MISS AMBER ELAINE DECK (NPI# 1104231893) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1104231893 |
Entity Type | Individual |
Full Name | MISS AMBER ELAINE DECK |
Credential | PA-C |
Practice Address |
20307 67th Ave E Spanaway WA 98387-5600 |
Mailing Address |
11216 Sunrise Blvd E Ste 3-108 Puyallup WA 98374-8848 |
Practice Telephone | 2532220334 |
Mailing Telephone | 2536040505 |
Mailing Fax Number | 2536040506 |
Enumeration Date | 2014-06-22 |
Last Update Date | 2020-10-14 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
PA61081738 | WA | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
20307 67TH AVE E |
City | SPANAWAY |
State | WA |
Zip Code | 98387-5600 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124673934 | Mckenzie L Cooper | Behavioral Analyst | 27421 30th Ave E, Spanaway, WA 98387 | 2019-08-08 |
1902467442 | Lindsey Taylor Reynolds | Speech-Language Pathologist | Bethel High School, 22215 38th Ave E, Spanaway, WA 98387 | 2019-06-25 |
1700353299 | David York | Chiropractor | 18407 Pacific Avenue, Suite A-11, Spanaway, WA 98387 | 2018-11-01 |
1730669391 | Lindsey Copus | Speech-Language Pathologist | 516 176th E, Spanaway, WA 98387 | 2018-08-14 |
1023531720 | Rebecca Susan Callaway | Behavioral Analyst | 4606 216th St Ct E, Spanaway, WA 98387 | 2017-07-25 |
1780093666 | Ramandeep Grewal | Pharmacist | 20307 Mountain Hwy W, Spanaway, WA 98387 | 2014-08-05 |
1730464223 | Dawn Michelle Johnson | Counselor | 7714 197th Street Ct E, Spanaway, WA 98387 | 2011-10-15 |
1982929469 | Abracadabra Recovery Inc | Community/Behavioral Health | 18407 Pacific Avenue South, Spanaway, WA 98387 | 2010-03-29 |
1932348810 | Christine Ann Uhl | Specialist | 8306 205th St Ct East, Spanaway, WA 98387 | 2009-02-17 |
1205072659 | Karen Lynn Iverson | Specialist | 5410 184th. Street East, Bethel Schools, Spanaway, WA 98387 | 2009-01-06 |
Find all providers in zip 98387 |
Taxonomy Code | 363AS0400X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Surgical Technologist |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1780153536 | Patricia Dorian | Physician Assistant | 2950 Squalicum Pkwy Ste B, Bellingham, WA 98225-1857 | 2018-11-21 |
1851875561 | Sarah Gene Soloff | Physician Assistant | 9730 3rd Ave Ne Ste 201, Seattle, WA 98115-2023 | 2018-09-18 |
1104308394 | Johnny Thanh Nguyen | Physician Assistant | 1135 116th Ave Ne Ste 605, Bellevue, WA 98004-4697 | 2018-09-04 |
1558843201 | Stefanie Eller | Physician Assistant | 532 Cedar Wood Ln, Wenatchee, WA 98801-2476 | 2018-08-29 |
1861987992 | Lillian Baldwin Bourret | Physician Assistant | 6317 Linden Ave N, Seattle, WA 98103-5658 | 2018-07-01 |
1417446758 | Janelle Elizabeth Becker | Physician Assistant | 11511 Canterwood Blvd Nw Ste 205, Gig Harbor, WA 98332 | 2018-05-02 |
1982058418 | Ray Johnson | Physician Assistant | 4446 88th Ave Se, Mercer Island, WA 98040 | 2016-04-21 |
1073990651 | Laura Skanse | Physician Assistant | 12303 Ne 130th Ln #500, Kirkland, WA 98034 | 2015-05-02 |
1043535024 | Pamela Baird | Physician Assistant | 2016 16th Ave East, Seattle, WA 98112-5260 | 2010-04-01 |
1477875011 | Puget Sound Surgical Assistants LLC | Physician Assistant | 14712 134th Ct Ne, Woodinville, WA 98072-4615 | 2010-02-24 |
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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.