MS. ESTHER ANDREA SHADRACH


Address: 10655 Ne 4th St Ste 400, Bellevue, WA 98004-5086
Phone: 4258915106

MS. ESTHER ANDREA SHADRACH (NPI# 1750501920) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1750501920
Entity Type Individual
Full Name MS. ESTHER ANDREA SHADRACH
Credential PSYD
Practice Address 10655 Ne 4th St Ste 400
Bellevue
WA 98004-5086
Mailing Address 16541 Redmond Way # 305c
Redmond
WA 98052-4492
Practice Telephone 4258915106
Practice Fax Number 4256755282
Mailing Telephone 4258915106
Mailing Fax Number 4256755282
Enumeration Date 2007-04-27
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TS0200X Psychologist
Specialization: School
PY00003645 WA Behavioral Health & Social Service Providers

Office Location

Street Address 10655 NE 4TH ST STE 400
City BELLEVUE
State WA
Zip Code 98004-5086

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Taxonomy Information

Taxonomy Code 103TS0200X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization School

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1659751956 Rebecca Ragland Psychologist 12619 Se 20th Pl, Bellevue, WA 98005-4646 2015-06-02
1073859179 Maury Douthit Jr. Psychologist 16401 Se 24th St, Bellevue, WA 98008-5432 2012-12-17
1558731364 Kathryn Barker Psychologist 12111 Ne 1st St, Bellevue, WA 98005-3181 2015-10-06
1710301098 Rachel Forman Psychologist 125 North St, Bellevue, OH 44811-1423 2014-02-07

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1609488931 Rhean Perkins Psychologist 120 Wildwind Ln, Ellensburg, WA 98926-9721 2020-08-18
1962014480 Natalie Renee Scantlen Psychologist 3211 S 194th St, Seatac, WA 98188-5352 2020-08-17
1932721727 Curtis Bennett Psychologist 3321 W Holyoke Ave, Spokane, WA 99208-4640 2020-05-14
1467929406 Stacy Schmidt Psychologist 26201 Siyaya Ave Ne, Kingston, WA 98346-9367 2018-10-29
1518434687 Elizabeth Meyers Hyde Psychologist 3011 Rocky Point Rd Nw, Bremerton, WA 98312-1918 2018-10-26
1003397647 Sara Camille Banegas Psychologist 5108 260th St E, Graham, WA 98338-9609 2018-08-22
1205342698 Kendra Panton Psychologist 6135 Gull Harbor Dr Ne, Olympia, WA 98506-9728 2017-12-20
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1972023588 Katrina Renee Carlson Psychologist 1962 Mahan Ave, Richland, WA 99354-2121 2017-06-23
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Competitor

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City BELLEVUE
Zip Code 98004

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Dataset Information

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.

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