CHARLENE R ANGELOSANTE (NPI# 1801842307) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1801842307 |
Entity Type | Individual |
Full Name | CHARLENE R ANGELOSANTE |
Credential | LMP |
Practice Address |
8011 112th Street Ct E Puyallup WA 98373-7814 |
Mailing Address |
9315 Gravelly Lake Dr Sw Suite 203 Lakewood WA 98499-1574 |
Practice Telephone | 2538480662 |
Practice Fax Number | 2538488567 |
Mailing Telephone | 2535815200 |
Mailing Fax Number | 2535815203 |
Enumeration Date | 2006-05-26 |
Last Update Date | 2007-07-08 |
Gender Code | F |
Is Sole Proprietor | X |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 225700000X | Massage Therapist | MA00011186 | WA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
WA | REGENCE BLUESHIELD | AN7931 | 01 |
WA | LABOR & INDUSTRIES | 170980 | 01 |
WA | L&I CRIME VICTIMS PRGM | 8930573 | 01 |
Street Address |
8011 112TH STREET CT E |
City | PUYALLUP |
State | WA |
Zip Code | 98373-7814 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558310375 | Olympic Sports and Spine Rehabilitation Ps | Occupational Therapist | 8011 112th Street Ct E, Puyallup, WA 98373-7814 | 2006-05-09 |
1194326538 | Angela Marie Fischer | Physical Therapist | 8011 112th Street Ct E, Puyallup, WA 98373-7814 | 2020-11-03 |
1386259968 | Reilly Elizabeth Retz | Physical Therapist | 8011 112th Street Ct E, Puyallup, WA 98373-7814 | 2020-09-10 |
1558908202 | Marina Picinich | Occupational Therapist | 8011 112th Street Ct E, Puyallup, WA 98373-7814 | 2019-12-02 |
1982258471 | Brianna Herbst | Physical Therapist | 8011 112th Street Ct E, Puyallup, WA 98373-7814 | 2019-08-01 |
1174189864 | David J Dramm | Physical Therapist | 8011 112th Street Ct E, Puyallup, WA 98373-7814 | 2019-05-17 |
1972083541 | Torey Marie Anderson | Physical Therapist | 8011 112th Street Ct E, Puyallup, WA 98373-7814 | 2018-08-14 |
1871070664 | Multicare Health System | Durable Medical Equipment & Medical Supplies | 8011 112th Street Ct E, Puyallup, WA 98373-7814 | 2018-07-24 |
1992297907 | Jeffrey C Wardach | Physical Therapist | 8011 112th Street Ct E, Puyallup, WA 98373-7814 | 2018-06-05 |
1013409101 | Cullyn Foxlee | Occupational Therapist | 8011 112th Street Ct E, Puyallup, WA 98373-7814 | 2018-06-04 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801494711 | Caroline Brown Corbett | Dentist | 8012 112th St Ct E #320, Puyallup, WA 98373 | 2020-10-13 |
1629615760 | Jessie Jean Waiamau-ariota | Counselor | Winds of Liberty, 702 S Hill Park Dr Ste 206, Puyallup, WA 98373 | 2019-12-09 |
1194369181 | Ruba H Tawil | Dentist | 12005 Meridian E # 102, Puyallup, WA 98373 | 2019-11-01 |
1336621267 | Cara Tseng | Physician Assistant | 2940 S Meridian, Suite 200, Puyallup, WA 98373 | 2018-09-06 |
1902390289 | Melissa M Jenkins | Registered Nurse | 2920 S Meridian Ste 100, Puyallup, WA 98373 | 2018-06-19 |
1881141323 | Linda Cole | Massage Therapist | 8409 204th Street East, Spanaway, WA 98373 | 2016-09-01 |
1861855389 | Christina Leigh Bailey | Optometrist | 3500 S Meridian Ste 926, Puyallup, WA 98373 | 2016-04-01 |
1518301951 | Bryan Michael Swanson | Dentist | 2910 S Meridian Ste 120, Puyallup, WA 98373 | 2013-04-27 |
1760720569 | Vankosin Hewitt | Massage Therapist | 13613 Meridian East # 260, Puyallup, WA 98373 | 2013-01-29 |
1558607705 | Rosie Martinez | Counselor | 12812 101st Avenue Courte E, Suite 202, Puyallup, WA 98373 | 2012-12-17 |
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Taxonomy Code | 225700000X |
Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Classification | Massage Therapist |
An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053941187 | Stephanie Farris | Massage Therapist | 18002 Lipoma Firs E Unit G104, Puyallup, WA 98374-9008 | 2020-01-16 |
1437793064 | Jessica Graham | Massage Therapist | 12515 Meridian E Ste 205, Puyallup, WA 98373-3436 | 2019-11-06 |
1265081566 | Karen Kay Briskey | Massage Therapist | 403 43rd Ave Sw Apt 1, Puyallup, WA 98373-5965 | 2019-09-09 |
1275181927 | Vicki Jeanette Just-schaefer | Massage Therapist | 1707 3rd St Se Ste A, Puyallup, WA 98372-4506 | 2019-08-27 |
1477113587 | Jessica Jaramillo, LLC | Massage Therapist | 16515 Meridian E Ste 103b, Puyallup, WA 98375-6252 | 2019-06-20 |
1013574763 | Jovante A Guerra | Massage Therapist | 18710 Meridian E Ste 117, Puyallup, WA 98375-2231 | 2019-05-28 |
1386208999 | Jessica Nicole Kongslie | Massage Therapist | 2015 Brookmonte Dr Se, Puyallup, WA 98372-5173 | 2019-04-29 |
1184189565 | Mermaid Cove Massage & Wellness, LLC | Massage Therapist | 812 E Main, Puyallup, WA 98372-3364 | 2019-02-10 |
1699249847 | Healing Hands With Heart | Massage Therapist | 12515 Meridian E Ste 201, Puyallup, WA 98373-3436 | 2019-01-21 |
1013480508 | Tracy Pina | Massage Therapist | 16909 123rd Ave E, Puyallup, WA 98374 | 2019-01-07 |
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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.