DEREK ANTHONY DUARTE (NPI# 1932750809) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1932750809 |
Entity Type | Individual |
Full Name | DEREK ANTHONY DUARTE |
Practice Address |
5915 Orchard St W Tacoma WA 98467-3824 |
Mailing Address |
4302 Center St Apt X106 Tacoma WA 98409-8620 |
Practice Telephone | 2534147461 |
Mailing Telephone | 6506694194 |
Enumeration Date | 2019-09-23 |
Last Update Date | 2019-09-23 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
CO60967188 | WA | Behavioral Health & Social Service Providers |
Street Address |
5915 ORCHARD ST W |
City | TACOMA |
State | WA |
Zip Code | 98467-3824 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437357761 | Yvonne M Deponty | Counselor | 5915 Orchard St W, Building B, Tacoma, WA 98467-3824 | 2007-07-09 |
1679191340 | Jessica Karol Franco | Counselor | 5915 Orchard St W, Tacoma, WA 98467-3824 | 2020-07-09 |
1619517364 | Ana Teresa Alcala-calderon | Counselor | 5915 Orchard St W, Tacoma, WA 98467-3824 | 2020-01-10 |
1811535636 | Carlos Gonzalez Razo | Counselor | 5915 Orchard St W, Tacoma, WA 98467-3824 | 2019-12-11 |
1144865882 | Christine D Ibarra | Case Manager/Care Coordinator | 5915 Orchard St W, Tacoma, WA 98467-3824 | 2019-11-15 |
1649829920 | Isabelle Valdez Duarte | Counselor | 5915 Orchard St W, Tacoma, WA 98467-3824 | 2019-09-09 |
1255988242 | Jessica Patricia Gonzalez | Counselor | 5915 Orchard St W, Tacoma, WA 98467-3824 | 2019-08-23 |
1114574514 | Sylvia May Sabon | Counselor | 5915 Orchard St W, Tacoma, WA 98467-3824 | 2019-08-20 |
1780236182 | Janna Bushaw Crist | Counselor | 5915 Orchard St W, Tacoma, WA 98467-3824 | 2019-07-15 |
1326602822 | Kenneth Stephen Bourque | Counselor | 5915 Orchard St W, Tacoma, WA 98467-3824 | 2019-04-30 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1689218927 | Juliette Gallardo-zamora | Behavioral Analyst | 5915 Orchard St. W, Tacoma, WA 98467 | 2019-10-30 |
1306310925 | Nancy Rubi Rosas Rodriguez | Counselor | 5915 Orchard St W., Tacoma, WA 98467 | 2019-01-16 |
1801309091 | Penny L Crawford | Registered Nurse | 5424 57th Ave Ct. W., G8, University Place, WA 98467 | 2017-11-09 |
1316465578 | C.f. Bridgeport, LLC | Assisted Living Facility | 5250 Bridgeport Way W., University Place, WA 98467 | 2017-09-07 |
1265950422 | University Place Rehabilitation Center, LLC | Skilled Nursing Facility | 5520 Bridgeport Way W., University Place, WA 98467 | 2017-09-07 |
1689127037 | Rachel Ann Cruz | Counselor | 5915 Orcahrd St W, Tacoma, WA 98467 | 2016-08-02 |
1396099313 | Ryan Jack Holbrook | Massage Therapist | 6915 Lakewood Dr W Unit A2, Tacoma, WA 98467 | 2012-10-29 |
1740519701 | Laura Jean Hubert | Physical Therapist | 5520 Bridgeport Way, University Place, WA 98467 | 2009-12-21 |
1437395548 | Karen Marie Noyes | Occupational Therapy Assistant | 5520 Bridgeport Way West, University Place, WA 98467 | 2008-12-18 |
1770751083 | Orchard Medical Clinic | Internal Medicine | 5320 Orchard St W, University Place, WA 98467 | 2008-02-20 |
Find all providers in zip 98467 |
Taxonomy Code | 101YA0400X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Addiction (Substance Use Disorder) |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548868276 | Mind Over Matters, Pllc | Counselor | 2525 55th Ave Ne, Tacoma, WA 98422-3404 | 2020-10-14 |
1376140541 | Debra Tone | Counselor | 1219 Earnest Brazill St, Tacoma, WA 98405-4025 | 2020-10-01 |
1881201028 | Dallas Renae Neighbors | Counselor | 711 S 25th St Ste B, Tacoma, WA 98405-4306 | 2020-09-30 |
1306310925 | Nancy Rubi Rosas Rodriguez | Counselor | 5915 Orchard St W., Tacoma, WA 98467 | 2019-01-16 |
1740751668 | Jay Yourglich | Counselor | 3315 S 23rd St Ste 102, Tacoma, WA 98405-1615 | 2018-12-17 |
1407327927 | Lewis A Wilson | Counselor | 721 Fawcett Ave Ste 201, Tacoma, WA 98402-5502 | 2018-12-10 |
1386113207 | Patricia A Neagle | Counselor | 2316 S State St Ste B, Tacoma, WA 98405-2813 | 2018-11-20 |
1457829343 | Ron Rn Wilkins | Counselor | 721 Fawcett Ave Ste 102, Tacoma, WA 98402-5502 | 2018-11-08 |
1275001620 | Matthew Mixon | Counselor | 15318 14th Avenue Ct E, Tacoma, WA 98445-2496 | 2018-11-04 |
1124593017 | Elisa Marie Matthews | Counselor | 5315 S Orchard St, Tacoma, WA 98467-3686 | 2018-10-08 |
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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.