ELLEN YUNCASTRO (NPI# 1982755427) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982755427 |
| Entity Type | Individual |
| Full Name | ELLEN YUNCASTRO |
| Credential | O.D. |
| Practice Address |
2930 Maple St Everett WA 98201-3832 |
| Mailing Address |
Po Box 34584 Seattle WA 98124-1584 |
| Practice Telephone | 2452611500 |
| Mailing Telephone | 5092417349 |
| Mailing Fax Number | 5092417628 |
| Enumeration Date | 2007-01-12 |
| Last Update Date | 2008-05-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | OD00001902 | WA | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 2013720 | 05 |
| Street Address |
2930 MAPLE ST |
| City | EVERETT |
| State | WA |
| Zip Code | 98201-3832 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649213364 | Meldy Taswin | Internal Medicine | 2930 Maple St, Everett, WA 98201-2823 | 2006-06-13 |
| 1326660747 | Kaiser Foundation Health Plan of Washington | Clinic/Center | 2930 Maple St, Everett, WA 98201-3832 | 2020-05-07 |
| 1144787755 | Katherine Kennedy | Physical Therapist | 2930 Maple St, Everett, WA 98201-3832 | 2019-03-01 |
| 1053882217 | Jacquelyn E Owens | Counselor | 2930 Maple St, Everett, WA 98201-3832 | 2018-12-16 |
| 1033601836 | Adelaide Horne | Physician Assistant | 2930 Maple St, Everett, WA 98201 | 2018-06-06 |
| 1336667914 | Tobias Levi Bengston | Physician Assistant | 2930 Maple St, Everett, WA 98201-3832 | 2017-09-05 |
| 1235663063 | Malik Ahmed Nizamuddin | Internal Medicine | 2930 Maple St, Everett, WA 98201-3832 | 2017-04-19 |
| 1013458462 | Amy Doubet Nelson | Internal Medicine | 2930 Maple St, Everett, WA 98201-3832 | 2017-03-18 |
| 1417306127 | Virginia Maria Raffaele | Physician Assistant | 2930 Maple St, Kaiser Permanente, Everett, WA 98201 | 2016-06-03 |
| 1073960159 | Sandeep Singh Bains | Internal Medicine | 2930 Maple St, Everett, WA 98201-3832 | 2016-05-19 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306471867 | Shannon Michelle Dewald | Registered Nurse | D8s 1700 13th St, Everett, WA 98201 | 2020-03-05 |
| 1578123113 | Precious Medicial Spa, LLC | Registered Nurse | 1728 W. Marine View Dr Suite 212, Everett, WA 98201 | 2019-06-17 |
| 1508429796 | Alix Deschain | Counselor | 2801 Broadway, Everett, WA 98201 | 2019-04-15 |
| 1811457534 | Khushboo Patel | Pharmacist | 1330 Rockefeller Ave Ste 150, Everett, WA 98201 | 2019-03-20 |
| 1164991188 | Grace Talbot Davis | Registered Nurse | 2601 Summit Avenue, Bldg. C, Everett, WA 98201 | 2018-11-20 |
| 1063924603 | Tracy Sisk | Counselor | 3120 Colby Ave, 502, Everett, WA 98201 | 2017-11-03 |
| 1710403126 | Michelle Durham | Counselor | 3322 Boadway Fl 2, Everett, WA 98201 | 2017-08-17 |
| 1861927949 | Melanie Schmidt | Counselor | 2610 Westmore Ave, Everett, WA 98201 | 2017-04-26 |
| 1518413327 | Joseph Madson Dmd Pllc | Clinic/Center | 3802 Colby Ave, 4th Floor, Everett, WA 98201 | 2016-08-31 |
| 1043683162 | Jennifer Adams | Counselor | 1511 26th St, Everett, WA 98201 | 2015-11-11 |
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| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023518818 | Dr. Veenu Gill and Associates P.C. | Optometrist | 1885 Revere Beach Pkwy Ste 3, Everett, MA 02149-5923 | 2018-02-18 |
| 1083090773 | Anthony Michael Belekanich | Optometrist | Naval Branch Health Clinic Everett, 2000 West Marine View Drive, Everett, WA 98207-0001 | 2015-08-04 |
| 1356726194 | Juliette Makijew | Optometrist | 1402 Se Everett Mall Way Ste 262, Everett, WA 98208-2824 | 2015-07-22 |
| 1841684677 | Eye-q Docs of Everett Ltd | Optometrist | 3726 Broadway Ste 106, Everett, WA 98201-3787 | 2015-03-18 |
| 1558703165 | Quang Nguyen | Optometrist | 3726 Broadway Ste 106na, Everett, WA 98201 | 2013-07-24 |
| 1194038026 | Rachel Spillane | Optometrist | 2907 107th St Se, Everett, WA 98208-4452 | 2010-07-20 |
| 1316191521 | Roberta Teixeira Feraco | Optometrist | 1885 Revere Beach Pkwy, Suite 03, Everett, MA 02149-5923 | 2008-11-14 |
| 1720292204 | Geraldine Chandra Martin | Optometrist | 2 Mystic View Road, Everett, MA 02149 | 2007-05-10 |
| 1891831079 | Brande Saad Group-bedford | Optometrist | 111 Fairview St., Everett, PA 15537-6337 | 2007-01-29 |
| 1558426601 | Lynette M Sundholm | Optometrist | 10101 19th Ave Se Ste B, Everett, WA 98208-4255 | 2006-12-27 |
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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.