SARA CAMILLE BANEGAS (NPI# 1003397647) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003397647 |
| Entity Type | Individual |
| Full Name | SARA CAMILLE BANEGAS |
| Practice Address |
5108 260th St E Graham WA 98338-9609 |
| Mailing Address |
5636 A St Tacoma WA 98408-7505 |
| Practice Telephone | 6026531445 |
| Enumeration Date | 2018-08-22 |
| Last Update Date | 2018-08-22 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TS0200X |
Psychologist Specialization: School |
550480E | WA | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 6514 260th St E, Graham, WA 983389648 | 6026531445 |
| Street Address |
5108 260TH ST E |
| City | GRAHAM |
| State | WA |
| Zip Code | 98338-9609 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932750858 | Sue Ann Prante | Technician | 10411 194th St Ct E, Graham, WA 98338 | 2019-09-23 |
| 1053885442 | Elva Flannery | Counselor | 26812 118th Ave E, Graham, WA 98338 | 2019-01-18 |
| 1801383484 | Dansie Pediatric, Pllc | Dentist | 3316 56th St Nw, Suite 100, Gig Harbor, WA 98338 | 2018-04-18 |
| 1568903342 | Jordan Landholm | Chiropractor | 10305 196th St Ct E Ste F, Graham, WA 98338 | 2017-03-14 |
| 1336524594 | Dj and Ak Spencer Dmd Ps | Durable Medical Equipment & Medical Supplies | 22205 Meridian Ave E, Suite 109, Graham, WA 98338 | 2015-07-29 |
| 1477971307 | Lylia Dixon | Registered Nurse | 10238 194th St E Apt R108, Graham, WA 98338 | 2014-03-28 |
| 1992935605 | James Kung Chun Kao | Pharmacist | 22201 Meridian East, Graham, WA 98338 | 2009-07-16 |
| 1316190622 | Melissa Ann Castro | Massage Therapist | 22007 Meridain E Suite D, Graham, WA 98338 | 2008-10-30 |
| 1861608036 | John T Chen | Dentist | 10221 198th St E, Graham, WA 98338 | 2007-05-15 |
| 1073729224 | Ojh Clinic #7, Inc. | Dentist | 10221 198th St. E., Graham, WA 98338 | 2007-05-15 |
| Find all providers in zip 98338 | ||||
| Taxonomy Code | 103TS0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | School |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851783971 | Todd Halling | Psychologist | 22100 108th Ave E, Graham, WA 98338-8871 | 2015-02-26 |
| 1508292541 | Alexandra Damiano | Psychologist | 22100 108th Ave E, Graham, WA 98338-8871 | 2013-09-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609488931 | Rhean Perkins | Psychologist | 120 Wildwind Ln, Ellensburg, WA 98926-9721 | 2020-08-18 |
| 1962014480 | Natalie Renee Scantlen | Psychologist | 3211 S 194th St, Seatac, WA 98188-5352 | 2020-08-17 |
| 1932721727 | Curtis Bennett | Psychologist | 3321 W Holyoke Ave, Spokane, WA 99208-4640 | 2020-05-14 |
| 1467929406 | Stacy Schmidt | Psychologist | 26201 Siyaya Ave Ne, Kingston, WA 98346-9367 | 2018-10-29 |
| 1518434687 | Elizabeth Meyers Hyde | Psychologist | 3011 Rocky Point Rd Nw, Bremerton, WA 98312-1918 | 2018-10-26 |
| 1205342698 | Kendra Panton | Psychologist | 6135 Gull Harbor Dr Ne, Olympia, WA 98506-9728 | 2017-12-20 |
| 1174045421 | Kim Sain | Psychologist | 18024 N Addison Ct, Colbert, WA 99005-8524 | 2017-07-07 |
| 1972023588 | Katrina Renee Carlson | Psychologist | 1962 Mahan Ave, Richland, WA 99354-2121 | 2017-06-23 |
| 1194264176 | Amanda Rexford | Psychologist | 2455 George Washington Way, J153, Richland, WA 99354-1725 | 2017-02-23 |
| 1902357056 | James Heegeman | Psychologist | 21727 34th St E, Lake Tapps, WA 98391-5804 | 2016-10-24 |
| 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.