TYRONE KELLEWOOD (NPI# 1811123136) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1811123136 |
Entity Type | Individual |
Full Name | TYRONE KELLEWOOD |
Practice Address |
2209 E 32nd St Tacoma WA 98404-4922 |
Mailing Address |
2911 Mountain View Ave W University Place WA 98466-3417 |
Practice Telephone | 2535930247 |
Mailing Telephone | 2533556391 |
Enumeration Date | 2009-06-01 |
Last Update Date | 2009-06-01 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YM0800X |
Counselor Specialization: Mental Health |
LH 60084686 | WA | Behavioral Health & Social Service Providers |
Street Address |
2209 E 32ND ST |
City | TACOMA |
State | WA |
Zip Code | 98404-4922 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255378782 | Puyallup Tribal Health Authority | Clinic/Center | 2209 E 32nd St, Tacoma, WA 98404 | 2006-06-01 |
1063038206 | Laura Christine Fox | Family Medicine | 2209 E 32nd St, Tacoma, WA 98404-4922 | 2020-06-23 |
1538783618 | Yuina Satoh | Family Medicine | 2209 E 32nd St, Tacoma, WA 98404-4922 | 2020-06-03 |
1144882879 | Theodore C Weatherwax | Family Medicine | 2209 E 32nd St, Tacoma, WA 98404-4922 | 2019-07-02 |
1497315592 | Daniel Joseph O'bryan | Family Medicine | 2209 E 32nd St, Tacoma, WA 98404-4922 | 2019-06-19 |
1922664424 | Arielle Jacob | Family Medicine | 2209 E 32nd St, Tacoma, WA 98404-4922 | 2019-05-10 |
1154987683 | Nicholas Snow | Family Medicine | 2209 E 32nd St, Tacoma, WA 98404-4922 | 2019-05-09 |
1063900280 | Hilary Ann Baer | Family Medicine | 2209 E 32nd St, Tacoma, WA 98404 | 2018-04-24 |
1659868131 | Andrew Ma | Family Medicine | 2209 E 32nd St, Tacoma, WA 98404-4922 | 2018-04-19 |
1184111817 | Megan S. Aspelund | Family Medicine | 2209 E 32nd St, Tacoma, WA 98404 | 2018-04-18 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1386169829 | Brianna Lee Brown | Nurse's Aide | 1020 South 76th Street, Tacoma, WA 98404 | 2017-08-05 |
1770981045 | Tra My Thi Nguyen | Pharmacist | 4614 E N St, Tacoma, WA 98404 | 2014-12-18 |
1720419161 | Amber Gilderoy | Massage Therapist | 1101 E 56th St, Tacoma, WA 98404 | 2013-12-11 |
1295083756 | Stacy Marie Klontz | Physical Therapy Assistant | 1649 East 72nd St., Tacoma, WA 98404 | 2012-08-15 |
1215239892 | Kimberly Ida Sterling | Dental Hygienist | 247 E. 68th St., Tacoma, WA 98404 | 2010-12-02 |
1982923926 | Emily C Parry | Occupational Therapy Assistant | 1649 East 72nd Street, Tacoma, WA 98404 | 2010-05-28 |
1427386465 | Carole Lynne Hopkins | Physical Therapist | 1649 East 72nd St, Tacoma, WA 98404 | 2009-12-03 |
1417016056 | Jennifer Anne Decoteau | Social Worker | 2209 East 32nd St, Tacoma, WA 98404 | 2006-12-08 |
1518032374 | Agnes Barbara Kocsis | Psychiatry & Neurology | 2209 E.32nd Str, Tacoma, WA 98404 | 2006-11-21 |
1912924366 | Marthe Butzen | Physician Assistant | 1708 E. 44th Street, Tacoma, WA 98404 | 2006-07-15 |
Find all providers in zip 98404 |
Taxonomy Code | 101YM0800X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790382331 | Sabrie Lynn Tramble | Counselor | 4036 S Lawrence St # A, Tacoma, WA 98409-5627 | 2020-10-06 |
1548870488 | Sorya Pao | Counselor | 7028 S Park Ave, Tacoma, WA 98408-5511 | 2020-08-05 |
1225651730 | Lisa Michele Johnson | Counselor | 2615 S 14th St, Tacoma, WA 98405-2627 | 2020-05-19 |
1982223046 | Celisha Joy Kuhlmann | Counselor | 6409 Tacoma Ave S, Tacoma, WA 98408-6230 | 2020-04-09 |
1811522394 | Bailey and Bailey Counseling and Consultation | Counselor | 2136 Martin Luther King Jr Way Ste 200, Tacoma, WA 98405-3838 | 2020-03-05 |
1992338214 | Kathleen Konzelman | Counselor | 1102 A St Ste 317, Tacoma, WA 98402-5001 | 2020-02-14 |
1780226803 | Dawn Lindsay | Counselor | 2602 N Huson St, Tacoma, WA 98407-3936 | 2019-10-09 |
1043851538 | Lashunda Pitts | Counselor | 2040 E Gregory St Unit B, Tacoma, WA 98404-4723 | 2019-10-05 |
1316596893 | Katherine A Mccaffree | Counselor | 1415 E 72nd St Ste B, Tacoma, WA 98404-5905 | 2019-09-08 |
1659933760 | West Coast Counseling, Pllc | Counselor | 2702 N Proctor St Ste D, Tacoma, WA 98407-5228 | 2019-06-28 |
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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.