MIRANDA NICOLE TRUDEAU (NPI# 1780093880) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780093880 |
| Entity Type | Individual |
| Full Name | MIRANDA NICOLE TRUDEAU |
| Practice Address |
5112 Nw Taylor Rd. Bremerton WA 98312 |
| Practice Telephone | 3603732536 |
| Practice Fax Number | 3603734934 |
| Mailing Telephone | 3603732536 |
| Mailing Fax Number | 3603734934 |
| Enumeration Date | 2014-08-04 |
| Last Update Date | 2014-08-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| Street Address |
5112 NW TAYLOR RD. |
| City | BREMERTON |
| State | WA |
| Zip Code | 98312 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942625611 | Kristen Williams | Clinic/Center | 5112 Nw Taylor Rd., Bremerton, WA 98312 | 2014-03-04 |
| 1316317019 | Jessica Nicole Wenke | Speech-Language Pathologist | 5112 Nw Taylor Rd., Bremerton, WA 98312 | 2015-10-07 |
| 1871981837 | Mary C Caughell | Counselor | 5112 Nw Taylor Rd., Bremerton, WA 98312 | 2014-12-29 |
| 1225447329 | Marie Frey | Speech-Language Pathologist | 5112 Nw Taylor Rd., Bremerton, WA 98312 | 2014-08-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962025114 | Candace Mckenzie | Counselor | 2564 Cascades Pass Blvd, The Landings Bldg. 779, Bremerton, WA 98312 | 2020-05-22 |
| 1710473590 | Sandra Louise Walker | Family Medicine | 14301 Nw Coho Run, Bremerton, WA 98312 | 2018-07-05 |
| 1467947663 | Jason David Alexander | Military Health Care Provider | Uss Kentucky, Ssbn, Fpo, AE 98312 | 2018-06-29 |
| 1588176614 | Institute Family for Development | Community/Behavioral Health | 5610 Kitsap Way, Suite 315, Bremerton, WA 98312 | 2017-10-30 |
| 1720521321 | Debra Lynn Lemieux | Counselor | 5762 Chico Way Nw, Bremerton, WA 98312 | 2016-11-30 |
| 1164840047 | Amber Rose Morison | Chiropractor | 3963 Sand Dollar Road West, Bremerton, WA 98312 | 2014-03-28 |
| 1184049629 | Tariku Tsegaye Messele | Specialist/Technologist | 5112 Nw Taylor Road, Bremerton, WA 98312 | 2014-02-20 |
| 1063784064 | Johnson Chiropractic Clinic | Clinic/Center | 3721 Kitsap Way Suite #8, Bremerton, WA 98312 | 2012-02-06 |
| 1194013532 | Casey Mccann | Student in an Organized Health Care Education/Training Program | 1 Boone Rd., Naval Hospital Bremerton, Bremerton, WA 98312 | 2011-07-19 |
| 1972806024 | Paratransit Services | Transportation Broker | 4810 Auto Center Way, Suite Z, Bremerton, WA 98312 | 2010-12-13 |
| Find all providers in zip 98312 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962025114 | Candace Mckenzie | Counselor | 2564 Cascades Pass Blvd, The Landings Bldg. 779, Bremerton, WA 98312 | 2020-05-22 |
| 1285193946 | Ellen Epstein | Counselor | 1933 4th St, Bremerton, WA 98337-1003 | 2019-03-13 |
| 1417480609 | Diane Marie Sabo | Counselor | 843 6th Street, Suite 220 and 240, Bremerton, WA 98337 | 2017-04-05 |
| 1588110399 | Melissa Stringer | Counselor | 440 Nw Solnae Pl, Bremerton, WA 98311-9148 | 2016-08-31 |
| 1346696267 | Rachel Dell | Counselor | 851 6th St Ste 155, Bremerton, WA 98337-1478 | 2016-05-10 |
| 1831551597 | Keiko Sano | Counselor | 843 6th St Ste 220, Bremerton, WA 98337-1439 | 2016-03-22 |
| 1174927024 | Green Roots Counseling | Counselor | 423 Pacific Ave, Bremerton, WA 98337-1914 | 2014-10-21 |
| 1871993295 | Lane Thomas Ormerod | Counselor | 922 Callahan Dr, Bremerton, WA 98310-4217 | 2014-09-04 |
| 1922374743 | Angela Norma Lujan | Counselor | 5760 School St Ne, Bremerton, WA 98311-9667 | 2012-03-26 |
| 1033400346 | Jill Dianne Bishop | Counselor | 1325 Lower Marine Dr, Bremerton, WA 98312-2437 | 2011-04-21 |
| Find all providers in BREMERTON | ||||
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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.