AMANDA MAE CROSSEN (NPI# 1053693093) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053693093 |
| Entity Type | Individual |
| Full Name | AMANDA MAE CROSSEN |
| Credential | LMP |
| Practice Address |
6811 Hawks Prairie Rd Ne Olympia WA 98516-6206 |
| Practice Telephone | 3609707523 |
| Mailing Telephone | 3609707523 |
| Enumeration Date | 2011-09-15 |
| Last Update Date | 2011-09-15 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171W00000X | Contractor | MA00021275 | WA | Other Service Providers |
| Street Address |
6811 HAWKS PRAIRIE RD NE |
| City | OLYMPIA |
| State | WA |
| Zip Code | 98516-6206 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730744210 | Michael Oropeza | Behavioral Analyst | 8282 28th Court Northeast, Suite A, Lacey, WA 98516 | 2019-05-09 |
| 1902361330 | Amanda Jessica Mae Allen | Behavioral Analyst | Basics Nw LLC, 8282 28th Ct Ne Suite A, Lacey, WA 98516 | 2019-02-11 |
| 1619459393 | Kayla-renee Williams | Behavioral Analyst | Basics Nw LLC 8282 28th Ct Ne, Suite A, Lacey, WA 98516 | 2018-08-30 |
| 1174004303 | Julie Ann Lisowski | Massage Therapist | 3532 Cuddy Ln Ne, Lacey, WA 98516 | 2018-08-26 |
| 1740700145 | Joseph Brandon Kimmel | Denturist | 5032 Beverly Dr Ne, Olympia, WA 98516 | 2017-06-27 |
| 1649649880 | Katie Cole | Behavioral Analyst | 8282 28th Ct Ne, Suite A, Basics Nw, LLC, Lacey, WA 98516 | 2015-09-17 |
| 1306234166 | Reza Tahernia | Dentist | 8050 Freedon Lane Ne, Suite C, Lacey, WA 98516 | 2015-01-02 |
| 1770997603 | Qualified Surgical Services Pllc | Surgery | 3697 Cameron Dr Ne, Lacey, WA 98516 | 2014-06-18 |
| 1184048688 | Stephanie Renee Hjortedal | Specialist/Technologist | 8750 Tallon Lane Ne., Lacey, WA 98516 | 2014-02-05 |
| 1295169811 | Teasha Corrado | Behavioral Analyst | 8282 28th Court Ne, Suite A, Lacey, WA 98516 | 2013-08-30 |
| Find all providers in zip 98516 | ||||
| Taxonomy Code | 171W00000X |
| Grouping | Other Service Providers |
| Classification | Contractor |
| A person who contracts to supply certain materials or do certain work for a stipulated sum; esp., one whose business is contracting work in any of the building trades. For purposes of the taxonomy, a person who contracts to complete home repairs or modifications to accommodate a health condition (e.g. wheelchair ramp, kitchen counter lowering). |
| Notes: Source: Websters New World Dictionary of the American Language, Second College Edition, William Collins + World Publishing Co., Inc., New York: 1974, p. 308 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760017495 | Estefani Perete Gomez | Contractor | 606 Lilly Rd Ne Apt 324, Olympia, WA 98506-5169 | 2020-03-03 |
| 1912309311 | Ruth Mary Ryser | Contractor | 2920 Quince St Se, Olympia, WA 98501-3583 | 2014-09-17 |
| 1093121444 | Carolyn M Green | Contractor | 1247 Fitz Hugh Dr Se, Olympia, WA 98513-7736 | 2014-07-07 |
| 1568899524 | Nicolaj Peter Keckes-palmer | Contractor | 1144 Milbanke Dr Se, Olympia, WA 98513-7723 | 2013-10-03 |
| 1477987444 | Mercedes M Carbonel | Contractor | 3212 Libby Rd Ne, Olympia, WA 98506-2985 | 2013-08-27 |
| 1891131983 | Michael Helm Jr. | Contractor | 7914 Martin Way E Ste 8, Olympia, WA 98516-5728 | 2013-05-15 |
| 1699898015 | Tina L. Bartlett | Contractor | 507 Devoe St Se, Olympia, WA 98501-2016 | 2007-04-09 |
| 1215050620 | James L. Bartlett | Contractor | 1804 Black Lake Blvd Sw, Olympia, WA 98512 | 2007-04-09 |
| 1326250218 | Marles Blackbird | Contractor | 1001 Eastside St Se, Suite C, Olympia, WA 98501-1608 | 2007-05-04 |
| 1770621245 | Kenneth D Saucke | Contractor | 3333 Harrison Ave Nw, Suite 102, Olympia, WA 98502-5049 | 2007-02-04 |
| Find all providers in OLYMPIA | ||||
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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.