NORTHWEST FISHING PARTNER REGISTRY (NPI# 1154883338) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154883338 |
| Entity Type | Organization |
| Organization Name | NORTHWEST FISHING PARTNER REGISTRY |
| Practice Address |
9028 11th Pl W Everett WA 98204-2693 |
| Practice Telephone | 2063257700 |
| Mailing Telephone | 2063257700 |
| Enumeration Date | 2019-04-05 |
| Last Update Date | 2019-04-05 |
| Authorized Official Name | SEAN KIAER (COMMODORE) |
| Authorized Official Telephone | 2063257700 |
| Authorized Official Credential | CAPT. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225800000X | Recreation Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | STATE OF WASHINGTON SECRETARY OF STATE | 604-116-958 | 01 |
| Other Name | Type Code |
|---|---|
| NorthWest Fishing Partners | Other Name - Individual/Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | NORTHWEST FISHING PARTNER REGISTRY | 338 Chestnut St, Shelton, WA 98584-3120 |
| Street Address |
9028 11TH PL W |
| City | EVERETT |
| State | WA |
| Zip Code | 98204-2693 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588262869 | Samuel Lin, Nd, Pllc | Naturopath | 13410 Hwy 99, Ste 202, Everett, WA 98204 | 2020-10-09 |
| 1003458225 | Svetlana A Gayevskaya | Technician | 12605 E. Gibson Rd. Unit # 87, Everett, WA 98204 | 2019-10-09 |
| 1821555921 | Kymberly Ann Shepherd | Counselor | 1011 128th St Sw, E201, Everett, WA 98204 | 2019-02-25 |
| 1609392653 | Mohammed Bayo | Nurse's Aide | 9217 4th Ave. West, Everett, WA 98204 | 2017-08-21 |
| 1962951582 | Abreham Shoangizaw | Pharmacist | 802 134th S B C, Everett, WA 98204 | 2016-09-23 |
| 1588012694 | Tammy J Laird | Counselor | 9300 Evergreen Way, Everett, WA 98204 | 2016-05-31 |
| 1083011282 | Bernadette K Stanek | Massage Therapist | 13410 Washington 99 #204, Everett, WA 98204 | 2014-12-03 |
| 1356771067 | Dixon Stopper | Hearing Instrument Specialist | 12811 8th Ave W Ste B203, Everett, WA 98204 | 2013-11-15 |
| 1427312495 | Dan Huy Nguyen | Respiratory Therapist, Registered | 1919 112th Street Southwest, Everett, WA 98204 | 2012-06-25 |
| 1942571880 | Alena A Klimenko | Specialist | 12811 8th- Ave W, Suite B-103, Everett, WA 98204 | 2012-01-24 |
| Find all providers in zip 98204 | ||||
| Taxonomy Code | 225800000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Recreation Therapist |
| A recreation therapist uses recreational activities for intervention in some physical, social or emotional behavior to bring about a desired change in that behavior and promote the growth and development of the patient. |
| Notes: Source: Joel A. DeLisa and Bruce M. Gans, Rehabilitation Medicine: Principles and Practice Second Edition, J.B. Lippincott Company, Philadelphia: 1993, p. 7 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033500418 | Tyneshia C Alexander | Recreation Therapist | 10427 19th Ave Se Apt B, Everett, WA 98208-4261 | 2015-02-06 |
| 1972641504 | Teresa Duncan Mcdonald | Recreation Therapist | 916 Pacific Ave, Everett, WA 98201-4147 | 2007-02-03 |
| 1871523712 | Nola Syfert Kundu | Recreation Therapist | 916 Pacific Ave, Everett, WA 98201-4147 | 2006-07-04 |
| 1407884026 | Stephanie Lee Mcguigan | Recreation Therapist | 916 Pacific Ave, Everett, WA 98201-4147 | 2006-06-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871192567 | Chelsey Michelle Pangborn | Recreation Therapist | 4815 N Assembly St Bldg 31, Spokane, WA 99205-6185 | 2020-10-22 |
| 1629624424 | Helda K Fuchs | Recreation Therapist | 9119 E Boone Ave Ste C, Spokane Valley, WA 99206-4061 | 2019-08-16 |
| 1730653692 | John Welker | Recreation Therapist | 1312 N Monroe St Ste 114, Spokane, WA 99201-2623 | 2019-01-14 |
| 1326526054 | Mani Dhami | Recreation Therapist | 31423 48th Ave S, Auburn, WA 98001-3718 | 2018-08-03 |
| 1689113631 | William Hawkes-robinson | Recreation Therapist | 1432 W Lawrence Dr, Spokane, WA 99218-2446 | 2017-02-22 |
| 1184066730 | Ann Christine Powell | Recreation Therapist | 4727 S Assembly Rd, Spokane, WA 99224-5925 | 2013-07-24 |
| 1013353432 | Jacqueline Marie Smith | Recreation Therapist | 2616 Erwin Ave, Dupont, WA 98327-8758 | 2013-05-13 |
| 1871600478 | Vicki M Booth | Recreation Therapist | 9900 Veterans Dr, A-116-dom, Tacoma, WA 98493 | 2006-08-23 |
| 1720008337 | Mary Ann Varnum | Recreation Therapist | 9001 22nd Avenue Nw, Seattle, WA 98117-2712 | 2006-07-20 |
| 1396716650 | Morgan Caley | Recreation Therapist | 3015 Limited Ln Nw, Suite B, Olympia, WA 98502-2638 | 2006-01-26 |
| Find all providers with the same taxonomy | ||||
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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.