MOLLY KOCZARSKI (NPI# 1821407081) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821407081 |
| Entity Type | Organization |
| Organization Name | MOLLY KOCZARSKI |
| Practice Address |
18811 19th Avenue Ct E Spanaway WA 98387-4136 |
| Practice Telephone | 3605805423 |
| Mailing Telephone | 3605805423 |
| Enumeration Date | 2014-08-12 |
| Last Update Date | 2014-08-12 |
| Authorized Official Name | MOLLY KOCZARSKI (REGISTERED DIETITIAN) |
| Authorized Official Telephone | 3605805423 |
| Authorized Official Credential | RD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM1103X |
Clinic/Center Specialization: Military Ambulatory Procedure Visits Operational (Transportable) |
DI60083621 | WA | Ambulatory Health Care Facilities |
| Street Address |
18811 19TH AVENUE CT E |
| City | SPANAWAY |
| State | WA |
| Zip Code | 98387-4136 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124673934 | Mckenzie L Cooper | Behavioral Analyst | 27421 30th Ave E, Spanaway, WA 98387 | 2019-08-08 |
| 1902467442 | Lindsey Taylor Reynolds | Speech-Language Pathologist | Bethel High School, 22215 38th Ave E, Spanaway, WA 98387 | 2019-06-25 |
| 1700353299 | David York | Chiropractor | 18407 Pacific Avenue, Suite A-11, Spanaway, WA 98387 | 2018-11-01 |
| 1730669391 | Lindsey Copus | Speech-Language Pathologist | 516 176th E, Spanaway, WA 98387 | 2018-08-14 |
| 1023531720 | Rebecca Susan Callaway | Behavioral Analyst | 4606 216th St Ct E, Spanaway, WA 98387 | 2017-07-25 |
| 1780093666 | Ramandeep Grewal | Pharmacist | 20307 Mountain Hwy W, Spanaway, WA 98387 | 2014-08-05 |
| 1730464223 | Dawn Michelle Johnson | Counselor | 7714 197th Street Ct E, Spanaway, WA 98387 | 2011-10-15 |
| 1982929469 | Abracadabra Recovery Inc | Community/Behavioral Health | 18407 Pacific Avenue South, Spanaway, WA 98387 | 2010-03-29 |
| 1932348810 | Christine Ann Uhl | Specialist | 8306 205th St Ct East, Spanaway, WA 98387 | 2009-02-17 |
| 1205072659 | Karen Lynn Iverson | Specialist | 5410 184th. Street East, Bethel Schools, Spanaway, WA 98387 | 2009-01-06 |
| Find all providers in zip 98387 | ||||
| Taxonomy Code | 261QM1103X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Military Ambulatory Procedure Visits Operational (Transportable) |
| "Non-fixed" facilities or distinct parts of a "non-fixed" facility, providing outpatient surgical procedures requiring medically supervised recovery. Does not include items issued directly to a patient from an outpatient pharmacy or patient transport. Includes initial "take home" pharmaceuticals. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619038957 | Madigan Army Medical Center. | Clinic/Center | Bldg 11582, 17th & C Street, Ft. Lewis, WA 98433-1100 | 2006-12-12 |
| 1386886489 | United States Navy | Clinic/Center | 3600 Rivers Ave, Charleston, WA 29405 | 2009-04-03 |
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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.