MISS KACEY JEAN MANN (NPI# 1982266169) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982266169 |
| Entity Type | Individual |
| Full Name | MISS KACEY JEAN MANN |
| Credential | CPC |
| Practice Address |
6100 Southcenter Blvd Tukwila WA 98188-2442 |
| Practice Telephone | 2069012088 |
| Mailing Telephone | 2069012088 |
| Enumeration Date | 2019-07-08 |
| Last Update Date | 2019-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 175T00000X | Peer Specialist | Other Service Providers |
| Street Address |
6100 SOUTHCENTER BLVD |
| City | TUKWILA |
| State | WA |
| Zip Code | 98188-2442 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942361605 | Lisa Cooper | Social Worker | 6100 Southcenter Blvd, Third Floor, Tukwila, WA 98188-2441 | 2006-12-13 |
| 1104424092 | Toni A Wood | Counselor | 6100 Southcenter Blvd, Tukwila, WA 98188-2442 | 2020-10-13 |
| 1366058745 | Sierra Van Burkleo | Counselor | 6100 Southcenter Blvd, Tukwila, WA 98188-2442 | 2020-09-21 |
| 1912513391 | Katherine A Katz | Counselor | 6100 Southcenter Blvd, Tukwila, WA 98188-2442 | 2020-09-21 |
| 1366052037 | Shane Mitchell | Counselor | 6100 Southcenter Blvd, Tukwila, WA 98188-2442 | 2020-08-06 |
| 1346868015 | Anisha L Smith | Counselor | 6100 Southcenter Blvd, Tukwila, WA 98188-2442 | 2020-07-09 |
| 1760004709 | Nadia Kolomiyets | Counselor | 6100 Southcenter Blvd, Tukwila, WA 98188-2442 | 2020-05-13 |
| 1447886049 | Gurpreet Doel | Registered Nurse | 6100 Southcenter Blvd, Tukwila, WA 98188-2442 | 2020-03-16 |
| 1376182477 | Riley Park | Counselor | 6100 Southcenter Blvd, Tukwila, WA 98188-2442 | 2020-01-06 |
| 1194361147 | James Nguyen | Counselor | 6100 Southcenter Blvd, Tukwila, WA 98188-2442 | 2019-11-25 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194342774 | Yemisirach Fikru Tufa | Registered Nurse | 3039 S 154th St, Aptb304, Seatac, WA 98188 | 2020-06-30 |
| 1841756608 | Silvia Ruby Campos | Behavior Technician | 651 Stander Blvd., Suite 112, Tukwila, WA 98188 | 2019-02-18 |
| 1720562036 | Alissa Hayes | Counselor | 631 Strander Bvd. Ste A., Tukwila, WA 98188 | 2018-09-21 |
| 1457859035 | Bashayer S Albadr | Student in an Organized Health Care Education/Training Program | 6100 South Center Blvd. 3rd Floor, Tukwila, WA 98188 | 2018-01-29 |
| 1356855522 | Miguel Angel Banos | Massage Therapist | 3000 Ne 4th St., Renton, WA 98188 | 2017-11-27 |
| 1801312061 | Emma Sinclair Jennings | Counselor | 651 Strander Blvd. Suite 105, Tukwila, WA 98188 | 2017-08-19 |
| 1518417526 | Jamila Fyrouz Iraqui | Counselor | 15142 65th Ave S, Apt. 312, Tukwila, WASHINGTON 98188 | 2016-10-13 |
| 1487026076 | Catholic Community Services of Western Washington | Clinic/Center | 631 Strander Blvd Ste A, Tukwila, WA 98188 | 2015-10-22 |
| 1659773174 | Thanh Thi-hong Nguyen | Physician Assistant | 3739 S 191st Pl, Seatac, WA 98188 | 2014-09-16 |
| 1053725101 | Affinity Home Care Services Inc | In Home Supportive Care | 601 Strander Blvd, Tukwila, WA 98188 | 2014-06-17 |
| Find all providers in zip 98188 | ||||
| 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 |
|---|---|---|---|---|
| 1497353403 | Neli Olea | Peer Specialist | 631 Strander Blvd Ste A, Tukwila, WA 98188-2963 | 2020-10-12 |
| 1811503279 | Dezarie Camille Taylor | Peer Specialist | 631 Strander Blvd Ste A, Tukwila, WA 98188-2963 | 2020-09-21 |
| 1033730221 | Charmayne Hanson | Peer Specialist | 631 Strander Blvd Ste A, Tukwila, WA 98188-2963 | 2020-04-29 |
| 1891316071 | Kayana Reams | Peer Specialist | 631 Strander Blvd Ste A, Tukwila, WA 98188-2963 | 2020-04-29 |
| 1891253373 | Elsa Daly | Peer Specialist | 6400 Southcenter Blvd, Tukwila, WA 98188-2547 | 2019-03-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992304703 | Corina Thornton | Peer Specialist | Arrow Lakes Street, Nespelem, WA 99155-0304 | 2020-10-22 |
| 1578161402 | Yavonnie Leslie Griggs | Peer Specialist | 3285 Ferguson Ln Sw, Tumwater, Wa 98512, Tumwater, WA 98512 | 2020-10-13 |
| 1306454061 | Ashley D Vinson-harris | Peer Specialist | 116 S 339th Cir, Federal Way, WA 98003-4537 | 2020-07-20 |
| 1184240301 | Aleric Hughes | Peer Specialist | 1200 Sw Holden St, Seattle, WA 98106-2054 | 2020-06-23 |
| 1013533876 | Alyssa Camille Meaker | Peer Specialist | 4350 Cordata Pkwy Ste 220, Bellingham, WA 98226-8278 | 2020-06-17 |
| 1134741424 | Tara Lin Garcia | Peer Specialist | 4256 Federal Avenue, Everett, WA 98203 | 2020-05-11 |
| 1558982058 | Edward Thomas Gollihugh | Peer Specialist | 721 Fawcett Ave Ste 204, Tacoma, WA 98402-5502 | 2020-05-06 |
| 1295356483 | Yvette Marie Sampson | Peer Specialist | Josephinum C/o Crew, 1902 2nd Ave., Seattle, WA 98101 | 2020-04-29 |
| 1043856123 | Jayde Wailani Albright | Peer Specialist | 5920 N Calispel St, Spokane, WA 99205-6214 | 2019-11-23 |
| 1033755244 | Willapa Behavioral Health | Peer Specialist | 2204 Pacific Ave. N., Long Beach, WA 98631 | 2019-11-22 |
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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.