INDIA WOLFENDALE (NPI# 1992364590) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992364590 |
| Entity Type | Individual |
| Full Name | INDIA WOLFENDALE |
| Practice Address |
510 W 1st Ave Toppenish WA 98948-1564 |
| Practice Telephone | 5098655600 |
| Practice Fax Number | 5098655783 |
| Mailing Telephone | 5098650800 |
| Mailing Fax Number | 5098655783 |
| Enumeration Date | 2019-06-07 |
| Last Update Date | 2019-06-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 60958714 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
510 W 1ST AVE |
| City | TOPPENISH |
| State | WA |
| Zip Code | 98948-1564 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164454526 | Marilyn Berko | Pediatrics | 510 W 1st Ave, Toppenish, WA 98948-1564 | 2006-07-07 |
| 1861027104 | Alicia Brito | Case Manager/Care Coordinator | 510 W 1st Ave, Toppenish, WA 98948-1564 | 2020-03-06 |
| 1124669940 | Sarah Guel | Counselor | 510 W 1st Ave, Toppenish, WA 98948-1564 | 2019-10-02 |
| 1427600733 | Lissette Llamas | Dietitian, Registered | 510 W 1st Ave, Toppenish, WA 98948-1564 | 2019-07-16 |
| 1124595814 | Kaitlyn Mackenzie Llewellyn | Physician Assistant | 510 W 1st Ave, Toppenish, WA 98948-1564 | 2018-10-31 |
| 1528540036 | Martin Flores | Physician Assistant | 510 W 1st Ave, Toppenish, WA 98948-1564 | 2018-08-30 |
| 1013495001 | Flor Magaly Viveros | Counselor | 510 W 1st Ave, Toppenish, WA 98948-1564 | 2018-08-01 |
| 1649765751 | Jaclyn Kleinschrodt | Physician Assistant | 510 W 1st Ave, Toppenish, WA 98948-1564 | 2018-06-30 |
| 1275041220 | Jessica Marie Ahern | Physician Assistant | 510 W 1st Ave, Toppenish, WA 98948-1564 | 2018-01-11 |
| 1548781321 | Roxanne Graham | Pediatrics | 510 W 1st Ave, Toppenish, WA 98948-1564 | 2017-06-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104436930 | Rozita Zandkargar | Pharmacist | 401 Fort Rd, Toppenish, WA 98948 | 2020-08-06 |
| 1558828632 | Jeffrey Wade Sylte | Physician Assistant | Heritage University, 3240 Fort Road, Toppenish, WA 98948 | 2019-02-26 |
| 1184188856 | Adriana Andrea Moncada | Counselor | 20 Gunnyon Road, Toppenish, WA 98948 | 2019-01-28 |
| 1285117101 | Joe Lorenzana | Counselor | 501 West 1st Street, Toppenish, WA 98948 | 2018-09-07 |
| 1508386236 | Suzzana Marie Ntalikas | Massage Therapist | 501 West 4th Avenue, Toppenish Physical Therapy, Toppenish, WA 98948 | 2017-06-23 |
| 1265849566 | Traci Stout | Registered Nurse | 171 Wishpoosh Rd, Toppenish, WA 98948 | 2014-07-18 |
| 1255748554 | Julie Ferguson | Registered Nurse | 171 Wishpoosh Rd # 28, Toppenish, WA 98948 | 2014-07-18 |
| 1225469927 | Merit Resource Services | Preferred Provider Organization | 300 South First Ave, Toppenish, WA 98948 | 2013-12-05 |
| 1326370644 | Yakama Nation | Community/Behavioral Health | 171 Wishpoosh Road #28, Toppenish, WA 98948 | 2010-02-11 |
| 1780913566 | Cynthia G. Mills | Counselor | 20 Gunnyon Rd., Toppenish, WA 98948 | 2009-12-08 |
| Find all providers in zip 98948 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558828632 | Jeffrey Wade Sylte | Physician Assistant | Heritage University, 3240 Fort Road, Toppenish, WA 98948 | 2019-02-26 |
| 1457811184 | James Sweeney | Physician Assistant | 3240 Fort Rd, Toppenish, WA 98948-9562 | 2019-03-20 |
| 1407314651 | Nicole Oliveira | Physician Assistant | 3240 Fort Rd, Toppenish, WA 98948-9562 | 2019-03-06 |
| 1386108868 | Olney Emergency Group, A Professional LLC | Physician Assistant | 502 W 4th Ave, Toppenish, WA 98948-1616 | 2019-01-29 |
| 1124595814 | Kaitlyn Mackenzie Llewellyn | Physician Assistant | 510 W 1st Ave, Toppenish, WA 98948-1564 | 2018-10-31 |
| 1528540036 | Martin Flores | Physician Assistant | 510 W 1st Ave, Toppenish, WA 98948-1564 | 2018-08-30 |
| 1649765751 | Jaclyn Kleinschrodt | Physician Assistant | 510 W 1st Ave, Toppenish, WA 98948-1564 | 2018-06-30 |
| 1275041220 | Jessica Marie Ahern | Physician Assistant | 510 W 1st Ave, Toppenish, WA 98948-1564 | 2018-01-11 |
| 1992251623 | Angela Lee Bosma | Physician Assistant | 502 W 4th Ave, Toppenish, WA 98948-1616 | 2016-09-01 |
| 1114312402 | Katherine Cousineau | Physician Assistant | 518 W 1st Ave, Toppenish, WA 98948-1564 | 2015-04-02 |
| Find all providers in TOPPENISH | ||||
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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.