MS. KIMBERLY SAPHAIRE-DAWN WYATT (NPI# 1194269019) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194269019 |
| Entity Type | Individual |
| Full Name | MS. KIMBERLY SAPHAIRE-DAWN WYATT |
| Credential | AAC, BA |
| Practice Address |
209 Milwaukee St Mount Vernon WA 98273 |
| Practice Telephone | 3604197574 |
| Practice Fax Number | 3604284354 |
| Mailing Telephone | 3604197574 |
| Mailing Fax Number | 3604284354 |
| Enumeration Date | 2016-12-12 |
| Last Update Date | 2020-02-28 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | CG 60687237 | WA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982223947 | Kimberly Lashawn Wyatt | Licensed Practical Nurse | 180 Autumn Chapel Way, Rochester, NY 14624-5304 | 2020-04-10 |
| 1538492301 | Kimberly Rene Wyatt | Massage Therapist | 3229 Broadway St Ste G, North Bend, OR 97459-2203 | 2009-09-11 |
| 1326024902 | Kimberly Sue Wyatt | Internal Medicine | 509 Se Riverside Dr Ste 303, Stuart, FL 34994-2579 | 2005-12-15 |
| 1770116394 | Kimberly Wyatt | Social Worker | 2600 Center St Ne, Salem, OR 97301-2669 | 2020-02-21 |
| 1245719079 | Kimberly Wyatt | Case Manager/Care Coordinator | 10 Tsienneto Rd, Derry, NH 03038-1505 | 2018-08-13 |
| 1336579622 | Kimberly Wyatt | Chiropractor | 1670 Mckendree Church Rd, Suite 400 B, Lawrenceville, GA 30043-4107 | 2013-11-22 |
| 1538490297 | Kimberly Anne Wyatt | Physician Assistant | 707 Hollybrook Dr, Longview, TX 75605-2410 | 2010-01-20 |
| Street Address |
209 MILWAUKEE ST |
| City | MOUNT VERNON |
| State | WA |
| Zip Code | 98273 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366781833 | Christine Hubert Dispas | Counselor | 209 Milwaukee St, Mount Vernon, WA 98273-4200 | 2013-02-04 |
| 1306405485 | Francisco Ocampo Jr. | Behavior Technician | 209 Milwaukee St, Mount Vernon, WA 98273-4200 | 2019-06-11 |
| 1316447691 | Debra Louise Fuller | Counselor | 209 Milwaukee St, Mount Vernon, WA 98273-4200 | 2018-02-13 |
| 1629509831 | Daryl Ellington-horne | Counselor | 209 Milwaukee St, Mount Vernon, WA 98273-4200 | 2017-03-21 |
| 1134665284 | Lauren Wilson | Counselor | 209 Milwaukee St, Mount Vernon, WA 98273-4200 | 2017-01-13 |
| 1063868347 | Brian Francis | Registered Nurse | 209 Milwaukee St, Mount Vernon, WA 98273-4200 | 2016-05-05 |
| 1275904906 | Cathleen Nicole Oman | Counselor | 209 Milwaukee St, Mount Vernon, WA 98273-4200 | 2015-10-07 |
| 1225425788 | Cassandra Olsen | Social Worker | 209 Milwaukee St, Mount Vernon, WA 98273-4200 | 2015-04-22 |
| 1962806844 | Jamie Greene | Case Management | 209 Milwaukee St, Mount Vernon, WA 98273-4200 | 2014-10-21 |
| 1194124255 | Diana Lynn Hargrove | Counselor | 209 Milwaukee St, Mount Vernon, WA 98273-4200 | 2014-08-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710585849 | Stephanie Marie Partington | Physical Therapist | 1901 Hoad Road, Mount Vernon, WA 98273 | 2020-10-12 |
| 1447866165 | Jennifer I Campos | Interpreter | 1501 Sunset Pl., Unit B, Mount Vernon, WA 98273 | 2020-09-17 |
| 1487217345 | Nicholas Peter Goodman | Student in an Organized Health Care Education/Training Program | Attn: Internal Medicine Residency, 300 Hospital Parkway, Mount Vernon, WA 98273 | 2019-04-17 |
| 1023579430 | Joan Watkins Opyr | Registered Nurse | Telecare North Sound E&t, 7825 North Sound Drive, Sedro-woolley, WA 98273 | 2019-03-28 |
| 1588136188 | Nicholas Bryan Corp | Physical Therapy Assistant | 1901 Hoag Road, Mount Vernon, WA 98273 | 2018-12-20 |
| 1518437300 | Eyonna Mason | Case Manager/Care Coordinator | 1100 52nd St, Mount Vernon, WA 98273 | 2018-12-05 |
| 1023515400 | Evergreen Recovery Centers | Substance Abuse Rehabilitation Facility | 1905 Continental Place, Mount Vernon, WA 98273 | 2018-04-11 |
| 1104320480 | Stacy Anne Black | Marriage & Family Therapist | 2301 Old Hwy 99, Mt. Vernon, WA 98273 | 2018-03-21 |
| 1609387844 | Kerri Jesse | Massage Therapist | 210 N 23rd St, Mount Vernon, WA 98273 | 2017-10-16 |
| 1992225320 | Juana Cleek | Registered Nurse | 330 Pacific Place, Mount Vernon, WA 98273 | 2017-06-27 |
| Find all providers in zip 98273 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275176414 | Loretta Dolphus II | Counselor | 256 Washington St Ste 3, Mount Vernon, NY 10553-1056 | 2019-10-21 |
| 1811547300 | Elizabeth Lee Osteen | Counselor | 2203 Old Highway 99 S Rd, Mount Vernon, WA 98273-9009 | 2019-09-17 |
| 1033659743 | Tamara Jean Pickart | Counselor | 104 Northview Rd, Mount Vernon, SD 57363-2036 | 2017-02-28 |
| 1255870085 | Truly Pollard | Counselor | 18125 Highway 43, Mount Vernon, AL 36560 | 2017-02-13 |
| 1932647187 | Claudia Diaz | Counselor | 23550 Garden St, Mount Vernon, WA 98274 | 2017-02-08 |
| 1902251671 | Wendy Hubenthal | Counselor | 1330 S 2nd St # 7, Mount Vernon, WA 98273-4804 | 2016-04-29 |
| 1245632868 | Callie Reff | Counselor | 2221 N Trumpeter Dr, Mount Vernon, WA 98273-8968 | 2014-09-26 |
| 1972925568 | Tristan Daeley | Counselor | 1100 S 2nd St # 1, Mount Vernon, WA 98273-4209 | 2014-01-16 |
| 1326470121 | Amber Phelps Schweda | Counselor | 4114 N Water Tower Place, Suite C, Mount Vernon, IL 62864-6295 | 2013-08-02 |
| 1366781833 | Christine Hubert Dispas | Counselor | 209 Milwaukee St, Mount Vernon, WA 98273-4200 | 2013-02-04 |
| Find all providers in MOUNT VERNON | ||||
| City | MOUNT VERNON |
| Zip Code | 98273 |
Please comment or provide details below to improve the information on MS. KIMBERLY SAPHAIRE-DAWN WYATT.
| 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.