MOD SKIN AND BODY CLINIC


Address: 14130 Juanita Dr Ne Ste 110, Kirkland, WA 98034-0127
Phone: 4254068455

MOD SKIN AND BODY CLINIC (NPI# 1801227327) 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) 1801227327
Entity Type Organization
Organization Name MOD SKIN AND BODY CLINIC
Practice Address 14130 Juanita Dr Ne Ste 110
Kirkland
WA 98034-0127
Practice Telephone 4254068455
Mailing Telephone 4254068455
Enumeration Date 2013-12-09
Last Update Date 2014-01-10
Authorized Official Name POLLY TABARES (CEO)
Authorized Official Telephone 4254068455
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 174400000X Specialist Other Service Providers

Office Location

Street Address 14130 JUANITA DR NE STE 110
City KIRKLAND
State WA
Zip Code 98034-0127

Providers in the same zip code

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 Information

Taxonomy Code 174400000X
Grouping Other Service Providers
Classification Specialist

Taxonomy Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1881095750 Sarah Karmali Specialist 14335 Simonds Rd Ne, Unit A304, Kirkland, WA 98034-9201 2014-09-10
1316284771 Daniel Leonard Jones Specialist 10517 Ne 38th Pl Bldg 11, Kirkland, WA 98033-7926 2013-01-04
1326324674 Kwesi E Coleman Specialist 11415 Ne 128th St, Ste 130, Kirkland, WA 98034 2011-11-01
1023315736 Lynn Renee Brooks Specialist 4305 Lake Washington Blvd Ne, 2311, Kirkland, WA 98033-7883 2011-02-15
1730485848 Norma Jean Campbell Specialist 11008 Ne 68th St, Apt. 712, Kirkland, WA 98033-7169 2011-02-07
1285957563 Amy Paolinelli Specialist 10060 116th Ave Ne, Kirkland, WA 98033-5150 2010-03-01
1417182379 Erika Brooke Specialist 611 4th Ave Ste 100, Kirkland, WA 98033-6019 2009-05-21
1558508812 Alie M Miller Specialist 903 5th Ave, Suite 102, Kirkland, WA 98033-6348 2009-01-08
1437305141 Mti Physical Therapy Kirkland Specialist 11800 Ne 128th St Ste 510, Kirkland, WA 98034-7208 2008-08-13
1720245459 Francis X. Riedo, Md Specialist 11911 Ne 132nd St Ste 100, Kirkland, WA 98034-2900 2008-05-20
Find all providers in KIRKLAND

Competitor

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City KIRKLAND
Zip Code 98034

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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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