LISA VIVANCO (NPI# 1871088427) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871088427 |
| Entity Type | Individual |
| Full Name | LISA VIVANCO |
| Other Name | LEE VIVANCO |
| Credential | DNP |
| Practice Address |
325 W Gowe St Kent WA 98032-5892 |
| Practice Telephone | 2538337444 |
| Mailing Telephone | 2538337444 |
| Enumeration Date | 2018-06-26 |
| Last Update Date | 2018-11-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
AP60865969 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 21847 Se 270th St, Maple Valley, WA 980387417 | 2066600023 | |
| 2901 Squalicum Pkwy, Bellingham, WA 982251851 | 3607345400 |
| Street Address |
325 W GOWE ST |
| City | KENT |
| State | WA |
| Zip Code | 98032-5892 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487765442 | Lester Pittle | Family Medicine | 325 W Gowe St, Kent, WA 98032-5892 | 2006-08-31 |
| 1215538731 | Jesse Muao | Counselor | 325 W Gowe St, Kent, WA 98032-5892 | 2020-11-02 |
| 1891392189 | Nina Parks | Counselor | 325 W Gowe St, Kent, WA 98032-5892 | 2020-10-08 |
| 1013523349 | Amy Rainey | Counselor | 325 W Gowe St, Kent, WA 98032-5892 | 2020-09-22 |
| 1851907182 | Samantha Camera | Counselor | 325 W Gowe St, Kent, WA 98032-5892 | 2020-09-22 |
| 1265047195 | Alexander Sergeev | Counselor | 325 W Gowe St, Kent, WA 98032-5892 | 2020-09-08 |
| 1124633052 | Megan Smith | Counselor | 325 W Gowe St, Kent, WA 98032-5892 | 2020-09-08 |
| 1790398279 | Isabella Gulino | Counselor | 325 W Gowe St, Kent, WA 98032-5892 | 2020-08-25 |
| 1508475286 | Najarel Lewis | Counselor | 325 W Gowe St, Kent, WA 98032-5892 | 2020-07-28 |
| 1447868054 | Trevaunte Williams | Counselor | 325 W Gowe St, Kent, WA 98032-5892 | 2020-07-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952866790 | Cornerstone Ocd Anxiety | Counselor | 415 Railroad Ave S, Kent, WA 98032 | 2019-02-06 |
| 1861962458 | Mohamed Osman Awad | Counselor | 124 4th Ave S Suite 230, Kent, WA 98032 | 2018-11-27 |
| 1649747387 | Hannah Grace Rosborough | Counselor | 19435 68th Ave S Bldg S Ste 109, Kent, WA 98032 | 2018-10-31 |
| 1063948164 | Teasya Kusumo | Marriage & Family Therapist | 232 2nd Avenue S., Suite 201, Kent, WA 98032 | 2017-05-10 |
| 1902331648 | Heather Kunce | Marriage & Family Therapist | 232 Second Ave S, Ste 201, Kent, WA 98032 | 2017-05-01 |
| 1043761489 | Julia Kocian | Social Worker | 1601 W Meeker St., #201, Sea Mar Kent Behavioral Health, Kent, WA 98032 | 2016-10-20 |
| 1760938518 | Phoeun Sath | Community Health Worker | 24328 Pacific Hwy, Kent, WA 98032 | 2016-08-31 |
| 1891241568 | Live Well Alliance, LLC | Counselor | 1103 W. Meeker Street #102, Kent, WA 98032 | 2016-08-31 |
| 1760938070 | Seattle Cpap | Durable Medical Equipment & Medical Supplies | 25329 74th Ave S, Kent, WA 98032 | 2016-08-28 |
| 1750736401 | William Dale | Technician, Other | 6302 S 238th Pl, Apt U205, Kent, WA 98032 | 2016-05-02 |
| Find all providers in zip 98032 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982113023 | Scott Christian Rohrbaugh | Nurse Practitioner | 5982 Rhodes Rd., Kent, OH 44240-8100 | 2017-09-20 |
| 1710405055 | Ashley Barczok | Nurse Practitioner | 5982 Rhodes Road, Kent, OH 44240 | 2017-09-07 |
| 1346306404 | Judith E. Stacey-robar | Nurse Practitioner | 1851 Central Pl S, Suite 123, Kent, WA 98030-7514 | 2006-12-30 |
| 1629629597 | Christopher James Sheets | Nurse Practitioner | 505 Washington Ave S, Kent, WA 98032-5709 | 2019-09-23 |
| 1811498611 | Perry Githens | Nurse Practitioner | 62 Carter Rd., Kent, CT 06757 | 2018-02-27 |
| 1003339656 | Tina Steen | Nurse Practitioner | 5982 Rhodes Rd, Kent, OH 44240-8100 | 2017-07-25 |
| 1376929232 | Laura Frantz | Nurse Practitioner | 325 W Gowe St, Kent, WA 98032-5892 | 2015-08-03 |
| 1265825194 | Naomi Rena True | Nurse Practitioner | 325 W Gowe St, Kent, WA 98032-5892 | 2015-03-17 |
| 1831588441 | Nicole Iwuoha | Nurse Practitioner | 325 W Gowe St, Kent, WA 98032-5892 | 2015-01-20 |
| 1609212539 | Kathryn Casey Howland | Nurse Practitioner | 325 W Gowe St, Kent, WA 98032-5892 | 2013-05-19 |
| Find all providers in KENT | ||||
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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.