JUSTIN ROY SLEASMAN (NPI# 1093961476) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093961476 |
| Entity Type | Individual |
| Full Name | JUSTIN ROY SLEASMAN |
| Credential | CCP |
| Practice Address |
13824 N Creek Dr 901 Mill Creek WA 98012-2068 |
| Practice Telephone | 4252934758 |
| Practice Fax Number | 6506159995 |
| Mailing Telephone | 4252934758 |
| Mailing Fax Number | 6506159995 |
| Enumeration Date | 2008-08-17 |
| Last Update Date | 2008-08-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 242T00000X | Perfusionist | 059091 | CA | Technologists, Technicians & Other Technical Service Providers |
| Street Address |
13824 N CREEK DR 901 |
| City | MILL CREEK |
| State | WA |
| Zip Code | 98012-2068 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811502032 | Malia Van-frances Chase | Behavioral Analyst | 18311 Bothel-everett Hwy, Suite 260, Bothell, Wa, WA 98012 | 2020-09-14 |
| 1154951804 | Thea E Byrne | Physical Therapist | 6030 Bothell Everett Hwy, #140, Mill Creek, WA 98012 | 2020-01-22 |
| 1861975526 | Jenifer Rae Denormandie | Pharmacist | 14529 North Creek Drive Apt B210, Mill Creek, WA 98012 | 2018-09-10 |
| 1780161760 | Azadeh Fariba | Naturopath | 15411 40th Dr Se, Bothell, WA 98012 | 2018-07-23 |
| 1720572902 | Rickey Lee Mcgregor | Counselor | 16300 Mill Creek Blvd, Suite 204, Mill Creek, WA 98012 | 2018-06-20 |
| 1306349865 | Rudi Lauren Romaine | Behavioral Analyst | 18311 Bothell-everett Hwy, Suite 260, Bothell, WA 98012 | 2018-03-12 |
| 1164961025 | Wickler Behavioral Consulting | Behavioral Analyst | 632 182nd Street Se, Bothell, WA 98012 | 2017-02-13 |
| 1588026413 | Nathan Earl Crawford | Massage Therapist | 18930 Bothell Everett Hwy, D302, Bothell, WA 98012 | 2016-03-21 |
| 1144618083 | Jocelyn Enabulele | Counselor | 19105 Waxen Road, Bothell, WA 98012 | 2014-12-30 |
| 1124426846 | Teeth R Us | Dentist | 1908 201 Pl Se Suite #201, Bothell, WA 98012 | 2014-12-11 |
| Find all providers in zip 98012 | ||||
| Taxonomy Code | 242T00000X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Perfusionist |
| A perfusionist operates extracorporeal circulation and autotransfusion equipment during any medical situation where it is necessary to support or temporarily replace the patient’s circulatory or respiratory function. The perfusionist is knowledgeable concerning the variety of equipment available to perform extracorporeal circulation functions and is responsible, in consultation with the physician, for selecting the appropriate equipment and techniques to be used. |
| Notes: Source: Health Professions Career and Education Directory, American Medical Association [1/1/2007: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144465964 | David Kent Vankirk | Perfusionist | 723 Hanford St, Richland, WA 99354-1681 | 2008-12-08 |
| 1487012522 | Elizabeth Jung | Perfusionist | 1959 Ne Pacific St, Seattle, WA 98195-0001 | 2016-02-03 |
| 1861823916 | Susan Canaday | Perfusionist | 1201 S Miller St, Wenatchee, WA 98801-3201 | 2013-11-27 |
| 1407281819 | Edward Allen Stover | Perfusionist | 1201 S Miller St, Wenatchee, WA 98801-3201 | 2013-09-05 |
| 1326473760 | Joshua M Fisher | Perfusionist | 1201 S Miller St, Wenatchee, WA 98801-3201 | 2013-09-04 |
| 1366875239 | Roy Gunnar Benson Retlin | Perfusionist | 1959 Ne Pacific St, Department of Cardiothoracic Surgery, Seattle, WA 98195-0001 | 2013-08-15 |
| 1144550997 | Christopher Nelson Pierce | Perfusionist | 2901 Squalicum Pkwy, Bellingham, WA 98225-1851 | 2009-12-29 |
| 1790946259 | Andrew Zyskowski | Perfusionist | 1959 Ne Pacific St, Aa115, Seattle, WA 98195-0001 | 2008-06-18 |
| City | MILL CREEK |
| Zip Code | 98012 |
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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.