MS. PENNY MAREE LEASE (NPI# 1811067895) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811067895 |
| Entity Type | Individual |
| Full Name | MS. PENNY MAREE LEASE |
| Credential | LMP |
| Practice Address |
18927 33rd Ave W Suite B Lynnwood WA 98036-4726 |
| Mailing Address |
Po Box 1214 Lynnwood WA 98046-1214 |
| Practice Telephone | 4257761056 |
| Mailing Telephone | 4252204054 |
| Enumeration Date | 2006-11-08 |
| Last Update Date | 2008-02-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225400000X | Rehabilitation Practitioner | MA00019308 | WA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
18927 33RD AVE W SUITE B |
| City | LYNNWOOD |
| State | WA |
| Zip Code | 98036-4726 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588733018 | Cinnamon Rose Bonikowski | Massage Therapist | 18927 33rd Ave W, Ste B, Lynnwood, WA 98036-4726 | 2006-11-07 |
| 1740648641 | Adrien Fletcher | Massage Therapist | 18927 33rd Ave W, Lynnwood, WA 98036-4726 | 2016-02-05 |
| 1518383793 | Heather Galloway | Acupuncturist | 18927 33rd Ave W, Suite B, Lynnwood, WA 98036-4726 | 2014-03-11 |
| 1316213663 | Caitlin Amanda Evans | Specialist | 18927 33rd Ave W, Suite B, Lynnwood, WA 98036-4726 | 2012-03-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396342630 | Zachary Perry | Behavior Technician | 4100 Veterans Way, Unit 100, Lynnwood, WA 98036 | 2020-10-08 |
| 1942832795 | Alexis Michelle Solomon-winne | Behavior Technician | 4100 Veterans Way Unit 100 Lynnwood, Wa 98036 United S, Lynnwood, WA 98036 | 2020-02-10 |
| 1881239028 | Endc Pllc | Psychologist | 19217 36th Ave W. Suite 219, Lynnwood, WA 98036 | 2019-11-12 |
| 1225507866 | Kyung Suk Seo | Massage Therapist | 18904 Hwy 99, Ste. K, Lynnwood, WA 98036 | 2018-11-13 |
| 1790270197 | Kabal Sriviboon | Behavior Technician | 20818 44th Ave W Suite 270, Lynnwood, WA 98036 | 2018-06-27 |
| 1992206148 | Kendal Ilyse Borison | Behavioral Analyst | 4100 194th Se, Suite 100, Lynnwood, WA 98036 | 2018-02-23 |
| 1205352515 | Doug Brant | Registered Nurse | 19931 Cypress Way, Lynnwood, WA 98036 | 2017-08-17 |
| 1588184980 | Evergreen Recovery Centers-lynnwood Detox | Substance Abuse Rehabilitation Facility | 20508 56th Ave W, Lynnwood, WA 98036 | 2017-06-27 |
| 1699213439 | Patrick J. Pacyga | Dentist | 19620 Wa-99, Suite 106, Lynnwood, WA 98036 | 2017-02-01 |
| 1134676646 | Fiona Green | Occupational Therapy Assistant | 21503 8th Place W, A, Lynnwood, WA 98036 | 2016-09-01 |
| Find all providers in zip 98036 | ||||
| Taxonomy Code | 225400000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Rehabilitation Practitioner |
| A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326569518 | Forward Mobility | Rehabilitation Practitioner | 416 Daley St Apt A, Edmonds, WA 98020-3186 | 2017-06-28 |
| 1427228980 | Susan Schmitt | Rehabilitation Practitioner | 3213 Eastlake Ave E Apt A, Seattle, WA 98102-7127 | 2008-03-11 |
| 1861511347 | Lesa Crane Hogue | Rehabilitation Practitioner | 1112 W 11th Ave, Spokane, WA 99204-3902 | 2007-03-28 |
| 1376600668 | Mark Stanley Rundel | Rehabilitation Practitioner | 1605 12th Ave, Suite 30, Seattle, WA 98122-2467 | 2007-01-03 |
| 1508972894 | Northwest Therapy Center, LLC | Rehabilitation Practitioner | 320 Ne 97th St., Ste B, Seattle, WA 98115 | 2006-08-21 |
| 1447212683 | Monica Ann Jordan | Rehabilitation Practitioner | 4010 E 15th Ave, Spokane, WA 99223-5244 | 2006-04-04 |
| 1790761286 | G Keith Mackenzie | Rehabilitation Practitioner | 715 S Cowley St, Suite 228, Spokane, WA 99202-1375 | 2005-12-16 |
| 1023646882 | Chhorn Houn Pho | Rehabilitation Practitioner | 8649 Martin Way E, Lacey, WA 98516-5812 | 2020-03-28 |
| 1952933632 | Kaylin Greene | Rehabilitation Practitioner | 10258 W Highway 2 Ste 4, Spokane, WA 99224-5459 | 2020-02-10 |
| 1700300563 | Kimberly Ann Foley | Rehabilitation Practitioner | 103 Washburn Pl, Lopez Island, WA 98261-5528 | 2017-08-02 |
| Find all providers with the same taxonomy | ||||
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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.