LARRY MEADE (NPI# 1811345580) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1811345580 |
Entity Type | Individual |
Full Name | LARRY MEADE |
Credential | C.D.P.C, C.C.C |
Practice Address |
1752 State Hwy 508 Onalaska WA 98570-0485 |
Mailing Address |
Po Box 485 1752 State Hwy 508 Onalaska WA 98570-0485 |
Practice Telephone | 3609784186 |
Practice Fax Number | 3609784926 |
Mailing Telephone | 3609784186 |
Mailing Fax Number | 3609784926 |
Enumeration Date | 2016-06-02 |
Last Update Date | 2016-06-02 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
CP00005297 | WA | Behavioral Health & Social Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
WA | 1996016 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922174564 | Larry Nis Meade | Family Medicine | 9 Crescent St, West Boylston, MA 01583-1309 | 2006-11-27 |
Street Address |
1752 STATE HWY 508 |
City | ONALASKA |
State | WA |
Zip Code | 98570-0485 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215264965 | Fresh Start LLC | Community/Behavioral Health | 1752 State Hwy 508, Onalaska, WA 98570 | 2009-11-17 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891857322 | Lewis County Fire Protection District 1 | Ambulance | 244 Carlisle Ave, Onalaska, WA 98570 | 2006-12-14 |
1174566087 | Kathleen Henry | Nurse Practitioner | 1810 Hwy 508, Onalaska, WA 98570 | 2006-06-14 |
1659631141 | Lewis County Community Health Services | Clinic/Center | 1810 Hwy 508, Onalaska, WA 98570 | 2012-05-18 |
1558570481 | Dustin Leon Lewis | Chiropractor | 355 Linhart Ave. Ne, Napavine, WA 98570-0329 | 2007-05-21 |
1215586763 | Merle Eleanor Walkup | In Home Supportive Care | 405 Shanklin Rd, Onalaska, WA 98570-9438 | 2019-09-07 |
1013565183 | Carolyn Lee Johnson | Nurse's Aide | 166b Smokey Rdg, Onalaska, WA 98570-9452 | 2019-08-30 |
1699094953 | Annie Bhagwandin | Specialist | 183 Shady Grove Rd, Onalaska, WA 98570-9453 | 2010-05-26 |
1447276100 | Onalaska School District | Local Education Agency (LEA) | 540 Carlisle Ave, Onalaska, WA 98570-9604 | 2006-07-14 |
1285868281 | Mark R Leadbetter | Orthopaedic Surgery | 3233 Centralia Alpha Rd, Onalaska, WA 98570-9610 | 2009-05-06 |
1447896436 | Quintessential Birth Services | Midwife | 218a Stub Rd, Onalaska, WA 98570-9627 | 2019-11-25 |
Find all providers in zip 98570 |
Taxonomy Code | 101YA0400X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Addiction (Substance Use Disorder) |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033636071 | Erica Sauey | Counselor | 9532 E 16 Frontage Rd Ste 100, Onalaska, WI 54650-6742 | 2017-08-29 |
1063938595 | Kimberly Maria Shortner | Counselor | 9532 E. 16 Frontage Rd., Ste. 100, Onalaska, WI 54650-6742 | 2017-08-16 |
1467810028 | Laura Johnson | Counselor | 9532 E. 16 Frontage Rd, Ste. 100, Onalaska, WI 54650-6742 | 2016-02-10 |
1518158922 | Marina V Olsen | Counselor | 136 Rice Ln, Onalaska, WA 98570-9704 | 2007-08-09 |
1689616518 | Nicole Rene Johnson | Counselor | 704 Sand Lake Rd Ste 105, Onalaska, WI 54650-2456 | 2006-06-12 |
1316545452 | Kayla Fausti | Counselor | 9532 E 16 Frontage Rd, Onalaska, WI 54650-6739 | 2020-10-12 |
1790319903 | Rebecca J Lamb | Counselor | 571 Braund St, Onalaska, WI 54650-8556 | 2020-02-26 |
1043843048 | Katlyn Becker | Counselor | 9532 E 16 Frontage Rd, Onalaska, WI 54650-6739 | 2020-02-18 |
1093347650 | Aubryana Sullivan | Counselor | 9532 E 16 Frontage Rd, Onalaska, WI 54650-6739 | 2020-02-11 |
1871131482 | Jennifer A Nichols | Counselor | 200 Mason St Ste 11, Onalaska, WI 54650-7061 | 2019-12-13 |
Find all providers in ONALASKA |
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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.