PAIGE GAUTREAUX (NPI# 1952881161) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952881161 |
| Entity Type | Individual |
| Full Name | PAIGE GAUTREAUX |
| Other Name | RYN GAUTREAUX |
| Credential | BS, CPC |
| Practice Address |
908 5th Avenue Se Olympia WA 98501 |
| Mailing Address |
532 Karr Ave Hoquiam WA 98550-1833 |
| Practice Telephone | 3607542423 |
| Practice Fax Number | 3603572819 |
| Enumeration Date | 2018-08-16 |
| Last Update Date | 2018-08-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 175T00000X | Peer Specialist | CG6084461 | WA | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | CG60844661 | 05 |
| Street Address |
908 5TH AVENUE SE |
| City | OLYMPIA |
| State | WA |
| Zip Code | 98501 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124651880 | Marie T Bendig | Counselor | 900 Fairview St Se, #b5, Olympia, WA 98501 | 2020-02-20 |
| 1205469970 | Thurston County Fire Protection Dist 6 | Ambulance | 8047 Normandy St. Se, Olympia, WA 98501 | 2020-02-20 |
| 1134768799 | Living Sound Therapeutic Services, Pllc | Counselor | 729 Devoe St Se, Olympia, WA 98501 | 2019-12-31 |
| 1336797273 | Sea-mar Community Health Center | Dentist | 6004 Capitol Ave Sw, Tumwater, WA 98501 | 2019-09-03 |
| 1093272841 | Eye Love Pllc | Optometrist | 3409 Capitol Blvd Se, Tumwater, WA 98501 | 2019-02-28 |
| 1356815062 | Kerri Wright | Marriage & Family Therapist | 208 Lee St Sw Ste 108, Tumwater, WA 98501 | 2019-01-15 |
| 1548773997 | Carla Van Dam | Psychologist | 2620 Rw Johnson Blvd Sw Suite 204, Tumwater, WA 98501 | 2017-11-08 |
| 1528577202 | Ronald John San Nicolas | Counselor | 1011 10th Ave, Olympia, WA 98501 | 2017-09-25 |
| 1063964187 | Emily Rapesak | Pharmacist | 500 Cleveland Ave Se, Tumwater, WA 98501 | 2016-10-25 |
| 1871960419 | David Lester Rodriguez II | Counselor | 5902 Elm St Se, Tumwater, WA 98501 | 2015-08-31 |
| Find all providers in zip 98501 | ||||
| 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 |
|---|---|---|---|---|
| 1104468362 | Lyric G Sisterhen | Peer Specialist | 7823 Box Elder Dr Sw, Olympia, WA 98512-2326 | 2019-10-09 |
| 1629682893 | Charli Warren | Peer Specialist | 1202 Black Lake Blvd Sw Ste B, Olympia, WA 98502-7208 | 2020-09-03 |
| 1184271918 | James Morris | Peer Specialist | 1000 Cherry St Se, Olympia, WA 98501-1433 | 2019-08-26 |
| 1881248169 | Carol Varble | Peer Specialist | 1000 Cherry St Se, Olympia, WA 98501-1433 | 2019-07-25 |
| 1255985537 | David Michael Richardson | Peer Specialist | 1000 Cherry St Se, Olympia, WA 98501-1433 | 2019-07-25 |
| 1609420033 | Terry Curtis Graham | Peer Specialist | 1000 Cherry St Se, Olympia, WA 98501-1433 | 2019-07-24 |
| 1114571551 | Heather Sturdevant | Peer Specialist | 1000 Cherry St Se, Olympia, WA 98501-1433 | 2019-07-24 |
| 1992364137 | Carrie Lee Moisey | Peer Specialist | 1011 10th Ave Se, Olympia, WA 98501-1566 | 2019-06-11 |
| 1982161824 | Cassandra Cleo Rhoades | Peer Specialist | 1011 10th Ave Se, Olympia, WA 98501-1566 | 2019-02-27 |
| 1790258283 | Lawrence Arnold Taylor | Peer Specialist | 1011 10th Ave Se, Olympia, WA 98501-1566 | 2019-01-07 |
| Find all providers in OLYMPIA | ||||
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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.