MR. DOUGLAS JAMES MERRIFIELD (NPI# 1184650715) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184650715 |
| Entity Type | Individual |
| Full Name | MR. DOUGLAS JAMES MERRIFIELD |
| Credential | MS, ATC |
| Practice Address |
2055 Pottery Ave Apt. 120 Port Orchard WA 98366-2051 |
| Practice Telephone | 8655888591 |
| Practice Fax Number | 8655584481 |
| Mailing Telephone | 8655888591 |
| Mailing Fax Number | 8655584481 |
| Enumeration Date | 2006-06-24 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
AT0000000186 | TN | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
2055 POTTERY AVE APT. 120 |
| City | PORT ORCHARD |
| State | WA |
| Zip Code | 98366-2051 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003423302 | Teresa M Derouin | Speech-Language Pathologist | Harbor Speech Pathology, 463 Tremont St W Suite 110, Port Orchard, WA 98366 | 2020-09-30 |
| 1316591217 | Martin Medical Equipment LLC | Durable Medical Equipment & Medical Supplies | 8079 E Main Street, Suite 101, Port Orchard, WA 98366 | 2019-07-29 |
| 1952822660 | Kristian Thomas Workman Haskins | Hearing Instrument Specialist | 1328 Colchester Drive S.e., Port Orchard, WA 98366 | 2017-07-03 |
| 1013466929 | Jenna Olafson | Counselor | 414 Front St. N, Issaquah, WA 98366 | 2016-10-04 |
| 1063884534 | Laurine Burrer | Licensed Practical Nurse | 2874 Se Lund Ave, Port Orchard, WA 98366 | 2015-10-23 |
| 1346640836 | Karen Diane Thompson | Pharmacy Technician | 1800 Sidney Ave, Apt 1-201, Port Orchard, WA 98366 | 2014-09-03 |
| 1588912042 | Celeste Kyle Interrante | Physical Therapy Assistant | 2051 Pottery Ave., Port Orchard, WA 98366 | 2012-08-15 |
| 1013227339 | Christine Davis | Massage Therapist | 1800 Se Mile Hill Drive, Suite 150, Port Orchard, WA 98366 | 2010-10-20 |
| 1932421724 | Mary Jo Stump | Physical Therapy Assistant | 2051 Pottery Avenue, Port Orchard, WA 98366 | 2010-02-19 |
| 1669707626 | Shannon Mary Baurichter | Speech-Language Pathologist | 1230 Bay St, Port Orchard, WA 98366 | 2009-10-08 |
| Find all providers in zip 98366 | ||||
| Taxonomy Code | 2255A2300X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Athletic Trainer |
| Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration. |
| Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801396304 | Dallas Lovitt | Specialist/Technologist | 1345 Beach Dr E, Port Orchard, WA 98366-4911 | 2018-02-20 |
| 1376077032 | Magaret Stafne | Specialist/Technologist | 7285 E Maple St, Port Orchard, WA 98366-8435 | 2017-04-19 |
| 1659739233 | Savannah Marquez | Specialist/Technologist | 6724 Sunnyslope Rd Sw, Port Orchard, WA 98367-7688 | 2016-02-10 |
| 1023349768 | Sara Jo Schwampe | Specialist/Technologist | 902 Cline Ave, Port Orchard, WA 98366-4304 | 2010-01-20 |
| 1992920813 | Melissa Ann Eunice Ulrigg | Specialist/Technologist | 11111 Silver Ln Sw, Port Orchard, WA 98367-8711 | 2007-04-16 |
| 1366404675 | Patrick D Olsen | Specialist/Technologist | 425 Mitchell Ave, Port Orchard, WA 98366-4114 | 2006-04-03 |
| 1801422753 | Jeff M Spaulding | Specialist/Technologist | 425 Mitchell Ave, Port Orchard, WA 98366-4114 | 2020-03-22 |
| 1891822649 | Freda A Evans | Specialist/Technologist | 425 Mitchell Ave, Port Orchard, WA 98366-4114 | 2007-02-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851990329 | Tina Daniels | Specialist/Technologist | 5104 W Nob Hill Blvd Apt 8, Yakima, WA 98908-5814 | 2020-10-25 |
| 1902405079 | Sara Danielle Holey | Specialist/Technologist | 24048 Se 111th St, Issaquah, WA 98027-8320 | 2020-10-20 |
| 1265049902 | Erin L Rose | Specialist/Technologist | 510 Nw Larry St, Pullman, WA 99163-3584 | 2020-09-27 |
| 1790392629 | William Bratton | Specialist/Technologist | 26222 119th Dr Se, Kent, WA 98030-7882 | 2020-09-24 |
| 1790392611 | Carli Grace Robins | Specialist/Technologist | 3654 Nw Cascade Ave, East Wenatchee, WA 98802-9570 | 2020-09-24 |
| 1164039079 | Jalyn Rutledge | Specialist/Technologist | Bohler Athletic Complex Cougar Way - Wsu, Pullman, WA 99164-0001 | 2020-09-24 |
| 1356957054 | Alex Vincent Pham | Specialist/Technologist | 3523 Se 176th Ave, Vancouver, WA 98683-3591 | 2020-09-17 |
| 1063030583 | Elizabeth Kakos | Specialist/Technologist | 528 Pontius Ave N Unit 431, Seattle, WA 98109-5821 | 2020-07-10 |
| 1396369708 | Kristin Marie Mikolajewski | Specialist/Technologist | 116 247th Ave Se, Sammamish, WA 98074-3444 | 2020-06-01 |
| 1437773033 | Mckaleb Pool | Specialist/Technologist | 10777 Grafton Pl Nw, Silverdale, WA 98383-8941 | 2020-05-31 |
| Find all providers with the same taxonomy | ||||
| City | PORT ORCHARD |
| Zip Code | 98366 |
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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.