MISS MISTY DAWN DEE (NPI# 1063753648) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063753648 |
| Entity Type | Individual |
| Full Name | MISS MISTY DAWN DEE |
| Credential | CSAC II |
| Practice Address |
2494 Lake Tahoe Blvd Suite B-5 South Lake Tahoe CA 96151-7509 |
| Mailing Address |
Po Box 17509 South Lake Tahoe CA 96151-7509 |
| Practice Telephone | 5305414594 |
| Mailing Telephone | 5305414594 |
| Enumeration Date | 2013-03-07 |
| Last Update Date | 2013-03-07 |
| 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) |
D1012011415 | CA | Behavioral Health & Social Service Providers |
| Street Address |
2494 LAKE TAHOE BLVD SUITE B-5 |
| City | SOUTH LAKE TAHOE |
| State | CA |
| Zip Code | 96151-7509 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013253335 | Maria Chiaro | Pharmacist | 1222 Gold Dust Trail, South Lake Tahoe, CA 96151 | 2012-12-13 |
| 1801164280 | Kimberly Nicole Rumack Crowley | Chiropractor | 2877 Lake Tahoe Blvd., Suite B, South Lake Tahoe, CA 96151 | 2011-12-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518584549 | Tshering W Sherpa | Technician | 3477 Panorama Dr, South Lake Tahoe, CA 96150-5115 | 2020-06-25 |
| 1497376966 | Barton Ambulatory Clinics | General Acute Care Hospital | 2170 South Ave Ste B, South Lake Tahoe, CA 96150-7026 | 2020-05-06 |
| 1902435894 | Slt Medical Group Inc | Clinic/Center | 2024 Lake Tahoe Blvd, South Lake Tahoe, CA 96150-6498 | 2020-04-03 |
| 1861027625 | Jeremy Scott Vandehurst | Emergency Medicine | 2170 South Ave # B, South Lake Tahoe, CA 96150-7008 | 2020-03-11 |
| 1558991141 | Summit To Shore Chiropractic A Haworth Corporation | Chiropractor | 2877 Lake Tahoe Blvd Ste E, South Lake Tahoe, CA 96150-7807 | 2020-01-22 |
| 1477101749 | Samuel J Pierini | Pharmacist | 1375 Chinquapin Dr, South Lake Tahoe, CA 96150-7409 | 2019-08-29 |
| 1003468976 | A Westfall Dental Corporation | Clinic/Center | 2074 Lake Tahoe Blvd Ste 4, South Lake Tahoe, CA 96150-6408 | 2019-07-11 |
| 1164087003 | Julie Anne Lytle | Behavioral Analyst | 2489 Lake Tahoe Blvd Ste 23, South Lake Tahoe, CA 96150-7739 | 2019-05-06 |
| 1003378324 | Meyers Physical Therapy | Clinic/Center | 2311 Lake Tahoe Blvd Ste 1, South Lake Tahoe, CA 96150-7104 | 2019-04-04 |
| 1205392735 | Douglas William Mundy | Pharmacist | 2074 Lake Tahoe Blvd Ste 1, South Lake Tahoe, CA 96150-6408 | 2019-02-20 |
| Find all providers in SOUTH LAKE TAHOE | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235654567 | Justin Marshall | Counselor | 1041 Al Tahoe Blvd, South Lake Tahoe, CA 96150-4502 | 2017-08-08 |
| 1760768964 | Karen Naegeli | Counselor | 2494 Lake Tahoe Blvd Ste B5, South Lake Tahoe, CA 96150-7142 | 2011-11-01 |
| 1508153834 | Pamela Armstrong | Counselor | 3540 April Dr, South Lake Tahoe, CA 96150-7313 | 2011-07-07 |
| 1093941148 | Ashley Elizabeth Bedell | Counselor | 1137 Emerald Bay Rd., South Lake Tahoe, CA 96150 | 2009-06-03 |
| 1275737421 | Kurt Sturgeon | Counselor | 921 Macinaw Rd, Suite 2, South Lake Tahoe, CA 96150-3525 | 2007-06-12 |
| 1730301128 | Walter Pedersen | Counselor | 2494 Lake Tahoe Blvd Ste B2, South Lake Tahoe, CA 96150-7142 | 2007-05-03 |
| 1932719028 | Dustin John Wedekind | Counselor | 1021 Fremont Ave, South Lake Tahoe, CA 96150-8136 | 2020-08-04 |
| 1346621273 | Justin Eastman | Counselor | 2494 Lake Tahoe Blvd, Suite B6, South Lake Tahoe, CA 96150-7719 | 2015-06-16 |
| 1194066738 | Susie Stich | Counselor | 2494 Lake Tahoe Blvd, B-5, South Lake Tahoe, CA 96150-7719 | 2013-03-06 |
| 1104167907 | Ronald Gareis | Counselor | 2494 Lake Tahoe Blvd, Ste. B5, South Lake Tahoe, CA 96150-7719 | 2013-03-05 |
| Find all providers in SOUTH LAKE TAHOE | ||||
| City | SOUTH LAKE TAHOE |
| Zip Code | 96151 |
Please comment or provide details below to improve the information on MISS MISTY DAWN DEE.
| 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.