NISREEN FIDDA (NPI# 1992764880) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992764880 |
| Entity Type | Individual |
| Full Name | NISREEN FIDDA |
| Credential | MD |
| Practice Address |
3900 Capital Mall Drive Sw Olympia WA 98502 |
| Mailing Address |
Po Box 3941 Seattle WA 98124-3941 |
| Practice Telephone | 3607545858 |
| Practice Fax Number | 3609562574 |
| Mailing Telephone | 3604597770 |
| Mailing Fax Number | 3604594361 |
| Enumeration Date | 2006-03-21 |
| Last Update Date | 2007-12-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
MD24504 | OR | Allopathic & Osteopathic Physicians |
| Y | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
MD00044946 | WA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | LABOR & INDUSTRIES | 203962 | 01 |
| WA | 8412462 | 05 |
| Street Address |
3900 CAPITAL MALL DRIVE SW |
| City | OLYMPIA |
| State | WA |
| Zip Code | 98502 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144571175 | Erik C Engen | Nurse Anesthetist, Certified Registered | 3900 Capital Mall Drive Sw, Olympia, WA 98502-8654 | 2012-10-01 |
| 1386883775 | Sheridan Healthcare of Washington, PC | Nurse Anesthetist, Certified Registered | 3900 Capital Mall Drive Sw, Olympia, WA 98502-8654 | 2009-02-10 |
| 1043279375 | Jay Michael Odell | Pathology | 3900 Capital Mall Drive Sw, Olympia, WA 98502 | 2006-03-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801409172 | Fanny Cordero | Interpreter | 1415 4th Ave W, Olympia, WA 98502 | 2020-08-26 |
| 1235762832 | Accessible Living Physical Therapy | Clinic/Center | 3524 7th Ave Se, Olympia, WA 98502 | 2020-02-21 |
| 1548807738 | Kaiser Foundation Health Plan of Washington | Pharmacy | 1200 Cooper Point Road Sw, Suite 100, Olympia, WA 98502 | 2019-12-06 |
| 1851946388 | Katherine Ann Vitela | Registered Nurse | 4909 Green Wood Dr Sw, Olympia, WA 98502 | 2019-08-01 |
| 1538632658 | Carmen Rae Breding | Massage Therapist | 2627 Capital Mall Dr Se, Olympia, WA 98502 | 2019-01-11 |
| 1285129155 | Fook Yee Cheung | Genetic Counselor, MS | 2010 Caton Way Sw Ste 102, Olympia, WA 98502 | 2018-06-24 |
| 1942724158 | William Coburn | Specialist/Technologist | 703 Lilly Road Ne, Suite 104, Olympia, WA 98502 | 2017-07-29 |
| 1225567415 | Thierry Buckner | Counselor | 2400 Bristol Court Sw, Olympia, WA 98502 | 2017-06-09 |
| 1619406048 | Trenton Reid | Massage Therapist | 2103 Harrison Ave Nw #2642, Olympia, WA 98502 | 2017-06-08 |
| 1962807305 | Richa Mehta | Dentist | 1530 Black Lake Boulevard, Suite A103, Olympia, WA 98502 | 2014-10-28 |
| Find all providers in zip 98502 | ||||
| Taxonomy Code | 207ZP0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Anatomic Pathology & Clinical Pathology |
| A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added, 7/1/2009: definition reformatted] Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/ This taxonomy code identifies the combined anatomic pathology & clinical pathology route. Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. To acknowledge the diverse activities in the practice of pathology and to accommodate the interests of individuals wanting to enter the field, the ABP offers primary certification through the following three routes: combined anatomic pathology and clinical pathology, anatomic pathology only and clinical pathology only. Primary certification in anatomic pathology or clinical pathology may be combined with some of the subspecialty certifications. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649409723 | Oname Oro Burlingame | Pathology | 406 Black Hills Ln Sw Ste A, Olympia, WA 98502-8144 | 2009-07-09 |
| 1811174824 | Susanne Carmack | Pathology | 406 Black Hills Ln Sw Ste A, Olympia, WA 98502-8144 | 2008-01-22 |
| 1043279375 | Jay Michael Odell | Pathology | 3900 Capital Mall Drive Sw, Olympia, WA 98502 | 2006-03-23 |
| 1104885425 | Richard Osborn Whitten | Pathology | 413 Lilly Rd Ne, Providence St Peter Hospital, Olympia, WA 98506-5166 | 2006-03-23 |
| 1649239534 | Terrence Anthony Schulte | Pathology | 413 Lilly Rd Ne, Providence St Peter Hospital, Olympia, WA 98506-5166 | 2006-03-21 |
| 1376502260 | Charles A Richert | Pathology | 413 Lilly Rd Ne, Providence St Peter Hospital, Olympia, WA 98506-5166 | 2006-03-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316367857 | Paul Dennis Simonson | Pathology | Uwmc Anatomic Pathology, 1959 Ne Pacific, Box 356100, Seattle, WA 98195-0001 | 2014-04-23 |
| 1629413109 | Paula Marie Jenkins Colon | Pathology | Uw Medicine Pathology 1959 Ne Pacific St, Box 357470, Seattle, WA 98195-0001 | 2013-05-09 |
| 1104167550 | Pakc-dsl Inc Ps | Pathology | 550 17th Ave., Ste. 300, Seattle, WA 98122 | 2013-03-11 |
| 1265799407 | Elizabeth Bagnulo Dacey | Pathology | 1225 Highland Avenue, Clarkston, WA 99403 | 2012-04-12 |
| 1295001436 | Robert Farrell Kapela | Pathology | 5652 132nd Ave Ne, Bellevue, WA 98005-1033 | 2012-03-30 |
| 1790051134 | Roberto Candelaria-santiago | Pathology | Mamc Dept of Pathology, 9040 Fitzsimmons Dr, Joint Base Lewis Mcchord, WA 98431-1000 | 2012-03-29 |
| 1790070571 | Marc Omar Shokeir | Pathology | 336 36th St, 320, Bellingham, WA 98225-6580 | 2011-06-09 |
| 1801190186 | Malcolm Scott Stirton | Pathology | 6347 Beach Dr Sw, Seattle, WA 98136-1351 | 2010-12-31 |
| 1962721258 | John Fowler | Pathology | 9049 Jackson Ave, Tacoma, WA 98431-1000 | 2010-05-26 |
| 1063730745 | Bup-jong Jennifer Kum | Pathology | 1124 Columbia St # 8320, Seattle, WA 98104 | 2010-05-05 |
| Find all providers with the same taxonomy | ||||
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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.