MRS. BRITTANY JEAN FRAIDENBURG (NPI# 1104300276) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1104300276 |
Entity Type | Individual |
Full Name | MRS. BRITTANY JEAN FRAIDENBURG |
Credential | RN |
Practice Address |
2009 Ne 117th St Ste 101 Vancouver WA 98686-4022 |
Practice Telephone | 3605669112 |
Practice Fax Number | 3605669113 |
Mailing Telephone | 3605669112 |
Enumeration Date | 2018-09-24 |
Last Update Date | 2019-06-27 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 163WA0400X |
Registered Nurse Specialization: Addiction (Substance Use Disorder) |
LICENSE | WA | Nursing Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
WA | 200537 | 05 |
Address | Telephone Number | Fax Number |
---|---|---|
305 Pacific Ave S, Kelso, WA 986261638 | 3604255378 |
Street Address |
2009 NE 117TH ST STE 101 |
City | VANCOUVER |
State | WA |
Zip Code | 98686-4022 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427276252 | Linda Beth Fowler | Licensed Practical Nurse | 2009 Ne 117th St Ste 101, Vancouver, WA 98686-4022 | 2007-04-24 |
1770113052 | Abra Afoutou Todo | Licensed Practical Nurse | 2009 Ne 117th St Ste 101, Vancouver, WA 98686-4022 | 2020-01-25 |
1497385660 | Lesley Remington | Licensed Practical Nurse | 2009 Ne 117th St Ste 101, Vancouver, WA 98686-4022 | 2020-01-16 |
1669002838 | Brittney Grace Kyle | Licensed Practical Nurse | 2009 Ne 117th St Ste 101, Vancouver, WA 98686-4022 | 2020-01-16 |
1841833407 | Danielle Gardner | Licensed Practical Nurse | 2009 Ne 117th St Ste 101, Vancouver, WA 98686-4022 | 2019-10-25 |
1710531991 | Mandy Boge | Registered Nurse | 2009 Ne 117th St Ste 101, Vancouver, WA 98686-4022 | 2019-07-26 |
1194384032 | William Franklin Cooley IIi | Counselor | 2009 Ne 117th St Ste 101, Vancouver, WA 98686-4022 | 2019-06-12 |
1295291946 | James Aden Jones | Registered Nurse | 2009 Ne 117th St Ste 101, Vancouver, WA 98686-4022 | 2019-02-19 |
1750875795 | Paula Verean Knight | Licensed Practical Nurse | 2009 Ne 117th St Ste 101, Vancouver, WA 98686-4022 | 2018-06-21 |
1710471065 | Jennifer W Kooistra | Registered Nurse | 2009 Ne 117th St Ste 101, Vancouver, WA 98686-4022 | 2018-06-20 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154891117 | Dorota Bozena Barton | Speech-Language Pathologist | 2121 Ne 139th Street Mob A, Suite 200, Vancouver, WA 98686 | 2018-12-03 |
1881161818 | Michelle Wolfe | Dental Assistant | A101, 1484, 14313 Ne 20th Ave, Vancouver, WA 98686 | 2018-10-29 |
1306321237 | Rainier Springs Physician Group, LLC | General Practice | 2805 Ne 129th Street, Vancouver, WA 98686 | 2018-09-26 |
1801382387 | Kristopher K Kostenko | Dentist | 14201 Ne 20th Ave Ste A101, Vancouver, WA 98686 | 2018-07-08 |
1689164071 | Tegan Mills | Occupational Therapist | 7101 Ne 109th Street, Apt 64, Vancouver, WA 98686 | 2018-05-11 |
1164924122 | Kate Kristin Lawrence | Speech-Language Pathologist | 2215 Ne 104th St, Vancouver, WA 98686 | 2018-03-06 |
1437609567 | Elina Baranets | Registered Nurse | 14204 Ne Salmon Creek Avenue, Vancouver, WA 98686 | 2016-10-13 |
1386039550 | Sean Vikram Bhatia | Internal Medicine | Kaiser Salmon Creek, 14406 Ne 20th Ave, Vancouver, WA 98686 | 2015-04-03 |
1376988642 | Lindsay Hussey-andersen | Orthopaedic Surgery | 2525 Ne 139th St Ste 140, Vancouver, WA 98686 | 2013-05-01 |
1710253109 | Legacy Salmon Creek Hospital | Speech-Language Pathologist | 2121 Ne 139th St., Mob A, Ste 200, Vancouver, WA 98686 | 2012-03-29 |
Find all providers in zip 98686 |
Taxonomy Code | 163WA0400X |
Grouping | Nursing Service Providers |
Classification | Registered Nurse |
Specialization | Addiction (Substance Use Disorder) |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922632140 | Rachael Minton | Registered Nurse | 6221 Ne Fourth Plain Blvd Ste A, Vancouver, WA 98661-7206 | 2020-02-26 |
1831716554 | Robin Lynn Miller | Registered Nurse | 1601 E Fourth Plain Blvd, Vancouver, WA 98661-3713 | 2020-06-29 |
1225657752 | Stacy Gene Langnes | Registered Nurse | 1601 E Fourth Plain Blvd Bldg 17, Vancouver, WA 98661-3717 | 2020-04-14 |
1245877497 | Rachelle N Noche | Registered Nurse | 6926 Ne Fourth Plain Blvd, Vancouver, WA 98661-7254 | 2019-12-06 |
1538632443 | Karley Carpenter | Registered Nurse | 6926 Ne Fourth Plain Blvd, Vancouver, WA 98661-7254 | 2019-01-03 |
1255808226 | Ashley Costello | Registered Nurse | 1601 E 4th Plain Blvd, Vancouver, WA 98661-3713 | 2018-10-29 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164079422 | Trudy K Frantz | Registered Nurse | 215 W 2nd Ave Lowr, Spokane, WA 99201-3605 | 2019-08-21 |
1164991188 | Grace Talbot Davis | Registered Nurse | 2601 Summit Avenue, Bldg. C, Everett, WA 98201 | 2018-11-20 |
1770689507 | Abbie Alane Carrasco | Registered Nurse | American Lake Vamc, Tacoma, WA 98493-0001 | 2006-09-16 |
1053911917 | Michelle N Lien | Registered Nurse | 500 Se Washington Ave, Chehalis, WA 98532-3058 | 2020-10-29 |
1659971513 | Kari-anne Kane-agius | Registered Nurse | 44 E Cozza Dr, Spokane, WA 99208-6514 | 2020-10-29 |
1134728777 | Cara Elizabeth Hilderbrand | Registered Nurse | 4800 Sand Point Way Ne, Seattle, WA 98105-3901 | 2020-10-24 |
1467076521 | Ate'ha Celeste Triance | Registered Nurse | 500 Se Washington Ave, Chehalis, WA 98532-3058 | 2020-06-04 |
1427677764 | Desiree A Johnson | Registered Nurse | 44 E Cozza Dr, Spokane, WA 99208-6514 | 2020-04-15 |
1487273736 | Elizabeth Anne Moore Crafton | Registered Nurse | 44 E Cozza Dr, Spokane, WA 99208-6514 | 2020-04-15 |
1215565031 | Melanie Marie Demerjian | Registered Nurse | 1960 Thompson Dr, Sedro Woolley, WA 98284-5007 | 2020-03-28 |
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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.