KELLY KNITTLE (NPI# 1164870267) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1164870267 |
Entity Type | Individual |
Full Name | KELLY KNITTLE |
Practice Address |
4820 She-nah-num Dr. Se Olympia WA 98520 |
Mailing Address |
4820 She Nah Num Dr Se Olympia WA 98513-9105 |
Practice Telephone | 3604132727 |
Mailing Telephone | 3604132727 |
Enumeration Date | 2016-05-31 |
Last Update Date | 2016-05-31 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
CP60523464 | WA | Behavioral Health & Social Service Providers |
Street Address |
4820 SHE-NAH-NUM DR. SE |
City | OLYMPIA |
State | WA |
Zip Code | 98520 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740755354 | Wchs, Inc. | Clinic/Center | 516 East 1st Street, Aberdeen, WA 98520 | 2018-10-10 |
1518454180 | Katie Cutshaw | Counselor | 1700 Cherry Street, Suite C, Aberdeen, WA 98520 | 2018-04-18 |
1629587738 | Robert Williams | Counselor | Catholic Community Services, 403 West State Street, Suite 206, Aberdeen, WA 98520 | 2017-09-21 |
1174032296 | Amy D Tyler | Peer Specialist | 403 W State Street, Ste 206, Aberdeen, WA 98520 | 2017-09-20 |
1073032819 | Amanda Leona Franklin | Counselor | 2700 Simpson Ave, Suite 101, Aberdeen, WA 98520 | 2017-09-13 |
1184141152 | Chrystal Lynn Beckley | Counselor | 2700 Simpson Avenue Suite 101, Aberdeen, WA 98520 | 2017-08-29 |
1285158923 | Josh Butler | Technician/Technologist | 1718 Sumner Ave, Aberdeen, WA 98520 | 2017-08-02 |
1386165553 | Melvin Taylor | Counselor | 311 South I Street, Aberdeen, WA 98520 | 2017-06-28 |
1437570249 | Aberdeen Therapy Works | Occupational Therapist | 100 S. I Street, Suite 205, Aberdeen, WA 98520 | 2013-12-20 |
1982038501 | Tess Lawson | Behavioral Analyst | 418 E 1st St, Aberdeen, WA 98520 | 2013-08-30 |
Find all providers in zip 98520 |
Taxonomy Code | 101YA0400X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Addiction (Substance Use Disorder) |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1689291163 | Rachel E Freer | Counselor | 3222 Friendly Grove Rd Ne, Olympia, WA 98506-2940 | 2020-06-30 |
1144854332 | Lisa Lorraine Gaul | Counselor | 1905 4th Ave E Ste B, Olympia, WA 98506-4631 | 2020-02-26 |
1083244644 | Audrey Jane Bengtson | Counselor | 3773 Martin Way E Ste 107, Olympia, WA 98506-4400 | 2020-01-23 |
1396385357 | Cecilia Chavez | Counselor | 1820 Ashwood Downs Ln Se Apt 315, Olympia, WA 98501-7664 | 2020-01-08 |
1376055947 | Ashleigh L Clark | Counselor | 11702 Yelm Hwy Se, Olympia, WA 98513-9109 | 2017-11-03 |
1225567415 | Thierry Buckner | Counselor | 2400 Bristol Court Sw, Olympia, WA 98502 | 2017-06-09 |
1609301381 | Petya Pacheva | Counselor | 2401 Bristol Ct Sw Ste D101, Olympia, WA 98502-6037 | 2017-05-01 |
1215380787 | Alicia Rose | Counselor | 3773 Martin Way E Ste 105a, Olympia, WA 98506-5048 | 2016-07-19 |
1154770188 | Amelia Sohler | Counselor | 5326 80th Ave Sw, Olympia, WA 98512-2358 | 2016-06-09 |
1093172066 | Kaila Michelle Eichhorn | Counselor | 2400 Bristol Ct Sw, Olympia, WA 98502-6004 | 2016-01-21 |
Find all providers in OLYMPIA |
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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.