 99025-9484 |
| Practice Telephone | 5093252355 |
| Practice Fax Number | 5093263370 |
| Mailing Telephone | 5099547480 |
| Enumeration Date | 2018-12-21 |
| Last Update Date | 2018-12-21 |
| 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) |
CP00005071 | WA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | CP00005071 | 05 |
| Street Address |
3400 W GARLAND AVE |
| City | SPOKANE |
| State | WA |
| Zip Code | 99205-2119 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063709756 | Pioneer Human Services | Substance Abuse Rehabilitation Facility | 3400 W Garland Ave, Spokane, WA 99205-2119 | 2011-07-01 |
| 1851939938 | Jake Johnson | Counselor | 3400 W Garland Ave, Spokane, WA 99205-2119 | 2019-12-19 |
| 1285294165 | Johnathan Daniel D'auteuil | Counselor | 3400 W Garland Ave, Spokane, WA 99205-2119 | 2019-06-13 |
| 1568934248 | Luann Rae Stephens | Counselor | 3400 W Garland Ave, Spokane, WA 99205-2119 | 2018-12-19 |
| 1639640493 | Krisanne Lenore Hensley | Counselor | 3400 W Garland Ave, Spokane, WA 99205-2119 | 2018-12-05 |
| 1497225320 | Jodi Melissa Janssen | Counselor | 3400 W Garland Ave, Spokane, WA 99205-2119 | 2018-12-04 |
| 1699211599 | Susan Duval | Counselor | 3400 W Garland Ave, Spokane, WA 99205-2119 | 2017-01-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275027740 | Jill Sanders | Behavior Technician | 1104 West Wellesley, Spokane, Wa, United States, Ste D, Spokane, WA 99205 | 2018-06-19 |
| 1265981997 | Lorraine Jeanette Diricco | Registered Nurse | 1717 W Francis Ave Ste 204, Spokane, WA 99205 | 2016-09-22 |
| 1992156749 | Dane Sultzer | Optometrist | 1123 W Fairview Ave, Spokane, WA 99205 | 2016-06-23 |
| 1770975864 | Trevor George | Naturopath | 3710 N Monroe, Spokane, WA 99205 | 2015-02-26 |
| 1003246661 | Rita Y Flanagan | Psychologist | 4815 N Assembly St, Room B256, Spokane Va Medical Center, Spokane, WA 99205 | 2013-11-19 |
| 1649616277 | Mary Anyango Okello | Nurse's Aide | 3614 W. Wellesley Ave, Spokane, WA 99205 | 2013-05-22 |
| 1710242367 | Amy Clement | Dentist | 4815 N Assembly St., Spokane, WA 99205 | 2012-07-10 |
| 1114202082 | Teresa J Stella | Pharmacist | 3919 N. Maple St., Spokane, WA 99205 | 2011-10-11 |
| 1184905218 | James Anthony Carnell | Dentist | 4610 N. Ash St., (suite 204), Spokane, WA 99205 | 2011-09-02 |
| 1508150632 | Jennifer Leigh Knuston | Social Worker | 207 W Nora Ave, Spokane, WA 99205 | 2011-06-06 |
| Find all providers in zip 99205 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013517952 | Maria Escobedo | Counselor | 1321 N. Ash, Spokane, WA 99201 | 2020-10-29 |
| 1295342111 | Pamela Sue Russo | Counselor | 103 E First Ave, Spokane, WA 99202-1510 | 2020-09-24 |
| 1033728415 | Beyond Behavioral Health LLC | Counselor | 104 S Freya St Bldg Suite210, Spokane, WA 99202-4862 | 2020-07-30 |
| 1700400702 | Heather Hedum | Counselor | 104 S Freya St Ste 206, Spokane, WA 99202-4889 | 2020-06-04 |
| 1568004182 | Tracy L Dantzler | Counselor | 101 E Magnesium Rd Ste 101, Spokane, WA 99208-5901 | 2019-10-15 |
| 1568921534 | Megan Nicole Tackes | Counselor | 1508 W 6th Ave, Spokane, WA 99204-3409 | 2019-03-18 |
| 1942772637 | Cheryl Kay Cross | Counselor | 4214 N Cedar St, Spokane, WA 99205-1323 | 2018-12-19 |
| 1508337361 | Lisa Webb | Counselor | 2402 E Nebraska Ave, Spokane, WA 99208-2308 | 2018-12-05 |
| 1881162956 | Adam Patyk | Counselor | 820 W Jackson Ave Apt 3, Spokane, WA 99205-3335 | 2018-11-07 |
| 1003383159 | Sandra Kay Robinson | Counselor | New Horizons Care Centers, Inc., 701 E 3rd Street, Spokane, WA 99201 | 2018-10-26 |
| Find all providers in SPOKANE | ||||
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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.