TYLER SHAQUILLE BEAUCHAMP (NPI# 1952966327) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952966327 |
| Entity Type | Individual |
| Full Name | TYLER SHAQUILLE BEAUCHAMP |
| Practice Address |
7610 40th St W Ste 200 University Place WA 98466-3834 |
| Practice Telephone | 2535077231 |
| Enumeration Date | 2019-05-01 |
| Last Update Date | 2019-05-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932329679 | Tyler Beauchamp | Massage Therapist | 3390 Coachman, Eagan, MN 55121 | 2007-04-26 |
| 1700485505 | Tyler Beauchamp | Physical Therapy Assistant | 6101 Northwest Blvd, Davenport, IA 52806-1861 | 2020-10-22 |
| Street Address |
7610 40TH ST W STE 200 |
| City | UNIVERSITY PLACE |
| State | WA |
| Zip Code | 98466-3834 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215203393 | Jennifer Michelle Lowe | Counselor | 7610 40th St W Ste 200, University Place, WA 98466-3838 | 2012-03-22 |
| 1104450915 | Zoya Bustamante | Peer Specialist | 7610 40th St W Ste 200, University Place, WA 98466-3838 | 2020-03-02 |
| 1184258394 | Katie Eromae | Peer Specialist | 7610 40th St W Ste 200, University Place, WA 98466-3838 | 2020-02-26 |
| 1639728934 | Karen Martha Lewand | Counselor | 7610 40th St W Ste 200, University Place, WA 98466-3838 | 2019-09-09 |
| 1407400237 | Ella Hatfield | Counselor | 7610 40th St W Ste 200, University Place, WA 98466-3838 | 2019-07-30 |
| 1619529419 | Natalie Getty | Counselor | 7610 40th St W Ste 200, University Place, WA 98466-3838 | 2019-07-11 |
| 1114580610 | Tatiana Rodriguez | Peer Specialist | 7610 40th St W Ste 200, University Place, WA 98466-3834 | 2019-04-19 |
| 1316409212 | Nicole Conklin | Peer Specialist | 7610 40th St W Ste 200, University Place, WA 98466-3834 | 2019-04-01 |
| 1740673037 | Jessica Joy Myers | Counselor | 7610 40th St W Ste 200, University Place, WA 98466 | 2015-03-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306499215 | Julie Mccartney | Counselor | 7610 40th St W Ste 20, University Place, WA 98466 | 2019-07-19 |
| 1033682752 | Jms Corporate Services Group | In Home Supportive Care | 2621 70th Avenue West, Suite C, University Place, WA 98466 | 2019-01-04 |
| 1992270243 | Kathleen Marie Kulman | Massage Therapist | 4113 Bridgeport Avenue, Suite B, Tacoma, WA 98466 | 2018-10-12 |
| 1518441674 | Michala Lin Dymond-shaw | Speech-Language Pathologist | 3725 Grandview Dr W, University Place, WA 98466 | 2018-09-24 |
| 1770001133 | Micky Patrick Cates | Physician Assistant | 1924 70th Ave West, Apt E5, University Place, WA 98466 | 2017-09-06 |
| 1386160984 | Stephanie Herrala | Dentist | Okubo Dental Clinic 11582 C St, Jblm, WA 98466 | 2017-08-16 |
| 1033581640 | Jay Hyuck Sung | Dentist | 3670 Bridgeport Way W, Unit B, University Place, WA 98466 | 2015-10-22 |
| 1174951867 | Adrienne Holliday | Occupational Therapy Assistant | 3717 Grandview Drive W, University Place, WA 98466 | 2013-10-16 |
| 1598106650 | Maricris Pang Espino | Registered Nurse | 1541 Cottonwood Avenue, Fircrest, WA 98466 | 2013-07-17 |
| 1417393653 | Nurhan Karakas | Counselor | 9330 59th Ave Sw, Lakewood, WA 98466 | 2013-05-15 |
| Find all providers in zip 98466 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306499215 | Julie Mccartney | Counselor | 7610 40th St W Ste 20, University Place, WA 98466 | 2019-07-19 |
| 1568974269 | Steffanee Holt | Counselor | 3818 Bridgeport Way W Ste D5, University Place, WA 98466-4416 | 2017-11-02 |
| 1134631518 | Mark N Thompson | Counselor | 4608 79th Avenue Ct W, University Place, WA 98466-3042 | 2017-10-25 |
| 1205244936 | Patricia Crockett | Counselor | 1905 Bridgeport Way W, Suite 201, University Place, WA 98466-4846 | 2014-07-25 |
| 1215203393 | Jennifer Michelle Lowe | Counselor | 7610 40th St W Ste 200, University Place, WA 98466-3838 | 2012-03-22 |
| 1457598476 | Lori Jean Harrison | Counselor | 7025 27th St West, Suite #4, University Place, WA 98466-5528 | 2009-01-13 |
| 1083806475 | Denise Rachel Bessette | Counselor | 7610 40th St W, University Place, WA 98466-3834 | 2007-08-09 |
| 1376669671 | Michelle Marie Crowell | Counselor | 7610 40th St W Ste 300, University Place, WA 98466-3834 | 2007-03-21 |
| 1083749402 | Ann Selma Alpern | Counselor | 4109 Bridgeport Way West, Suite D 3, University Place, WA 98466-4328 | 2007-02-23 |
| 1164587143 | Pamela Sylvia Elderkin | Counselor | 4109 Bridgeport Way W, Suite B, University Place, WA 98466-4328 | 2006-12-27 |
| Find all providers in UNIVERSITY PLACE | ||||
| City | UNIVERSITY PLACE |
| Zip Code | 98466 |
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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.