DR. ALYSA ANNE POULIN (NPI# 1871099945) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871099945 |
| Entity Type | Individual |
| Full Name | DR. ALYSA ANNE POULIN |
| Credential | MD, PHD |
| Practice Address |
850 Republican St C-432 Seattle WA 98109-4325 |
| Mailing Address |
4800 Sandpoint Way Ne Oc.8.722 Seattle WA 98105 |
| Practice Telephone | 2043967472 |
| Mailing Telephone | 2069872577 |
| Mailing Fax Number | 2069873840 |
| Enumeration Date | 2018-04-05 |
| Last Update Date | 2018-08-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
850 REPUBLICAN ST C-432 |
| City | SEATTLE |
| State | WA |
| Zip Code | 98109-4325 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790031573 | David Hagin | General Practice | 850 Republican St, Brotman 254, Seattle, WA 98109-4725 | 2012-07-30 |
| 1518464593 | Ramita D. Karra | Student in an Organized Health Care Education/Training Program | 850 Republican St, Seattle, WA 98109 | 2018-04-06 |
| 1487151460 | Linda Liu | Student in an Organized Health Care Education/Training Program | 850 Republican St, Seattle, WA 98109-4725 | 2018-04-06 |
| 1427555416 | Arielle Kloss | Student in an Organized Health Care Education/Training Program | 850 Republican St, Seattle, WA 98109 | 2018-04-06 |
| 1164957452 | Agnelio Silverio Cardentey II | Student in an Organized Health Care Education/Training Program | 850 Republican St, Box 358047, Seattle, WA 98109-4725 | 2017-04-25 |
| 1952835811 | Jake Hemingway | Student in an Organized Health Care Education/Training Program | 850 Republican St, Seattle, WA 98109-4725 | 2017-04-18 |
| 1457885972 | Kajal Mehta | Student in an Organized Health Care Education/Training Program | 850 Republican St, Seattle, WA 98109-4725 | 2017-04-12 |
| 1992238521 | Heather Michelle Barnett | Student in an Organized Health Care Education/Training Program | 850 Republican St, Box 358047, Seattle, WA 98109-4725 | 2017-04-10 |
| 1437504677 | Benjamin Hamilton | Emergency Medicine | 850 Republican St, Seattle, WA 98109-4725 | 2016-04-25 |
| 1316301823 | Larry M Cai | Student in an Organized Health Care Education/Training Program | 850 Republican St, Seattle, WA 98109-4725 | 2016-04-11 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710590179 | Direct Urgent Care Inc | Internal Medicine | 220 6th Avenue North, Seattle, WA 98109 | 2020-08-26 |
| 1073147104 | Hannah Christine Hoyt | Registered Nurse | 1354 Aloha St, Seattle, WA 98109 | 2020-02-27 |
| 1508402645 | Emily Elizabeth Rock | Counselor | Rain City Integrative Clinic, 2730 Westlake Ave N, Seattle, WA 98109 | 2019-11-25 |
| 1770048464 | Roger Leach | Massage Therapist | 4162, Roy Street, Seattle, WA 98109 | 2019-02-06 |
| 1306316658 | Laura Katie Richer | Counselor | 1817 Queen Anne Ave. N., 204, Seattle, WA 98109 | 2018-11-29 |
| 1912492828 | One Medical Group of Washington, P.C. | Psychologist | 625 Boren Avenue North, Seattle, WA 98109 | 2018-06-25 |
| 1942793526 | Washington Dental Corporation, PC | Dentist | 527 Boren Ave N, Seattle, WA 98109 | 2018-06-08 |
| 1417449968 | Chelsie Mccalla | Occupational Therapy Assistant | Mirabella, 116 Fairview Ave N, Seattle, Seattle, WA 98109 | 2018-05-31 |
| 1710405964 | Next Level Sports Performance Consulting | Clinic/Center | 24 Roy Street, #461, Seattle, WA 98109 | 2017-09-07 |
| 1679091953 | Amy Ly Indorf | Pharmacist | 825 Eastlake Ave E #msg5-90, Seattle, WA 98109 | 2017-09-06 |
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| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396342358 | Emma Peconga | Student in an Organized Health Care Education/Training Program | 3619 Ashworth Ave N, Seattle, WA 98103-8116 | 2020-10-02 |
| 1780290361 | Compassionate Peer Counseling LLC | Student in an Organized Health Care Education/Training Program | 3250 Airport Way S Ste 608, Seattle, WA 98134-2172 | 2020-09-19 |
| 1336751684 | Binabahen Shah | Student in an Organized Health Care Education/Training Program | 6035 4th Ave Nw, Seattle, WA 98107-2109 | 2020-08-18 |
| 1316558968 | Jimmy Nguyen | Student in an Organized Health Care Education/Training Program | 5525 23rd Ave S, Seattle, WA 98108-2918 | 2020-08-16 |
| 1174133672 | Selomie Habtemichael | Student in an Organized Health Care Education/Training Program | 10000 30th Ave Sw, Seattle, WA 98146-3720 | 2020-08-09 |
| 1659980720 | Joseph Banham | Student in an Organized Health Care Education/Training Program | 12057 Lakeside Pl Ne, Seattle, WA 98125-5956 | 2020-07-24 |
| 1326662396 | Dale Justin Podolsky | Student in an Organized Health Care Education/Training Program | 4800 Sand Point Way Ne, Ob.9.520, Seattle Children's, Seattle, WA 98105 | 2020-06-04 |
| 1659993723 | Caroline Mullins | Student in an Organized Health Care Education/Training Program | 701 N 36th St Ste 3000, Seattle, WA 98103-8868 | 2020-05-12 |
| 1730700741 | Christian Van Rooyen | Student in an Organized Health Care Education/Training Program | 1951 Pacific Street, Seattle, WA 98195 | 2020-04-30 |
| 1669092128 | Ahmed Abdelrazek | Student in an Organized Health Care Education/Training Program | 1959 Ne Pacific Street, 356560, Department of Psychiart, Seattle, WA 98195-6560 | 2020-04-24 |
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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.