MS. SAMANTHA KELLY ANDERSON (NPI# 1164994109) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164994109 |
| Entity Type | Individual |
| Full Name | MS. SAMANTHA KELLY ANDERSON |
| Credential | CDPT |
| Practice Address |
1601 E Fourth Plain Blvd Vancouver WA 98661-3713 |
| Mailing Address |
971 4th St Washougal WA 98671-1001 |
| Practice Telephone | 3603978246 |
| Practice Fax Number | 3603978250 |
| Mailing Telephone | 1360831531 |
| Enumeration Date | 2018-12-31 |
| Last Update Date | 2018-12-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
CO60912422 | WA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366075681 | Samantha Anderson | Massage Therapist | 214 Millenium St, Moxee, WA 98936-9358 | 2020-02-14 |
| 1144868605 | Samantha Anderson | Registered Nurse | 2552c Wharton St, Pittsburgh, PA 15203-5104 | 2019-12-16 |
| 1649776709 | Samantha Nicole Anderson | Nurse Practitioner | 240 Mulberry St, Newark, NJ 07102-3528 | 2018-04-05 |
| 1720538473 | Samantha Josephine Anderson | Specialist/Technologist | 17 5th Ave Ne, Osseo, MN 55369-1305 | 2016-10-06 |
| 1235748286 | Samantha Anderson | Behavioral Analyst | 705 N Mountain Rd Ste A101, Newington, CT 06111-1431 | 2020-07-27 |
| 1255965976 | Samantha J Anderson | Social Worker | 805 Tijeras Ave Nw, Albuquerque, NM 87102-3099 | 2020-03-03 |
| 1841836475 | Samantha Ray Anderson | Genetic Counselor, MS | 1 Healthy Way, Oceanside, NY 11572-1551 | 2019-11-19 |
| 1437711132 | Samantha Maree Anderson | Pharmacist | 2200 Sw Gage Blvd, Topeka, KS 66622-0001 | 2019-07-02 |
| 1063997112 | Samantha Anderson | Behavioral Analyst | 3400 State St Ste G750, Salem, OR 97301-7012 | 2018-09-25 |
| 1134625957 | Samantha Anderson | Behavior Technician | 1617 E Milham Ave Ste B, Portage, MI 49002-3049 | 2018-04-02 |
| Street Address |
1601 E FOURTH PLAIN BLVD |
| City | VANCOUVER |
| State | WA |
| Zip Code | 98661-3713 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962452433 | Joanne Pascarella Parker | Family Medicine | 1601 E Fourth Plain Blvd, Vancouver, WA 98661-3713 | 2006-05-12 |
| 1366049389 | Keri Damsgaard | Registered Nurse | 1601 E Fourth Plain Blvd, Vancouver, WA 98661-3713 | 2020-10-02 |
| 1265048219 | Lindsey Lee Bittman | Social Worker | 1601 E Fourth Plain Blvd, V3crs, Vancouver, WA 98661-3713 | 2020-09-16 |
| 1104438282 | Aydree Lee Stuart | Peer Specialist | 1601 E Fourth Plain Blvd, Vancouver, WA 98661-3713 | 2020-08-19 |
| 1831716554 | Robin Lynn Miller | Registered Nurse | 1601 E Fourth Plain Blvd, Vancouver, WA 98661-3713 | 2020-06-29 |
| 1033733381 | Samantha Irene Tribon | Licensed Practical Nurse | 1601 E Fourth Plain Blvd, Vancouver, WA 98661-3713 | 2020-06-02 |
| 1790307163 | Sasha Micaella Rojas | Psychologist | 1601 E Fourth Plain Blvd, Vancouver, WA 98661-3713 | 2020-05-08 |
| 1174152466 | Angela Westbrooks | Counselor | 1601 E Fourth Plain Blvd, Vancouver, WA 98661-3713 | 2020-04-07 |
| 1871121137 | Mary Alice Parker | Peer Specialist | 1601 E Fourth Plain Blvd, Vancouver, WA 98661-3713 | 2020-03-31 |
| 1730712522 | Cadie Mae Marsh | Licensed Practical Nurse | 1601 E Fourth Plain Blvd, Vancouver, WA 98661-3713 | 2020-02-19 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982228417 | Cynthia Ann Holt | Social Worker | 4608 Ne 47 Street, Vancouver, WA 98661 | 2020-06-01 |
| 1235793027 | James Dostert | Counselor | 1601 E 4th Blvd. Bldg. 17, Ste A212, Vancouver, WA 98661 | 2019-04-26 |
| 1306305289 | Kathryn Susanne Scott | Social Worker | Attn: Kathryn Scott, V3cnh, 1601 E. Fourth Plain Blvd., Vancouver, WA 98661 | 2019-03-19 |
| 1952860637 | Alice Rogers | Occupational Therapist | Vancouver Public Schools, 2901 Falk Rd., Vancouver, WA 98661 | 2019-03-13 |
| 1053878538 | Paula Moore | Counselor | 9626 Ne Fourth Plain Blvd, Vancouver, WA 98661 | 2019-02-21 |
| 1558825729 | Cassandra Marie Nichols | Counselor | 1601 E 4th Blvd, Vancouver, WA 98661 | 2019-01-22 |
| 1548734148 | Lisa Kelly | Counselor | 1601 E 4th Blvd., Vancouver, WA 98661 | 2019-01-16 |
| 1518444025 | Columbia Pharmacy | Pharmacy | 2700 Ne Andresen Rd Ste E3, Vancouver, WA 98661 | 2018-07-26 |
| 1023505229 | Ellen Barbour | Counselor | 1601 E 4th Plain Blvd Bldg. 17, Ste A212, Vancouver, WA 98661 | 2018-04-13 |
| 1679096325 | Brian Scott Coleman | Counselor | 1601 East Fourth Plain Blvd., Bldg #17, Ste. A212, Vancouver, WA 98661 | 2017-07-24 |
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| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669012332 | Beatriz Soto Martinez | Counselor | 6816 Ne 131st Ave Unit 128, Vancouver, WA 98682-4625 | 2020-01-10 |
| 1871140350 | Anthony Douglas Dejesus | Counselor | 4305 Ne Thurston Way Ste E, Vancouver, WA 98662-6655 | 2019-08-20 |
| 1235793027 | James Dostert | Counselor | 1601 E 4th Blvd. Bldg. 17, Ste A212, Vancouver, WA 98661 | 2019-04-26 |
| 1811460231 | Matthew Mcelveen | Counselor | 4000 Ne 94th St, Vancouver, WA 98665-5313 | 2019-01-08 |
| 1164910840 | Lucyann Kendall | Counselor | 4949 Ne St Johns Rd Apt 1, Vancouver, WA 98661-2536 | 2018-04-27 |
| 1609364413 | Amanda Boden | Counselor | 12503 Se Mill Plain Blvd Ste 119a, Vancouver, WA 98684-4007 | 2018-04-26 |
| 1023505229 | Ellen Barbour | Counselor | 1601 E 4th Plain Blvd Bldg. 17, Ste A212, Vancouver, WA 98661 | 2018-04-13 |
| 1922501998 | Carl Albert Robinson | Counselor | 1601 E Fourth Plain Blvd Bldg 17b222, Vancouver, WA 98661-3713 | 2018-03-15 |
| 1891200531 | Craig Goold | Counselor | 18908 Se 23rd St, Vancouver, WA 98683-9793 | 2017-12-04 |
| 1679096325 | Brian Scott Coleman | Counselor | 1601 East Fourth Plain Blvd., Bldg #17, Ste. A212, Vancouver, WA 98661 | 2017-07-24 |
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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.