MS. ELLEN L IMSLAND (NPI# 1821021478) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821021478 |
| Entity Type | Individual |
| Full Name | MS. ELLEN L IMSLAND |
| Credential | ARNP |
| Practice Address |
518 E Clay Ave Chewelah WA 99109-8947 |
| Mailing Address |
518 E Clay Ave Po Box 198 Chewelah WA 99109-8947 |
| Practice Telephone | 5099358424 |
| Practice Fax Number | 5099358402 |
| Mailing Telephone | 5099358424 |
| Mailing Fax Number | 5099358402 |
| Enumeration Date | 2006-07-08 |
| Last Update Date | 2008-11-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
AP30007322 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
AP30007322 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | RAILROAD MEDICARE | CE9078 | 01 |
| WA | LABOR & INDUSTRIES ID NO. | 0210113 | 01 |
| Street Address |
518 E CLAY AVE |
| City | CHEWELAH |
| State | WA |
| Zip Code | 99109-8947 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679537575 | New Health Programs Association | Clinic/Center | 518 E Clay Ave, Chewelah, WA 99109-8947 | 2006-04-17 |
| 1225659949 | Alexis Peters | Registered Nurse | 518 E Clay Ave, Chewelah, WA 99109-8947 | 2020-05-04 |
| 1386285054 | Thomas J Bell | Naturopath | 518 E Clay Ave, Chewelah, WA 99109-8947 | 2019-10-03 |
| 1235610403 | New Health Programs Association | Pharmacy | 518 E Clay Ave, Chewelah, WA 99109-8947 | 2018-08-27 |
| 1427328731 | John H Kabosky | Nurse Practitioner | 518 E Clay Ave, Chewelah, WA 99109-8947 | 2012-01-03 |
| 1063743243 | Aaric Ross | Pharmacist | 518 E Clay Ave, Chewelah, WA 99109-8947 | 2010-01-27 |
| 1124287859 | Liesl Pavlic | Internal Medicine | 518 E Clay Ave, Chewelah, WA 99109-8947 | 2008-06-06 |
| 1851518625 | Michael R Dunniway | Physician Assistant | 518 E Clay Ave, Chewelah, WA 99109-8947 | 2007-04-20 |
| 1396888715 | Ann Margaret Putman | Physician Assistant | 518 E Clay Ave, Chewelah, WA 99109-8947 | 2007-02-15 |
| 1477654416 | Maja Zugec | Family Medicine | 518 E Clay Ave, Chewelah, WA 99109-8947 | 2006-09-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609322528 | Providence Health & Services | In Home Supportive Care | 110 S. Third Street E., Chewelah, WA 99109 | 2016-08-31 |
| 1639525157 | Shelley Gail Schreibman | Specialist | 101 N Park Street, Po, Chewelah, WA 99109 | 2016-05-13 |
| 1518361831 | David Stroyan | Pharmacist | 518 E Clay, New Health Programs, Chewelah, WA 99109 | 2014-10-15 |
| 1942554712 | Renee S Thompson | Psychologist | 208 E Clay St, Chewelah, WA 99109 | 2012-11-01 |
| 1356616759 | Paul Michael Cockerham | Physical Therapist | 101 N. Park St., Chewelah, WA 99109 | 2012-03-19 |
| 1669768479 | Lori S King | Veterinarian | 1505 N Pinebrook Dr, Chewelah, WA 99109 | 2011-06-21 |
| 1619268281 | Providence Physician Services Co | Family Medicine | 100 W. South Ave Chewelah, Chewelah, WA 99109 | 2011-04-29 |
| 1245557917 | Providence Physician Services Co | Obstetrics & Gynecology | 518 Clay Street, Chewelah, WA 99109 | 2010-04-21 |
| 1033340088 | Scott Anthony Lake | Dentist | 616 E Main, Chewelah, WA 99109 | 2009-08-06 |
| 1659560787 | Robin D Bowman | Counselor | 2264 C. Sand Canyon Road, Chewelah, WA 99109 | 2007-10-15 |
| Find all providers in zip 99109 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912991332 | Janice Linehan | Nurse Practitioner | 509 E Main Ave, Chewelah, WA 99109-8964 | 2005-08-31 |
| 1427328731 | John H Kabosky | Nurse Practitioner | 518 E Clay Ave, Chewelah, WA 99109-8947 | 2012-01-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740889369 | Abigail E Mercure | Nurse Practitioner | 7618 Ne Champagne Point Pl, Kirkland, WA 98034-3448 | 2020-10-24 |
| 1043819907 | Matthew Sean Krabbendam | Nurse Practitioner | 7315 212th St Sw Ste 207, Edmonds, WA 98026-7610 | 2020-10-21 |
| 1700485919 | Yanique Ricie Nana Yakam Azah | Nurse Practitioner | 22829 Se 239th Ct, Maple Valley, WA 98038-5052 | 2020-10-19 |
| 1164029484 | Chelsea Lauren Bresnahan | Nurse Practitioner | 7928 S Parway Ln, Cheney, WA 99004-8619 | 2020-10-08 |
| 1023615549 | Brian D Ottesen | Nurse Practitioner | 2315 Crestwood Pl Nw, Olympia, WA 98502-4095 | 2020-10-07 |
| 1881291003 | Allison Walzer | Nurse Practitioner | 526 Yale Ave N Apt 402, Seattle, WA 98109-5544 | 2020-10-01 |
| 1740896927 | Maia Zink | Nurse Practitioner | 10837 E Riverside Dr Apt C, Bothell, WA 98011-6123 | 2020-09-22 |
| 1760098339 | Yunyun Lu | Nurse Practitioner | 4922 51st Avenue Ct W, University Place, WA 98467-4828 | 2020-09-19 |
| 1255944278 | Alexis Leanne Snyder | Nurse Practitioner | 717 S 51st St, Tacoma, WA 98408-5710 | 2020-08-28 |
| 1841800521 | Lauren Levesque | Nurse Practitioner | 2744 Ne 54th St Unit B, Seattle, WA 98105-3146 | 2020-08-06 |
| 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.