ANTHONY DECICCO (NPI# 1992360929) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992360929 |
| Entity Type | Individual |
| Full Name | ANTHONY DECICCO |
| Credential | PHARMD |
| Practice Address |
11511 Ne 10th St Bellevue WA 98004-8578 |
| Practice Telephone | 4255023830 |
| Enumeration Date | 2019-05-06 |
| Last Update Date | 2019-05-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | PH60021823 | WA | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932499886 | Anthony Decicco | Internal Medicine | 1601 E 19th Ave Ste 5000, Denver, CO 80218-1254 | 2011-04-12 |
| Street Address |
11511 NE 10TH ST |
| City | BELLEVUE |
| State | WA |
| Zip Code | 98004-8578 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205811353 | Nicola Ullery | Registered Nurse | 11511 Ne 10th St, Bellevue, WA 98004-8578 | 2005-12-13 |
| 1083236400 | Kaiser Foundation Health Plan of Washington | Clinic/Center | 11511 Ne 10th St, Bellevue, WA 98004-8578 | 2020-05-07 |
| 1770142143 | Adrienne M Anderson | Social Worker | 11511 Ne 10th St, Bellevue, WA 98004 | 2019-06-10 |
| 1184182677 | Eva Linh | Pharmacist | 11511 Ne 10th St, Bellevue, WA 98004-8578 | 2019-03-04 |
| 1801367818 | Jue Wang | Nurse Practitioner | 11511 Ne 10th St, Bellevue, WA 98004-8578 | 2018-12-17 |
| 1508331331 | Daniel Edward Putlak | Physician Assistant | 11511 Ne 10th St, Bellevue, WA 98004-8578 | 2018-10-08 |
| 1336628486 | Bradley Allen Johnson | Nurse Anesthetist, Certified Registered | 11511 Ne 10th St, Bellevue, WA 98004-8578 | 2018-08-09 |
| 1982182275 | Madeline Anne Berry | Social Worker | 11511 Ne 10th St, Bellevue, WA 98004-8578 | 2018-07-30 |
| 1053802074 | Mixayphone Bounvilay | Advanced Practice Midwife | 11511 Ne 10th St, Bellevue, WA 98004-8578 | 2018-05-24 |
| 1124516406 | Margaret A Cristofalo | Social Worker | 11511 Ne 10th St, Bellevue, WA 98004-8578 | 2018-04-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306458328 | Geneva Paula Hoskins-dorsey | Nurse Practitioner | 11120 Ne 33rd Place, Suite 202, Bellevue, WA 98004 | 2020-08-20 |
| 1720553613 | Christine Eyler | Pediatrics | Bellevue Pediatrics, C & C Medical Associates, 1940 116th Ave Ne, Ste 200, Bellevue, WA 98004 | 2018-10-08 |
| 1437634730 | Hazelden Betty Ford Foundation | Clinic/Center | 1231 116th Ave. Ne Suite 410, Bellevue, WA 98004 | 2018-10-02 |
| 1356827828 | Seattle Spine Group, Pllc | Orthopaedic Surgery | 1220 116th Ave Ne Ste 102, Bellevue, WA 98004 | 2018-07-17 |
| 1669989216 | Atsuko Nakajima | Acupuncturist | 2223 112th Ave. Ne, Ste 201, Bellevue, WA 98004 | 2018-01-04 |
| 1740794718 | Radka Chapin Counseling, LLC | Clinic/Center | 1611 116th Ave Ne Ste 119, Bellevue, WA 98004 | 2017-11-28 |
| 1962912105 | Cuyler Ann Simmons | Counselor | 3805 108th Ave Ne Ste 204, Bellevue, WA 98004 | 2017-10-02 |
| 1639690357 | Nicolas Lopez-montalvo | Behavioral Analyst | 3003 Northup Way Suite 200, Bellevue, WA 98004 | 2017-07-03 |
| 1124579537 | Matthew Thomas Haley | Pharmacist | 107 Bellevue Way, Se, Bellevue, WA 98004 | 2016-10-20 |
| 1649727348 | Kelsey Tanaka | Nurse Practitioner | 400- 108th Ave Ne, Suite 100, Bellevue, WA 98004 | 2016-09-10 |
| Find all providers in zip 98004 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336754258 | Benjamin David Wilson | Pharmacist | 8110 Hghway 100, Bellevue, TN 37221 | 2020-09-09 |
| 1962047621 | Gina Renee Kalinowski | Pharmacist | 4315 Waterford Ave, Bellevue, NE 68123-6237 | 2019-11-16 |
| 1467093021 | Samantha Elyse Kenik | Pharmacist | 3308 Samson Way Ste 106, Bellevue, NE 68123-3235 | 2019-10-04 |
| 1124579537 | Matthew Thomas Haley | Pharmacist | 107 Bellevue Way, Se, Bellevue, WA 98004 | 2016-10-20 |
| 1295283570 | Gina Kim | Pharmacist | 13024 Se 47th Pl, Bellevue, WA 98006-2070 | 2016-09-15 |
| 1396292173 | Ross Burnett | Pharmacist | 2331 130th Ave Ne Ste 200, Bellevue, WA 98005-1760 | 2016-09-08 |
| 1760939052 | Emilie Mika Ito | Pharmacist | 14118 Se 61st Pl, Bellevue, WA 98006-4375 | 2016-09-05 |
| 1972056398 | Bethany Coquerille | Pharmacist | 4411 Waterford Ave, Bellevue, NE 68123-6269 | 2016-08-02 |
| 1114396447 | Mary Pak | Pharmacist | 12267 Ne 3rd Pl, Bellevue, WA 98005-4821 | 2015-09-16 |
| 1932576436 | Sheryle Ishimoto | Pharmacist | 317 112th Ave Ne Apt 719, Bellevue, WA 98004-6572 | 2015-08-31 |
| Find all providers in BELLEVUE | ||||
Please comment or provide details below to improve the information on ANTHONY DECICCO.
| 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.