NINA WARRIOR (NPI# 1861935363) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861935363 |
| Entity Type | Individual |
| Full Name | NINA WARRIOR |
| Credential | ARNP |
| Practice Address |
1057 12th Ave Longview WA 98632-2509 |
| Practice Telephone | 3606363892 |
| Practice Fax Number | 3604141342 |
| Mailing Telephone | 3606363892 |
| Mailing Fax Number | 3604141342 |
| Enumeration Date | 2016-12-01 |
| Last Update Date | 2017-12-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
N360711162 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | ADVANCED REGISTERED NURSE PRACTITIONER LICENSE | AP60709163 | 01 |
| Street Address |
1057 12TH AVE |
| City | LONGVIEW |
| State | WA |
| Zip Code | 98632-2509 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902872427 | Sheri Lee Phillips | Registered Nurse | 1057 12th Ave, Longview, WA 98632-2509 | 2006-02-24 |
| 1073149118 | Trishia D Venegas | Registered Nurse | 1057 12th Ave, Longview, WA 98632-2509 | 2020-03-20 |
| 1538708706 | Tara Roeder | Nurse Practitioner | 1057 12th Ave, Longview, WA 98632-2509 | 2020-01-05 |
| 1568000347 | Kathryn Elizabeth Thellman | Nurse Practitioner | 1057 12th Ave, Longview, WA 98632-2509 | 2019-12-12 |
| 1811534449 | Janie K Sabo | Registered Nurse | 1057 12th Ave, Longview, WA 98632-2509 | 2019-12-02 |
| 1992360200 | Lucie M Russ | Counselor | 1057 12th Ave, Longview, WA 98632-2509 | 2019-05-02 |
| 1952965279 | Stephanie Dianne Baxter | Counselor | 1057 12th Ave, Longview, WA 98632 | 2019-04-23 |
| 1073079984 | Lyndsey Smith | Dental Hygienist | 1057 12th Ave, Longview, WA 98632-2509 | 2019-02-15 |
| 1336626589 | Aleksandr Rubinov | Dentist | 1057 12th Ave, Longview, WA 98632 | 2018-07-20 |
| 1114412400 | Paramjit Gill | Dentist | 1057 12th Ave, Longview, WA 98632-2509 | 2018-06-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851992366 | Honor Senior Care LLC | Home Health Aide | 1135 3rd Ave, Ste S101, Longview, WA 98632 | 2020-11-03 |
| 1417416728 | Sam Wise | Dentist | 1538 11th Ave Lowr Columbia, Longview, WA 98632 | 2019-03-16 |
| 1053870717 | Matthew Johnson | Physician Assistant | 900 Ocean Beach Hwy Ste 110, Longview, WA 98632 | 2019-03-12 |
| 1295205367 | Abid Valji | Occupational Therapist | Americana Health and Rehabilitation Center, 917 7th Ave, Longview, WA 98632 | 2018-11-30 |
| 1184106437 | Peacehealth | Durable Medical Equipment & Medical Supplies | Triangle Mall Suite 16 1015 Ocean Beach Hwy, Longview, WA 98632 | 2018-09-04 |
| 1982186318 | Linda Joan Mason | Licensed Practical Nurse | 1153 23rd Ave, Longview, WA 98632 | 2018-09-01 |
| 1891291910 | Ellen Sumner Hornbeak | Physical Therapist | 200 Triangle Shopping Ctr Ste 270, Longview, WA 98632 | 2018-04-05 |
| 1700399961 | Johnna Joyce Knapp | Speech-Language Pathologist | 2615 Lilac St, Longview, WA 98632 | 2017-11-09 |
| 1841711868 | Deborah Annette Burzynski | Registered Nurse | 1057 12th Avenue, Longview, WA 98632 | 2017-06-29 |
| 1598291122 | Cheyenne West | Counselor | 1616 10th Avenue, Longview, WA 98632 | 2017-05-02 |
| Find all providers in zip 98632 | ||||
| Taxonomy Code | 363LP2300X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023647286 | Jennifer S Melendez | Nurse Practitioner | 121 Gilmer Rd, Longview, TX 75604-4616 | 2020-04-08 |
| 1760861694 | Karey Barbee | Nurse Practitioner | 5016 Gilmer Rd, Longview, TX 75604 | 2015-05-26 |
| 1205258753 | Stacy Nicole Bratcher | Nurse Practitioner | 4002 Technology Ctr, Longview, TX 75605-2697 | 2014-01-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841802675 | Michelle Ann Rorie | Nurse Practitioner | 1100 Villanova St Ne, Olympia, WA 98516-5454 | 2020-08-22 |
| 1174132294 | Heather Catherine Pounds | Nurse Practitioner | 4222 Robin Rd W, University Place, WA 98466-1536 | 2020-07-24 |
| 1801410675 | Mi Thi Trieu Tran | Nurse Practitioner | 24611 116th Ave Se, Kent, WA 98030-4939 | 2020-06-08 |
| 1609409085 | Kris Dee Chatman | Nurse Practitioner | 1628 S Mildred St Ste 105, Tacoma, WA 98465-1628 | 2020-02-13 |
| 1912547365 | Thomas Lee Etherton | Nurse Practitioner | 4425 Cole Ct Se, Olympia, WA 98501-4474 | 2020-01-14 |
| 1306489760 | Nikolaus V Voswinkel | Nurse Practitioner | 1420 Terry Ave Unit 202, Seattle, WA 98101-1981 | 2019-10-17 |
| 1518509520 | Sasha Rose Jensen | Nurse Practitioner | 460 West G Street, Forks, WA 98331 | 2019-10-10 |
| 1306487772 | Harmony Kroll | Nurse Practitioner | 23475 225th Way Se, Ste 201, Maple Valley, WA 98038-5294 | 2019-10-07 |
| 1932751658 | Lesly Marie Dosono Barcena | Nurse Practitioner | 6700 Roosevelt Way Ne Apt A211, Seattle, WA 98115-6642 | 2019-07-12 |
| 1912568205 | Andrea Lyn Fellman | Nurse Practitioner | Ideal Option Clinic 328 South Stillaguamish Ave, Arlington, WA 98223-1660 | 2019-06-26 |
| 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.