SUSAN GWENDOLYN VISCO (NPI# 1003382441) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003382441 |
| Entity Type | Individual |
| Full Name | SUSAN GWENDOLYN VISCO |
| Practice Address |
3015 Trenton Ave Bremerton WA 98310-5347 |
| Practice Telephone | 2538584200 |
| Enumeration Date | 2018-10-23 |
| Last Update Date | 2018-10-23 |
| 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) |
CP60010870 | WA | Behavioral Health & Social Service Providers |
| Street Address |
3015 TRENTON AVE |
| City | BREMERTON |
| State | WA |
| Zip Code | 98310-5347 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891333613 | Miss Mary Community Development | Voluntary or Charitable | 1630 Trenton Avenue Apt 10, Bremerton, WA 98310 | 2019-12-11 |
| 1629636055 | Puget Sound Work Injury Clinic, LLC | Clinic/Center | 812 Cherry Ct, Bremerton, WA 98310 | 2019-05-31 |
| 1538672530 | Rachel E Mittelstaedt Parsons | Dietitian, Registered | 3059 Viewcrest Dr Ne, Bremerton, WA 98310 | 2017-11-13 |
| 1356888937 | Sarah Hike | Community Health Worker | 900 Sheridan, Bremerton, WA 98310 | 2017-01-20 |
| 1073941142 | Hana Singer | Physical Therapy Assistant | 3600 Forest Dr Ne, Bremerton, WA 98310 | 2013-10-28 |
| 1447508122 | Kevin Lee Hathaway | Mechanotherapist | 3308 Veska Avenue, Bremerton, WA 98310 | 2012-08-28 |
| 1003163007 | James Hyun Soo Lee | Surgery | Cvn 76 Uss Ronald Reagan, Bremerton, WA 98310 | 2012-08-08 |
| 1487936241 | Karen S Casseday | Nurse Practitioner | 1740 Ne Riddell Rd Ste 110, Bremerton, WA 98310 | 2011-09-16 |
| 1740560572 | Lauren P Foresman | Physician Assistant | 2709 Hemlock Street, Bremerton, WA 98310 | 2011-08-24 |
| 1538390059 | Patricia L Rushon | Speech-Language Pathologist | 560 Lebo Blvd., Bremerton, WA 98310 | 2009-07-31 |
| Find all providers in zip 98310 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235759879 | Peninsula Community Health Services | Counselor | 4841 Auto Center Way Ste 203, Bremerton, WA 98312-4388 | 2020-04-23 |
| 1356995534 | Peninsula Community Health Services | Counselor | 2650 Ne John Carlson Rd, Bremerton, WA 98311-3928 | 2019-07-26 |
| 1407400682 | Peninsula Community Health Services | Counselor | 8107 Central Valley Rd Ne, Bremerton, WA 98311-9155 | 2019-07-26 |
| 1649748492 | Kelley Marie Lovelace | Counselor | 4060 Wheaton Way Ste F, Bremerton, WA 98310-3500 | 2018-11-09 |
| 1902392160 | Stacey Mort | Counselor | 1520 Ne Riddell Rd # 110, Bremerton, WA 98310-3005 | 2018-07-10 |
| 1861856775 | Shaydon Childers | Counselor | 322 Willow St, Bremerton, WA 98310-2638 | 2016-04-06 |
| 1629260344 | Kenneth D Wilson | Counselor | 915 Nipsic Ave, Bremerton, WA 98310-4837 | 2007-08-16 |
| 1932286101 | Cascadia Addiction Treatment Services | Counselor | 2817 Wheaton Way Ste 205, Bremerton, WA 98310-3440 | 2006-11-01 |
| 1316544174 | Steven Paul Tikunoff Jr. | Counselor | 2817 Wheaton Way Ste 205, Bremerton, WA 98310-3440 | 2020-10-05 |
| 1174136261 | Jennifer Lee George | Counselor | 4060 Wheaton Way Ste F, Bremerton, WA 98310-3500 | 2020-08-28 |
| Find all providers in BREMERTON | ||||
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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.