XAYNALIN SOULISACK (NPI# 1982250700) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1982250700 |
Entity Type | Individual |
Full Name | XAYNALIN SOULISACK |
Practice Address |
1412 140th Pl Ne Bellevue WA 98007-3915 |
Mailing Address |
1116 Summit Ave Seattle WA 98101-2831 |
Practice Telephone | 4257477892 |
Mailing Telephone | 2063230930 |
Enumeration Date | 2019-08-16 |
Last Update Date | 2019-08-16 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 156F00000X | Technician/Technologist | Eye and Vision Services Providers |
Street Address |
1412 140TH PL NE |
City | BELLEVUE |
State | WA |
Zip Code | 98007-3915 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730250259 | Therapeutic Health Services | Counselor | 1412 140th Pl Ne, Rockwood Office Park, Bellevue, WA 98007-3915 | 2006-11-13 |
1205440658 | Shernell Lynn Wilkens | Student in an Organized Health Care Education/Training Program | 1412 140th Pl Ne, Bellevue, WA 98007-3915 | 2020-09-03 |
1316562697 | James Oliver Randall | Counselor | 1412 140th Pl Ne, Bellevue, WA 98007-3915 | 2020-06-11 |
1316560915 | Michael G Skalecki | Counselor | 1412 140th Pl Ne, Bellevue, WA 98007-3915 | 2020-05-19 |
1871133637 | Brianna Larrabee Shinners | Student in an Organized Health Care Education/Training Program | 1412 140th Pl Ne, Bellevue, WA 98007-3915 | 2020-01-09 |
1972163244 | Elizabeth Alexandra Keiper | Counselor | 1412 140th Pl Ne, Bellevue, WA 98007-3915 | 2019-06-18 |
1598228702 | Cynthia Wu | Counselor | 1412 140th Pl Ne, Bellevue, WA 98007-3915 | 2019-04-13 |
1417420134 | Andrew Socha | Counselor | 1412 140th Pl Ne, Bellevue, WA 98007-3915 | 2019-01-04 |
1437645397 | Alexis A Vano | Technician, Other | 1412 140th Pl Ne, Bellevue, WA 98007-3915 | 2018-07-03 |
1437645314 | Chloe Wilkins | Counselor | 1412 140th Pl Ne, Bellevue, WA 98007-3915 | 2018-07-03 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1982204947 | Janet Delgado | Interpreter | 3000 Landerholm Cir Se, Bellevue, WA 98007 | 2020-10-29 |
1467092643 | Stephanie Schaal | Counselor | 15395 Se 30th Place Ste 120, Bellevue, WA 98007 | 2020-01-15 |
1740824358 | Alison Elizabeth Campbell | Massage Therapist | 14575 Ne Bel Red Rd Ste 100, Bellevue, WA 98007 | 2019-11-06 |
1275188021 | Pacific Coast Health Care, Pllc | Internal Medicine | Mission Healthcare At Bellevue, 2424 156th Avenue Ne, Bellevue, WA 98007 | 2019-08-08 |
1417475054 | Terasak Roeksbutr | Dietitian, Registered | 109 146th Ave Se, Bellevue, WA 98007 | 2017-09-04 |
1083130934 | Po-lung Wu | Acupuncturist | 693 156th Ave Se, Bellevue, WA 98007 | 2017-08-22 |
1689117319 | Audrey K. Tatt D.d.s. P.l.l.c. | Dentist | 15419 Ne 20th St. #206, Bellevue, WA 98007 | 2016-11-29 |
1952751836 | Mona Ebrahimi | Student in an Organized Health Care Education/Training Program | 14270 Ne 21st, Rainbow Creek, Bellevue, WA 98007 | 2016-06-21 |
1578939302 | Walgreen | Student in an Organized Health Care Education/Training Program | 15220 156th Ne, Bellevue, WA 98007 | 2015-08-17 |
1750767406 | Anar Veliyev | Physical Therapist | 14828 Ne 12th St, Bellevue, WA 98007 | 2015-08-05 |
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Taxonomy Code | 156F00000X |
Grouping | Eye and Vision Services Providers |
Classification | Technician/Technologist |
A broad category grouping different kinds of technologists and technicians. See individual definitions. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679068852 | Issachar Nistrian | Technician/Technologist | 3626 Factoria Blvd Se, Bellevue, WA 98006-6128 | 2018-06-28 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1700432671 | Jamie Lynn Hardy | Technician/Technologist | 750 Watson St N Apt D5, Enumclaw, WA 98022-7317 | 2019-08-15 |
1891204939 | Stacy Clirehugh | Technician/Technologist | 5402 Orca Pl Ne, Tacoma, WA 98422-4502 | 2017-09-20 |
1134729155 | Kristy Nicole Dalrymple | Technician/Technologist | 9040 Jackson Ave Attn: Mchj-clq-c, Tacoma, WA 98431-0001 | 2020-10-28 |
1760098693 | Ione Marie Dorris | Technician/Technologist | 1305 Tacoma Ave S Ste 305, Tacoma, WA 98402-1903 | 2020-09-16 |
1710449814 | Autumn Elisabeth Rose Arends | Technician/Technologist | 1116 Summit Ave, Seattle, WA 98101-2831 | 2019-04-05 |
1598234973 | Lawless Hilletheo Tolliver-warren | Technician/Technologist | 118 E 8th St, Port Angeles, WA 98362-6129 | 2018-11-15 |
1265900674 | Dawn Yvette Norbisrath | Technician/Technologist | 118 E 8th St, Port Angeles, WA 98362-6129 | 2018-11-05 |
1982171732 | Michael Anthony Jones Jr. | Technician/Technologist | 10710 Mukilteo Speedway, Mukilteo, WA 98275-5021 | 2018-10-30 |
1790252815 | Marva Denice Mcmillan | Technician/Technologist | 617 Benton St, Omak, WA 98841-9636 | 2018-10-26 |
1730662354 | Cherrissa Marie Tugade | Technician/Technologist | 1116 Summit Ave, Seattle, WA 98101-2831 | 2018-09-10 |
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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.