VICTORIA MALLOCH DESALVO (NPI# 1174043384) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174043384 |
| Entity Type | Individual |
| Full Name | VICTORIA MALLOCH DESALVO |
| Credential | ARNP |
| Practice Address |
520 W Indian Ave Brewster WA 98812 |
| Mailing Address |
Po Box 1340 Okanogan WA 98840-1340 |
| Practice Telephone | 5096892525 |
| Practice Fax Number | 5096893247 |
| Mailing Telephone | 5094225700 |
| Mailing Fax Number | 5094227680 |
| Enumeration Date | 2017-06-20 |
| Last Update Date | 2017-06-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | AP60758226 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
520 W INDIAN AVE |
| City | BREWSTER |
| State | WA |
| Zip Code | 98812 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588623581 | L Keith Hanson Pllc | Clinic/Center | 520 W Indian Ave, Brewster, WA 98812 | 2006-03-20 |
| 1710328869 | Jamie R Descoteaux | Nurse Practitioner | 520 W Indian Ave, Brewster, WA 98812 | 2013-07-17 |
| 1821340092 | Family Health Centers | Clinic/Center | 520 W Indian Ave, Brewster, WA 98812 | 2012-10-11 |
| 1316123581 | Caribou Trail Professional Medical Group | Orthopaedic Surgery | 520 W Indian Ave, Brewster, WA 98812-0220 | 2008-01-17 |
| 1417099391 | Jean Ann Ekvall | Dietitian, Registered | 520 W Indian Ave, Brewster, WA 98812 | 2007-02-13 |
| 1235190380 | Greg L Ledgerwood | Allergy & Immunology | 520 W Indian Ave, Brewster, WA 98812 | 2006-03-29 |
| 1023077922 | Lindsay Keith Hanson | Family Medicine | 520 W Indian Ave, Brewster, WA 98812 | 2006-03-20 |
| 1811956717 | Christopher J Casey | Physician Assistant | 520 W Indian Ave, Brewster, WA 98812 | 2006-03-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689032542 | Edith A Mcclosky | Massage Therapist | 718 West Main Avenue, Brewster, WA 98812 | 2016-02-08 |
| 1912327321 | Advantage Durable Medical Equipment, Inc | Durable Medical Equipment & Medical Supplies | 537 Main Ave, Brewster, WA 98812 | 2014-04-24 |
| 1639441165 | Central Washington Sleep Diagnostic Center, Pllc | Clinic/Center | 520 W Indian Avenue, Brewster, WA 98812 | 2012-01-30 |
| 1194019612 | Mitzi Gutierrez | Student in an Organized Health Care Education/Training Program | 343 E. Main Ave., Brewster, WA 98812 | 2011-06-01 |
| 1982938924 | Jason R Tucker | Dentist | 101 North 6th Street, Brewster, WA 98812 | 2009-09-23 |
| 1649409186 | Family Health Centers | Clinic/Center | 101 North Sixth Street, Brewster, WA 98812 | 2009-07-06 |
| 1972769446 | Bethany Lynn | Family Medicine | 418 W Main Street, Brewster, WA 98812 | 2008-08-04 |
| 1629237482 | Family Health Centers | Clinic/Center | 525 W Jay, Brewster, WA 98812 | 2008-06-06 |
| 1316138720 | L. Keith Hanson Pllc | Clinic/Center | 520 W. Indian Avenue, Brewster, WA 98812 | 2007-08-09 |
| 1639375124 | Robert Thomas Lamberton | Orthopaedic Surgery | 520 West Indian Avenue, Brewster, WA 98812 | 2007-06-22 |
| Find all providers in zip 98812 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962887406 | Jane Orkin Glazer | Nurse Practitioner | 3057 Main St, Brewster, MA 02631-1528 | 2015-07-27 |
| 1639396906 | Ronnie Nadler Waltzer | Nurse Practitioner | 2505 Carmel Ave, Planned Parenthood, Brewster, NY 10509 | 2007-04-19 |
| 1144330549 | Sharon G. Ervin | Nurse Practitioner | 20 Granite State Ct, Brewster, MA 02631-2127 | 2006-08-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417555871 | Katy Jane Kovari | Nurse Practitioner | 2118 N Ruby St, Spokane, WA 99207-5043 | 2020-10-16 |
| 1407454986 | Moore Healthcare Pllc | Nurse Practitioner | 1563 Hemlock Dr, Oak Harbor, WA 98277-3404 | 2020-10-15 |
| 1184222820 | Sidni Brianna Shoemaker | Nurse Practitioner | 4512 N Bessie Ln, Spokane, WA 99212-1793 | 2020-10-14 |
| 1073111902 | Hailey Marie Baker | Nurse Practitioner | 3055 112th Ave Ne Ste 201, Bellevue, WA 98004-2091 | 2020-10-13 |
| 1770180689 | Elizabeth Hague | Nurse Practitioner | 3690 London Loop Ne, Lacey, WA 98516-6401 | 2020-10-04 |
| 1629675699 | Jesse Ballard | Nurse Practitioner | 1410 N Samantha Rd, Liberty Lake, WA 99019-8626 | 2020-10-02 |
| 1316551286 | Jamie Joelle Finnerty | Nurse Practitioner | 910 W 5th Avenue, Suite #1000, Spokane, WA 99204-2902 | 2020-09-08 |
| 1629681523 | Sound Healthworks LLC | Nurse Practitioner | 28807 Redondo Shores Dr S, Des Moines, WA 98198-8243 | 2020-08-28 |
| 1306458328 | Geneva Paula Hoskins-dorsey | Nurse Practitioner | 11120 Ne 33rd Place, Suite 202, Bellevue, WA 98004 | 2020-08-20 |
| 1689285017 | Carmen Snypp | Nurse Practitioner | 3331 W Holyoke Ave, Spokane, WA 99208-4672 | 2020-08-10 |
| 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.