SHASTA C MEYERS (NPI# 1780239012) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780239012 |
| Entity Type | Individual |
| Full Name | SHASTA C MEYERS |
| Practice Address |
9 S Dayton St Kennewick WA 99336-3843 |
| Mailing Address |
2302 Olympia St Richland WA 99354-3043 |
| Practice Telephone | 5098511720 |
| Mailing Telephone | 5096278556 |
| Enumeration Date | 2019-08-05 |
| Last Update Date | 2019-08-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 172V00000X | Community Health Worker | Other Service Providers | ||
| N | 103K00000X | Behavioral Analyst | Behavioral Health & Social Service Providers | ||
| N | 171M00000X | Case Manager/Care Coordinator | Other Service Providers | ||
| N | 174H00000X | Health Educator | Other Service Providers | ||
| Y | 175T00000X | Peer Specialist | Other Service Providers |
| Street Address |
9 S DAYTON ST |
| City | KENNEWICK |
| State | WA |
| Zip Code | 99336-3843 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003370438 | Impact Compassion Center | Counselor | 9 S Dayton St, Kennewick, WA 99336-3843 | 2019-01-30 |
| 1922634245 | Kimberly Wright-whittam | Social Worker | 9 S Dayton St, Kennewick, WA 99336-3843 | 2020-03-18 |
| 1952942831 | Millie Baldwin | Counselor | 9 S Dayton St, Kennewick, WA 99336-3843 | 2019-10-02 |
| 1215585542 | Timothy W Sullivan | Case Manager/Care Coordinator | 9 S Dayton St, Kennewick, WA 99336-3843 | 2019-08-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497393888 | Kelsie D Parvinen | Massage Therapist | 8350 W. Grandridge Blvd, Suite 100, Kennewick, WA 99336 | 2019-12-16 |
| 1508403858 | New U Women's Clinic & Aesthetics Pllc | Nurse Practitioner | 35 S Louisiana St, Suite A120, Kennewick, WA 99336 | 2019-12-05 |
| 1457901944 | Solar Mobility LLC | Durable Medical Equipment & Medical Supplies | 949 S Keller St, Kennewick, WA 99336 | 2019-09-17 |
| 1023662590 | Shane Arthur Gulley | Counselor | 500 N. Morain St Suite 1250, Kennewick, WA 99336 | 2019-08-01 |
| 1063973873 | Farah Saleem | Student in an Organized Health Care Education/Training Program | 212 W. 10th Avenue,suite 202, Kennewick, WA 99336 | 2019-03-26 |
| 1255897690 | Thomas Stanley Mcgowan | Student in an Organized Health Care Education/Training Program | Tri-cities Cancer Center, 7350 W. Deschutes Ave, Building A, Kennewick, WA 99336 | 2019-02-11 |
| 1770068280 | Remedy Urgent Mobile Medicine Pllc | Nurse Practitioner | 3311 West Clearwater Avenue, Suite D210, Kennewick, WA 99336 | 2018-10-01 |
| 1740767011 | Zachary Wilber Fournier | Specialist/Technologist | Toyota Center - 7000 West Grandridge Blvd, Kennewick, WA 99336 | 2018-07-19 |
| 1649780693 | Alan Arnold Hanson | Chiropractor | 8350 W. Grandridge Blvd #100, Kennewick, WA 99336 | 2017-10-04 |
| 1922528827 | Sarah Nicole Childress | Counselor | 415 North Morain St, Kennewick, WA 99336 | 2017-06-21 |
| Find all providers in zip 99336 | ||||
| Taxonomy Code | 175T00000X |
| Grouping | Other Service Providers |
| Classification | Peer Specialist |
| Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. |
| Notes: Source: National Uniform Claim Committee [7/1/2014: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861042426 | Alexa Wilt | Peer Specialist | 220 W Kennewick Ave, Kennewick, WA 99336-3828 | 2019-09-16 |
| 1184225914 | Allicia Cathryn Chalmers | Peer Specialist | 3321 W Kennewick Ave Ste 150, Kennewick, WA 99336-2968 | 2020-11-06 |
| 1720617913 | Alexis Joyce Beyers | Peer Specialist | 500 N Morain St Ste 1250, Kennewick, WA 99336-2967 | 2020-04-08 |
| 1033744800 | Carla Girodengo | Peer Specialist | 3321 W Kennewick Ave Ste 150, Kennewick, WA 99336-2968 | 2020-03-11 |
| 1912532557 | Kathryne Shevie Keel | Peer Specialist | 8514 W Gage Blvd Ste G, Kennewick, WA 99336-8108 | 2020-03-04 |
| 1073145603 | Rebeca Galvez | Peer Specialist | 8514 W Gage Blvd Ste G, Kennewick, WA 99336-8108 | 2020-02-11 |
| 1619510609 | Denise Colbray | Peer Specialist | 3321 W Kennewick Ave Ste 150, Kennewick, WA 99336-2968 | 2019-10-22 |
| 1124685250 | Stephanie A Dynarski | Peer Specialist | 3321 W Kennewick Ave Ste 150, Kennewick, WA 99336-2968 | 2019-05-23 |
| 1821562380 | Meghan Mcbride | Peer Specialist | 3321 W Kennewick Ave Ste 150, Kennewick, WA 99336-2968 | 2019-01-17 |
| 1124598008 | Kylene Fitzpatrick | Peer Specialist | 500 N Morain St Ste 1250, Kennewick, WA 99336-2967 | 2018-12-04 |
| Find all providers in KENNEWICK | ||||
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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.