MS. CHEYENNE RAE OTTEM (NPI# 1851877526) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851877526 |
| Entity Type | Individual |
| Full Name | MS. CHEYENNE RAE OTTEM |
| Practice Address |
3645 E Mcleod Rd Bellingham WA 98226-8700 |
| Mailing Address |
860 Viking Cir Unit 102 Bellingham WA 98229-5547 |
| Practice Telephone | 3606762220 |
| Mailing Telephone | 5098238933 |
| Enumeration Date | 2018-07-16 |
| Last Update Date | 2018-07-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 175T00000X | Peer Specialist | Other Service Providers |
| Street Address |
3645 E MCLEOD RD |
| City | BELLINGHAM |
| State | WA |
| Zip Code | 98226-8700 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003887340 | Whatcom Counseling & Psychiatric Clinic | Clinic/Center | 3645 E Mcleod Rd, Bellingham, WA 98226-8700 | 2006-01-26 |
| 1003450552 | Shannon Beierlorzer | Behavior Technician | 3645 E Mcleod Rd, Bellingham, WA 98226-8700 | 2019-10-28 |
| 1992354898 | Lennea Elise Rylander | Counselor | 3645 E Mcleod Rd, Bellingham, WA 98226-8700 | 2019-09-04 |
| 1891344768 | Jocelyn Marissa Buxton | Behavior Technician | 3645 E Mcleod Rd, Bellingham, WA 98226-8700 | 2019-09-04 |
| 1730747262 | Amani Amr | Counselor | 3645 E Mcleod Rd, Bellingham, WA 98226-8700 | 2019-05-30 |
| 1144886169 | Lisa Shoemaker | Behavior Technician | 3645 E Mcleod Rd, Bellingham, WA 98226-8700 | 2019-05-15 |
| 1477024610 | Laura Burke | Counselor | 3645 E Mcleod Rd, Bellingham, WA 98226-8700 | 2018-12-16 |
| 1942771993 | Patty Jo Hammer | Peer Specialist | 3645 E Mcleod Rd, Bellingham, WA 98226-8700 | 2018-12-16 |
| 1770051625 | Moses Mohandas Manning | Counselor | 3645 E Mcleod Rd, Bellingham, WA 98226-8700 | 2018-11-08 |
| 1437626983 | Nicole Elise Brown | Counselor | 3645 E Mcleod Rd, Bellingham, WA 98226-8700 | 2018-11-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558901090 | Advancement Northwest, LLC | Community/Behavioral Health | 410 W Bakerview Rd Suite 110, Space 107, Bellingham, WA 98226 | 2020-01-13 |
| 1295374882 | Unity Care Northwest | Community/Behavioral Health | Roosevelt Elementary School Bh Services, 2900 Yew St., Bellingham, WA 98226 | 2019-12-30 |
| 1710454913 | Shane Humason | Pharmacist | 1225 East Sunset Drive, Ste 110, Bellingham, WA 98226 | 2018-10-26 |
| 1508342759 | Lydia Place A Nonprofit Corporation | Counselor | 1430 North Garden Street, Bellingham, WA 98226 | 2018-07-11 |
| 1609384486 | Lindsay Grace Davis | Massage Therapist | 1572 Huntley Rd, Bellingham, WA 98226 | 2018-01-16 |
| 1760900765 | Melissa Peters | Massage Therapist | 823 W Larson Rd, Bellingham, WA 98226 | 2017-08-30 |
| 1245754001 | Amber Michelle Wilson | Physical Therapy Assistant | 4860 Cordata Pkwy, North Cascades Health and Rehab, Bellingham, WA 98226 | 2017-08-02 |
| 1063935310 | Sophie Elizabeth Kangas | Speech-Language Pathologist | 4152 Meridian Street, Suite 105, Pmb 159, Bellingham, WA 98226 | 2017-07-19 |
| 1639607849 | Sharon Lynn Katz-kunde | Physical Therapist | 317 E Mcleod Rd #101, Bellingham, WA 98226 | 2017-06-01 |
| 1376998179 | Hyowon Choi | Podiatrist | 2075 Barkley Blvd Ste 220, Bellingham, WA 98226 | 2016-04-28 |
| Find all providers in zip 98226 | ||||
| Taxonomy Code | 175T00000X |
| Grouping | Other Service Providers |
| Classification | Peer Specialist |
| Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. |
| Notes: Source: National Uniform Claim Committee [7/1/2014: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013533876 | Alyssa Camille Meaker | Peer Specialist | 4350 Cordata Pkwy Ste 220, Bellingham, WA 98226-8278 | 2020-06-17 |
| 1922657295 | Emily Mclennan | Peer Specialist | 4350 Cordata Pkwy Ste 100, Bellingham, WA 98226-8019 | 2019-09-09 |
| 1942771993 | Patty Jo Hammer | Peer Specialist | 3645 E Mcleod Rd, Bellingham, WA 98226-8700 | 2018-12-16 |
| 1891261442 | Jason David Bister | Peer Specialist | 4120 Meridian St Ste 220, Bellingham, WA 98226-5575 | 2018-10-22 |
| 1639653629 | Erin C Delligatti | Peer Specialist | 3645 E Mcleod Rd, Bellingham, WA 98226-8700 | 2018-09-17 |
| 1447748827 | Gracie Struthers | Peer Specialist | 3645 E Mcleod Rd, Bellingham, WA 98226-8700 | 2018-05-01 |
| 1558861427 | Amelia Mary Thompson | Peer Specialist | 3645 E Mcleod Rd, Bellingham, WA 98226-8700 | 2018-02-17 |
| 1447625116 | Angela Logrande | Peer Specialist | 1133 Railroad Ave, Suite 100, Bellingham, WA 98225-5055 | 2015-12-07 |
| 1346615226 | Arielle Klein | Peer Specialist | 1216 Bay St, Bellingham, WA 98225-4301 | 2015-12-03 |
| 1346612876 | Kristine Diane Towner | Peer Specialist | 1216 Bay St, Bellingham, WA 98225-4301 | 2015-10-23 |
| Find all providers in BELLINGHAM | ||||
| City | BELLINGHAM |
| Zip Code | 98226 |
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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.