MRS. NICOLE LEE PATINA (NPI# 1992294078) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992294078 |
| Entity Type | Individual |
| Full Name | MRS. NICOLE LEE PATINA |
| Credential | CDP |
| Practice Address |
1550 Irving St Sw Tumwater WA 98512-6358 |
| Mailing Address |
918 E Mead Ave Yakima WA 98903-3720 |
| Practice Telephone | 3605078030 |
| Mailing Telephone | 5095758457 |
| Mailing Fax Number | 5094531273 |
| Enumeration Date | 2018-05-04 |
| Last Update Date | 2019-08-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
CP60601655 | WA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | CDP | CP60601655 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 307 S 12th Ave Ste 4b, Yakima, WA 989023137 | 5095758457 | 5094531273 |
| Street Address |
1550 IRVING ST SW |
| City | TUMWATER |
| State | WA |
| Zip Code | 98512-6358 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578161402 | Yavonnie Leslie Griggs | Peer Specialist | 3285 Ferguson Ln Sw, Tumwater, Wa 98512, Tumwater, WA 98512 | 2020-10-13 |
| 1205465622 | Falina Marie Luce | Counselor | 3285 Ferguson St, Olympia, WA 98512 | 2020-04-07 |
| 1881234912 | Andres Enrique Velazquez | Counselor | 3285 Ferguson St Sw Wa 98512, Tumwater, WA 98512 | 2020-01-07 |
| 1700432507 | Maria E Zavala Negrete | Behavior Technician | 3285 Ferguson Street Southwest, Tumwater, WA 98512 | 2019-08-16 |
| 1669026951 | Bradley Allen Labrador | Social Worker | 3285 Ferguson St, Sw, Tumwater, WA 98512 | 2019-07-25 |
| 1033762893 | Janice Lapreal Swanzey | Licensed Practical Nurse | 3285 Ferguson Lane St Sw, Olympia, WA 98512 | 2019-07-22 |
| 1821569195 | Linda Marie Moffitt | Registered Nurse | 7741 Littlerock Rd. Sw, Tumwater, WA 98512 | 2018-12-16 |
| 1427534577 | Matthew Hart | Occupational Therapist | 2620 Rw Johnson Boulevard Southwest Suite 112, Tumwater, WA 98512 | 2018-07-12 |
| 1558858019 | Amy Louise Cline | Counselor | 6005 Tyee Drive Sw, Tumwater, WA 98512 | 2018-04-19 |
| 1669998183 | Bradley Ross Bishop | Registered Nurse | 3285 Ferguson Street Sw, Tumwater, WA 98512 | 2017-08-16 |
| Find all providers in zip 98512 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467098145 | Family Education and Support Services | Counselor | 6840 Capitol Blvd Se Bldg 3, Tumwater, WA 98501-5513 | 2019-11-18 |
| 1538636394 | Mariah Mae Langton | Counselor | 301 T St Sw Apt G7, Tumwater, WA 98501-4568 | 2018-10-30 |
| 1558858019 | Amy Louise Cline | Counselor | 6005 Tyee Drive Sw, Tumwater, WA 98512 | 2018-04-19 |
| 1174995153 | Sherry Lorraine Watson | Counselor | 1550 Irving St Sw Ste 301, Tumwater, WA 98512-6362 | 2015-10-29 |
| 1467710764 | Kevin E Curtis | Counselor | 6334 Littlerock Rd. Sw, Bldg #6, Tumwater, WA 98512 | 2012-04-25 |
| 1033716451 | Nicole Alexandria Nomic | Counselor | 3285 Ferguson St Sw, Tumwater, WA 98512 | 2020-10-08 |
| 1255947982 | Douglas Andrew Stenchever | Counselor | 6334 Littlerock Rd Sw, Tumwater, WA 98512-7332 | 2020-09-18 |
| 1265040497 | Amber Lee Boehm | Counselor | 3285 Ferguson St Sw, Tumwater, WA 98512 | 2020-07-14 |
| 1699307488 | Alexa Andrina Ryle | Counselor | 6005 Tyee Dr Sw, Tumwater, WA 98512-7356 | 2020-02-10 |
| 1578120911 | Mckenzie James Airhart | Counselor | 6005 Tyee Dr Sw, Tumwater, WA 98512-7356 | 2019-05-21 |
| Find all providers in TUMWATER | ||||
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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.