MR. PATRICK THOMAS HASSENFRITZ (NPI# 1992348999) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992348999 |
| Entity Type | Individual |
| Full Name | MR. PATRICK THOMAS HASSENFRITZ |
| Credential | ARNP |
| Practice Address |
5512 Ne 109th Ct Ste I Vancouver WA 98662-6175 |
| Mailing Address |
7634 N Albina Ave Portland OR 97217-1308 |
| Practice Telephone | 3602005273 |
| Mailing Telephone | 5037810840 |
| Enumeration Date | 2019-10-22 |
| Last Update Date | 2019-10-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
61014092 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 5512 Ne 109th Ct Ste I, Vancouver, WA 986626175 | 3602005273 |
| Street Address |
5512 NE 109TH CT STE I |
| City | VANCOUVER |
| State | WA |
| Zip Code | 98662-6175 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437238185 | Kindra Roxanne Boyle | Specialist | 5512 Ne 109th Ct Ste I, Vancouver, WA 98662-6175 | 2006-11-03 |
| 1285233627 | Kristy Hosley | Nurse Practitioner | 5512 Ne 109th Ct Ste I, Vancouver, WA 98662-6175 | 2020-10-17 |
| 1538709738 | Schuyler Blake Ellis | Registered Nurse | 5512 Ne 109th Ct Ste I, Vancouver, WA 98662-6175 | 2020-01-15 |
| 1114586070 | Med Rx Partners, P.C. | Nurse Practitioner | 5512 Ne 109th Ct Ste I, Vancouver, WA 98662-6175 | 2019-06-13 |
| 1831562677 | Amanda Joy Cummings | Massage Therapist | 5512 Ne 109th Ct Ste I, Vancouver, WA 98662-6175 | 2015-11-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861024911 | Hillary Ann Devore | Behavior Technician | 9414 Ne Fouth Plain Road, Vancouver, WA 98662 | 2020-02-06 |
| 1073091781 | Jessica Edit Villasenor | Social Worker | 9800 Ne Oakview Dr, Vancouver, WA 98662 | 2018-08-03 |
| 1568991123 | Preferred Rx Pharmacy Inc | Pharmacy | 10303 Ne Fourth Plain Blvd Ste 109, Vancouver, WA 98662 | 2017-06-07 |
| 1982058814 | Nw Interventional Medicine and Orthopedic Rehab Pllc | Physician Assistant | 11802 Ne 65th St., Vancouver, WA 98662 | 2016-04-18 |
| 1942685664 | Silpa Nekkalapudi | Dentist | 11504 Ne 119th St, Suite 100, Vancouver, WA 98662 | 2015-07-23 |
| 1528468261 | Lidiya Chepa | Pharmacist | 14505 Ne Fourth Plain Boulevard, Vancouver, WA 98662 | 2014-08-29 |
| 1962827030 | Vanessa Wulff | Chiropractor | 6405 Ne 116th Ave Ste 106, Vancouver, WA 98662 | 2014-02-26 |
| 1326484080 | Precious Jewel Adult Family Home | Custodial Care Facility | 9707 Ne 115th Ct, Vancouver, WA 98662 | 2013-05-21 |
| 1457698466 | Elise C Jones | Counselor | 4400 Ne 77th Ave., Suite 275, Vancouver, WA 98662 | 2013-01-10 |
| 1396096103 | At Home Sleep Solutions | Clinic/Center | 9330 Ne Vancouver Mall Dr., Suite 202, Vancouver, WA 98662 | 2012-09-20 |
| Find all providers in zip 98662 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417423989 | Magnolia Psychiatric Services Pllc | Nurse Practitioner | 10000 Ne 7th Ave Ste 330f, Vancouver, WA 98685-4561 | 2018-10-22 |
| 1811408297 | Tms Nw Pllc | Nurse Practitioner | 5512 Ne 109th Ct Ste N, Vancouver, WA 98662-6175 | 2017-10-12 |
| 1164967246 | Ashley Leinani Bolan | Nurse Practitioner | 601 E 22nd St Ste C, Vancouver, WA 98663-3208 | 2016-12-28 |
| 1023455938 | Adina D Tarpley | Nurse Practitioner | 7210 Ne 14th Ct, Vancouver, WA 98665-0415 | 2013-05-31 |
| 1346428125 | Richard Stuart Keyser | Nurse Practitioner | 3305 Main St Ste 201, Vancouver, WA 98663-2250 | 2008-02-04 |
| 1407981095 | Kim L Carnahan Lewis | Nurse Practitioner | 1601 E Fourth Plain Blvd Bldg 17, Suite B222, Vancouver, WA 98661-3753 | 2007-02-22 |
| 1750318788 | Susan S. Rose | Nurse Practitioner | Legacy Salmon Creek Providers, 2211 Ne 139th Street, Vancouver, WA 98686-2742 | 2006-06-26 |
| 1073572269 | Julie A Dewitt-kamada | Nurse Practitioner | 3208 Ne 141st St, Vancouver, WA 98686-2260 | 2006-03-17 |
| 1821073081 | Janet Nickolaus | Nurse Practitioner | 2300 E Mill Plain Blvd, Vancouver, WA 98661-4332 | 2005-12-09 |
| 1285233627 | Kristy Hosley | Nurse Practitioner | 5512 Ne 109th Ct Ste I, Vancouver, WA 98662-6175 | 2020-10-17 |
| Find all providers in VANCOUVER | ||||
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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.