MS. AUTUMN NICOLE BARBERO (NPI# 1073961835) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1073961835 |
Entity Type | Individual |
Full Name | MS. AUTUMN NICOLE BARBERO |
Credential | CPNP |
Practice Address |
401 S Main St Deer Park WA 99006-8238 |
Mailing Address |
203 N Washington St Ste 300 Spokane WA 99201-0233 |
Practice Telephone | 5094448200 |
Mailing Telephone | 5094448888 |
Mailing Fax Number | 5094447806 |
Enumeration Date | 2016-06-01 |
Last Update Date | 2018-04-02 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
AP60646357 | WA | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
401 S MAIN ST |
City | DEER PARK |
State | WA |
Zip Code | 99006-8238 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407490550 | Community Health Association of Spokane | Pharmacy | 401 S Main St, Deer Park, WA 99006-8238 | 2019-11-01 |
1710454541 | Jeremy Rae Deerheim | Social Worker | 401 S Main St, Deer Park, WA 99006 | 2018-10-30 |
1851876478 | Sina Mousavi | Dentist | 401 S Main St, Deer Park, WA 99006-8238 | 2018-09-28 |
1679058408 | Amber Lynn Shippey | Registered Nurse | 401 S Main St, Deer Park, WA 99006-8238 | 2018-09-27 |
1720563604 | Andrea April Nelson | Registered Nurse | 401 S Main St, Deer Park, WA 99006-8238 | 2018-09-26 |
1639664899 | Brianna Lynn Shasky | Dental Hygienist | 401 S Main St, Deer Park, WA 99006-8238 | 2018-06-28 |
1659896892 | Elissa Michelle Black | Dental Hygienist | 401 S Main St, Deer Park, WA 99006-8238 | 2017-08-09 |
1730625948 | Jane Nelson | Registered Nurse | 401 S Main St, Deer Park, WA 99006-8238 | 2017-01-11 |
1144765959 | Danika Giard | Dental Hygienist | 401 S Main St, Deer Park, WA 99006-8238 | 2017-01-03 |
1831548551 | Jennifer Timoney | Counselor | 401 S Main St, Deer Park, WA 99006-8238 | 2016-06-03 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417572892 | Deer Park Dental Pllc | Dentist | 118 E. Crawford St., Deer Park, WA 99006 | 2020-06-11 |
1124653464 | James Phelan | Optometrist | 14 N. Vernon Ave., Deer Park, WA 99006 | 2020-03-06 |
1336628841 | Shayla Michelle Simonson | Massage Therapist | West 114 South Avenue, Apt 4, Deer Park, WA 99006 | 2018-08-07 |
1710221494 | Lori Tetsuro Mcdonald | Hearing Instrument Specialist | 23 E Crawford St, Suite D, Deer Park, WA 99006 | 2012-11-19 |
1952675076 | Debra Kay Keller | Pharmacist | 412 S Main, Deer Park, WA 99006 | 2012-03-07 |
1457661027 | Martha Joan Haney | Massage Therapist | W 110 Crawford, Suite J, Deer Park, WA 99006 | 2010-10-18 |
1487818324 | Bi-mart Corporation | Durable Medical Equipment & Medical Supplies | 412 S. Main Avenue, Deer Park, WA 99006 | 2008-07-10 |
1912104498 | Melissa Ann Mccollough | Massage Therapist | 20 East J Street Suite B, Deer Park, WA 99006 | 2007-06-28 |
1336368182 | Community Health Association of Spokane | Clinic/Center | 401 S Main Street, Deer Park, WA 99006 | 2007-04-24 |
1215153739 | Bates and Miller, Pllc, Dds | Clinic/Center | 20 E J Street, Suite 2b, Deer Park, WA 99006 | 2007-04-17 |
Find all providers in zip 99006 |
Taxonomy Code | 363LP0200X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Pediatrics |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629286653 | Josephine Pizzurro | Nurse Practitioner | 2017 Deer Park Ave, Deer Park, NY 11729-2721 | 2007-05-21 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881200509 | Megan Maureen Bauer | Nurse Practitioner | 6057 California Ave Sw, Seattle, WA 98136-1612 | 2020-09-17 |
1265077960 | Hannah Thornton | Nurse Practitioner | 4800 Sand Point Way Ne # Fa.2114, Seattle, WA 98105-3901 | 2019-11-17 |
1598319683 | Jennifer Lynn Bryson | Nurse Practitioner | 8738 Falls Ave Se, Snoqualmie, WA 98065-9610 | 2019-07-28 |
1013494434 | Lindsay Bascom Brown | Nurse Practitioner | 12815 120th Ave Ne Ste A, Kirkland, WA 98034-3003 | 2018-07-27 |
1518475631 | Sarah Remorca Agtarap | Nurse Practitioner | 175 1st Pl Nw Ste A, Issaquah, WA 98027-2746 | 2018-01-11 |
1518470137 | Bear Creek Pediatrics | Nurse Practitioner | 105 W 8th Ave Ste 7035, Spokane, WA 99204-2313 | 2017-11-06 |
1871005298 | Alexis Anne Abel | Nurse Practitioner | 15650 Ne 24th St Ste C, Bellevue, WA 98008-2460 | 2017-10-25 |
1326569021 | Spencer Rorie Crihfield | Nurse Practitioner | Po Box 1452, Pasco, WA 99301-1223 | 2017-07-03 |
1912427386 | Melinda Ehren Kratzig | Nurse Practitioner | 4800 Sand Point Way Ne # Msoa9220, Seattle, WA 98105-3901 | 2017-06-26 |
1245766880 | Jennifer Jean Baker | Nurse Practitioner | 904 7th Ave Fl 3, Seattle, WA 98104-1132 | 2017-05-02 |
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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.