ANDREA CHRISTINA FAY (NPI# 1750342648) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750342648 |
| Entity Type | Individual |
| Full Name | ANDREA CHRISTINA FAY |
| Credential | ATC, EMT-B |
| Practice Address |
12616 Ne 119th St D4 Kirkland WA 98034-4151 |
| Practice Telephone | 2068543675 |
| Mailing Telephone | 2068543675 |
| Enumeration Date | 2006-03-30 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 146N00000X | Emergency Medical Technician, Basic | B1597244 | WA | Emergency Medical Service Providers |
| X | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
WA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
12616 NE 119TH ST D4 |
| City | KIRKLAND |
| State | WA |
| Zip Code | 98034-4151 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407159643 | Karl Joseph Lange | Physical Therapist | 12616 Ne 119th St, D7, Kirkland, WA 98034-4151 | 2010-12-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578116596 | Rachel Bowers | Behavior Technician | 1335 Northeast 122nd Way, Suite 105, Kirkland, WA 98034 | 2019-07-18 |
| 1740841048 | Kristina Louise Inghram | Behavior Technician | 11415 Ne 128th St., Suite 40, Kirkland, WA 98034 | 2019-06-26 |
| 1053978064 | Matthew A. Bagnulo, Dds, Ps | Dentist | 11830 Ne 128th St., #202, Kirkland, WA 98034 | 2019-05-24 |
| 1629568928 | Stephanie Michalko | Optometrist | 11800 Ne 128th St Ste 110, Kirkland, WA 98034 | 2018-05-14 |
| 1952800013 | Heath Family Counseling LLC | Marriage & Family Therapist | 12025 115th Ave. Ne, Building D, Ste 200, Kirkland, WA 98034 | 2018-02-05 |
| 1891202834 | Barbara Josephine Gorham | Counselor | 2025 115th Ave Ne, Bldg D, #200, Kirkland, WA 98034 | 2017-12-29 |
| 1548782915 | Eleanor Hollis Wall | Counselor | 14340 102nd Ave Ne, Kirkland, WA 98034 | 2017-07-07 |
| 1457885212 | Peter Schoonmaker | Hospitalist | 12040 Ne 128th Street, Ms105, Kirkland, WA 98034 | 2017-04-18 |
| 1780124370 | Rebecca Managan | Advanced Practice Midwife | 12303 Ne 130th Ln Ste Coral225, Kirkland, WA 98034 | 2017-03-01 |
| 1669821104 | Winter Gonzalez | Counselor | 11720 97th Ln Ne Apt A411, Kirkland, WA 98034 | 2016-06-06 |
| Find all providers in zip 98034 | ||||
| Taxonomy Code | 146N00000X |
| Grouping | Emergency Medical Service Providers |
| Classification | Emergency Medical Technician, Basic |
| A Basic EMT is an individual trained and certified to perform basic life support treatment in medical emergencies based on individual state boards. |
| Notes: Sources: Tabers Medical Dictionary and Florida EMS Clearing House. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457531568 | Southern Yavapai Fire Department | Emergency Medical Technician, Basic | 9000 Magby Drive, Kirkland, AZ 86332-4022 | 2007-11-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679183412 | Alexandra Grace Wooten | Emergency Medical Technician, Basic | 5043 N Visscher St, Tacoma, WA 98407-2112 | 2020-08-06 |
| 1750905246 | Renton Regional Fire Authority | Emergency Medical Technician, Basic | 18002 108th Ave Se, Renton, WA 98055-6445 | 2020-06-01 |
| 1609404409 | Montana Wynn Gubrud | Emergency Medical Technician, Basic | 1705 Dock St Unit 334, Tacoma, WA 98402-3216 | 2020-03-29 |
| 1295298362 | Tricia May Lopez Holway | Emergency Medical Technician, Basic | 2407 193rd St E, Spanaway, WA 98387-3418 | 2019-04-07 |
| 1477014512 | Chet Merklin | Emergency Medical Technician, Basic | 13075 Gateway Dr S Ste 100, Tukwila, WA 98168-3342 | 2019-03-29 |
| 1104392463 | Kalpana Sherpa | Emergency Medical Technician, Basic | 2696 Erwin Ave, Dupont, WA 98327-8758 | 2018-10-15 |
| 1306311667 | Michael Dean Torres | Emergency Medical Technician, Basic | Madigan Army Medical Center, 9040 Jackson Ave., Attn: Mchj-clq-c, Tacoma, WA 98431-1100 | 2018-10-12 |
| 1285125351 | Xinhui Huang | Emergency Medical Technician, Basic | 4815 Wa Tau Ga Ave Ne, Tacoma, WA 98422-1757 | 2018-05-24 |
| 1003304221 | Chloe Treleven | Emergency Medical Technician, Basic | 2840 Eastlake Ave E Apt 312, Seattle, WA 98102-3042 | 2018-04-23 |
| 1104344472 | Chalsea Jayne Hicks Nerys | Emergency Medical Technician, Basic | Madigan Army Medical Center Attn: Mchj-clq-c, Tacoma, WA 98431-0001 | 2017-09-06 |
| 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.