ALISABETH M BUCK (NPI# 1053403345) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053403345 |
| Entity Type | Individual |
| Full Name | ALISABETH M BUCK |
| Credential | RN, MSW |
| Practice Address |
1107 Pacific Highway North Long Beach WA 98631 |
| Mailing Address |
Po Box 863 Long Beach WA 98631 |
| Practice Telephone | 3606423787 |
| Practice Fax Number | 3606422096 |
| Mailing Telephone | 3606423787 |
| Mailing Fax Number | 3606422096 |
| Enumeration Date | 2006-09-28 |
| Last Update Date | 2007-08-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
RC00016357 | WA | Behavioral Health & Social Service Providers |
| Y | 163WP0808X |
Registered Nurse Specialization: Psych/Mental Health |
RN00071598 | WA | Nursing Service Providers |
| Street Address |
1107 PACIFIC HIGHWAY NORTH |
| City | LONG BEACH |
| State | WA |
| Zip Code | 98631 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134211428 | Robert R Pingree | Counselor | 1107 Pacific Highway North, Long Beach, WA 98631 | 2006-09-28 |
| 1023191814 | Phyllis Pearle Hintz | Counselor | 1107 Pacific Highway North, Long Beach, WA 98631 | 2006-10-23 |
| 1124110416 | Geoffrey C Schiller | Social Worker | 1107 Pacific Highway North, Long Beach, WA 98631 | 2006-09-28 |
| 1063504355 | Lynnell E Bisson | Social Worker | 1107 Pacific Highway North, Long Beach, WA 98631 | 2006-09-28 |
| 1407948797 | Elizabeth D Forbes | Counselor | 1107 Pacific Highway North, Long Beach, WA 98631 | 2006-09-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063048197 | Peninsula Pharmacies Inc Long Beach Pharmacy Annex | Pharmacy | 110 Oregon Ave S, Long Beach, WA 98631 | 2020-03-20 |
| 1033755244 | Willapa Behavioral Health | Peer Specialist | 2204 Pacific Ave. N., Long Beach, WA 98631 | 2019-11-22 |
| 1427576362 | Susan Amy Goldsmith | Social Worker | 607 Ocean Beach Blvd. N., Long Beach, WA 98631 | 2017-08-30 |
| 1558724302 | Jesse Wityczak | Pharmacist | 101 Bolstad Ave E, Long Beach, WA 98631 | 2016-03-30 |
| 1659618007 | Teresa Mary Fleck | Speech-Language Pathologist | 400 S Washington, Long Beach, WA 98631 | 2013-01-04 |
| 1639400385 | Wendy Liu | Counselor | 2204 Pacififc Avenue N, Long Beach, WA 98631 | 2010-01-20 |
| 1093046088 | Diane L Adams | Counselor | 2204 Pacific Avenue N, Long Beach, WA 98631 | 2010-01-15 |
| 1538498076 | Steven R Fox | Counselor | 22004 Pacific Way N, Long Beach, WA 98631 | 2009-12-11 |
| 1295907137 | Brandon L Adams Md Ps | General Practice | 105 6th St, Long Beach, WA 98631 | 2008-04-01 |
| 1710188263 | Willapa Counseling Center | Clinic/Center | 1107 Pacific Avenue North, Long Beach, WA 98631 | 2007-05-31 |
| Find all providers in zip 98631 | ||||
| Taxonomy Code | 163WP0808X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679124044 | Eric Osterlind | Registered Nurse | 6695 E Pacific Coast Hwy Ste 135, Long Beach, CA 90803-4235 | 2019-09-26 |
| 1588102818 | Jeff Clement | Registered Nurse | 1824 Stearnlee Avenue, Long Beach, CA 90815 | 2017-02-07 |
| 1790074847 | Brendan C Hickey | Registered Nurse | College Medical Center- 2776 Pacific Ave, Medica Staffing Office, Long Beach, CA 90806 | 2011-03-29 |
| 1285763847 | Dere Randolph Bushey | Registered Nurse | 1437 N Studebaker Rd, Long Beach, CA 90815-4838 | 2007-03-02 |
| 1275623241 | Francis Earl Mullnix | Registered Nurse | 3544 Walnut Ave, Long Beach, CA 90807-4844 | 2006-10-13 |
| 1578185658 | Jacqueline Jines | Registered Nurse | 2776 Pacific Ave, Long Beach, CA 90806-2613 | 2020-05-12 |
| 1245864131 | John D Nguyen | Registered Nurse | 5901 E 7th St, Long Beach, CA 90822-5201 | 2020-02-28 |
| 1699325142 | Kyle Jame-hines Bescoby | Registered Nurse | 5901 E 7th St, Long Beach, CA 90822-5201 | 2019-09-17 |
| 1437709151 | Marietta Mantilla | Registered Nurse | 5901 E 7th St, Long Beach, CA 90822-5201 | 2019-09-14 |
| 1720637127 | Richard Justin Holmes I | Registered Nurse | 5901 E 7th St, Long Beach, CA 90822-5201 | 2019-09-09 |
| Find all providers in LONG BEACH | ||||
| City | LONG BEACH |
| Zip Code | 98631 |
Please comment or provide details below to improve the information on ALISABETH M BUCK.
| 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.