KYRSTINA FAULK (NPI# 1205356037) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205356037 |
| Entity Type | Individual |
| Full Name | KYRSTINA FAULK |
| Practice Address |
9901 Ne 7th Ave Ste C116 Vancouver WA 98685-4528 |
| Mailing Address |
21600 Oxnard St Ste 1800 Woodland Hills CA 91367-7807 |
| Practice Telephone | 8183452345 |
| Enumeration Date | 2017-06-22 |
| Last Update Date | 2017-06-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 247200000X | Technician, Other | WA | Technologists, Technicians & Other Technical Service Providers |
| Street Address |
9901 NE 7TH AVE STE C116 |
| City | VANCOUVER |
| State | WA |
| Zip Code | 98685-4528 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093144305 | Korin Grems | Behavioral Analyst | 9901 Ne 7th Ave Ste C116, Vancouver, WA 98685-4528 | 2013-11-06 |
| 1447866306 | Ellyssa K Gogenola | Behavior Technician | 9901 Ne 7th Ave Ste C116, Vancouver, WA 98685-4528 | 2020-09-16 |
| 1881208676 | Valencia Dean Williams | Behavioral Analyst | 9901 Ne 7th Ave Ste C116, Vancouver, WA 98685-4528 | 2020-08-31 |
| 1114545340 | Jordan Kenneth Dekker | Assistant Behavior Analyst | 9901 Ne 7th Ave Ste C116, Vancouver, WA 98685-4528 | 2020-07-14 |
| 1942836747 | Jennifer Lynn Jones | Behavior Technician | 9901 Ne 7th Ave Ste C116, Vancouver, WA 98685-4528 | 2020-03-13 |
| 1275168015 | Jacob Bryan Davidson | Behavior Technician | 9901 Ne 7th Ave Ste C116, Vancouver, WA 98685-4528 | 2020-03-11 |
| 1740815000 | Julianna Tan | Behavior Technician | 9901 Ne 7th Ave Ste C116, Vancouver, WA 98685-4528 | 2020-03-06 |
| 1952934523 | Teghan Elizebeth Wicks | Behavior Technician | 9901 Ne 7th Ave Ste C116, Vancouver, WA 98685-4528 | 2020-02-21 |
| 1396378626 | Ryan Miller | Behavioral Analyst | 9901 Ne 7th Ave Ste C116, Vancouver, WA 98685-4528 | 2020-02-14 |
| 1376174839 | Isabel Leanne Matthews | Behavioral Analyst | 9901 Ne 7th Ave Ste C116, Vancouver, WA 98685-4528 | 2020-02-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225650112 | Zachary Dodds | Massage Therapist | 12314 Nw 42nd Ct, Vancouver, WA 98685 | 2020-05-13 |
| 1760996425 | Eric Moore | Physical Therapy Assistant | 1308 Ne 134th Street, Suite 110, Vancouver, WA 98685 | 2017-11-16 |
| 1942711767 | Julie B Lawrence | Nurse Practitioner | 900 Ne 139th Street, Suite 202, Vancouver, WA 98685 | 2017-10-19 |
| 1538688668 | Carrie Roxann Wolfe | Counselor | 1313 Ne 134th St Ste 220a, Vancouver, WA 98685 | 2017-09-09 |
| 1548719461 | Mirror Pond Dental, LLC | Dentist | 1412 Ne 134th St. Suite 120, Vancouver, WA 98685 | 2016-10-04 |
| 1629522958 | Deanna Carter | Massage Therapist | 1319 Ne 134th Street, Vancouver, WA 98685 | 2016-08-03 |
| 1417329020 | Kaleen Hoyt | Massage Therapist | 1319 Nw 134th St Suit 103, Vancuver, WA 98685 | 2015-10-22 |
| 1497173066 | Kelley Heffelfinger | Behavioral Analyst | 9901 Ne 7th Ave., Suite C-116, Vancouver, WA 98685 | 2014-04-01 |
| 1548512791 | Elana S Kier | Social Worker | 10000 Ne 7th Ave Ste 100b, Vancouver, WA 98685 | 2012-10-12 |
| 1922370469 | Brian R Timms | Chiropractor | 1412 Ne 134th St Ste 100, Vancouver, WA 98685 | 2012-01-30 |
| Find all providers in zip 98685 | ||||
| Taxonomy Code | 247200000X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Technician, Other |
| A collective term for persons with specialized training in various narrow fields of expertise whose occupations require training and skills in specific technical processes and procedures; and where further classification is deemed unnecessary by the user. |
| Notes: Sources: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988; Dorland’s Illustrated Medical Dictionary, 26th Edition. Philadelphia: W.B. Saunders Company, 1981; and Webster’s II New Riverside University Dictionary. Boston: Riverside Publishing Company, 1984. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376012351 | Jennifer D English | Technician, Other | 9208 Ne Highway 99 Ste 107-78, Vancouver, WA 98665-8986 | 2018-11-19 |
| 1932608049 | Peach Willow LLC | Technician, Other | 9015 E Mill Plain Blvd, Vancouver, WA 98664-2536 | 2018-02-03 |
| 1720508906 | Dylan Howell | Technician, Other | 120 Ne 136th Ave Ste 220, Vancouver, WA 98684-6951 | 2017-06-20 |
| 1417428723 | Michael Joseph Thomas | Technician, Other | 6926 Ne Fourth Plain Blvd, Vancouver, WA 98661-7254 | 2018-12-12 |
| 1609354653 | Jeffrey Michael Carse | Technician, Other | 6926 Ne Frth Pln Blvd, Vancouver, WA 98661-7254 | 2018-08-01 |
| 1336663368 | Samantha Morris | Technician, Other | 9901 Ne 7th Ave Ste C116, Vancouver, WA 98685-4528 | 2017-08-01 |
| 1497276943 | Jamila Riley | Technician, Other | 9901 Ne 7th Ave Ste C116, Vancouver, WA 98685-4528 | 2017-07-05 |
| 1598286270 | Kaylee Walker | Technician, Other | 120 Ne 136th Ave Ste 220, Vancouver, WA 98684-6951 | 2017-07-03 |
| 1215457049 | Caleb Masnov | Technician, Other | 9901 Ne 7th Ave Ste C116, Vancouver, WA 98685-4528 | 2017-06-22 |
| 1780104513 | Victoria Bergman | Technician, Other | 9901 Ne 7th Ave Ste C116, Vancouver, WA 98685-4528 | 2017-06-22 |
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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.