SHYLA CULPEPPER (NPI# 1215477070) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215477070 |
| Entity Type | Individual |
| Full Name | SHYLA CULPEPPER |
| Credential | LMP |
| Practice Address |
1223 17th Ave Longview WA 98632-2905 |
| Mailing Address |
2107 36th Ave Longview WA 98632-4756 |
| Practice Telephone | 3603535375 |
| Mailing Telephone | 3604421047 |
| Enumeration Date | 2017-02-27 |
| Last Update Date | 2017-02-27 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 405300000X | Prevention Professional | 60533822 | WA | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | LMP | 60533822 | 01 |
| Street Address |
1223 17TH AVE |
| City | LONGVIEW |
| State | WA |
| Zip Code | 98632-2905 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851992366 | Honor Senior Care LLC | Home Health Aide | 1135 3rd Ave, Ste S101, Longview, WA 98632 | 2020-11-03 |
| 1417416728 | Sam Wise | Dentist | 1538 11th Ave Lowr Columbia, Longview, WA 98632 | 2019-03-16 |
| 1053870717 | Matthew Johnson | Physician Assistant | 900 Ocean Beach Hwy Ste 110, Longview, WA 98632 | 2019-03-12 |
| 1295205367 | Abid Valji | Occupational Therapist | Americana Health and Rehabilitation Center, 917 7th Ave, Longview, WA 98632 | 2018-11-30 |
| 1184106437 | Peacehealth | Durable Medical Equipment & Medical Supplies | Triangle Mall Suite 16 1015 Ocean Beach Hwy, Longview, WA 98632 | 2018-09-04 |
| 1982186318 | Linda Joan Mason | Licensed Practical Nurse | 1153 23rd Ave, Longview, WA 98632 | 2018-09-01 |
| 1891291910 | Ellen Sumner Hornbeak | Physical Therapist | 200 Triangle Shopping Ctr Ste 270, Longview, WA 98632 | 2018-04-05 |
| 1700399961 | Johnna Joyce Knapp | Speech-Language Pathologist | 2615 Lilac St, Longview, WA 98632 | 2017-11-09 |
| 1841711868 | Deborah Annette Burzynski | Registered Nurse | 1057 12th Avenue, Longview, WA 98632 | 2017-06-29 |
| 1598291122 | Cheyenne West | Counselor | 1616 10th Avenue, Longview, WA 98632 | 2017-05-02 |
| Find all providers in zip 98632 | ||||
| Taxonomy Code | 405300000X |
| Grouping | Other Service Providers |
| Classification | Prevention Professional |
| Prevention Professionals work in programs aimed to address specific patient needs, such as suicide prevention, violence prevention, alcohol avoidance, drug avoidance, and tobacco prevention. The goal of the program is to reduce the risk of relapse, injury, or re-injury of the patient. Prevention Professionals work in a variety of settings and provide appropriate case management, mediation, referral, and mentorship services. Individuals complete prevention professionals training for the population of patients with whom they work. |
| Notes: Source: National Uniform Claim Committee, 2015 [1/1/2016: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346857976 | Stephanie Brening | Prevention Professional | 940 Point Lawrence Rd, Olga, WA 98279-9551 | 2020-09-28 |
| 1427570217 | John Wayne Houston | Prevention Professional | 212 Wells Ave S Ste 103, Renton, WA 98057-2142 | 2017-07-13 |
| 1841724812 | Ina Cebanu | Prevention Professional | 12622 Ne 10th Pl, K-1, Bellevue, WA 98005-2525 | 2017-04-17 |
| 1689106072 | Eliannette Enid Esteves | Prevention Professional | 24030 132nd Ave Se Unit A, Covington, WA 98042-5109 | 2017-04-03 |
| 1962933465 | Liping Cui | Prevention Professional | 1811 156th Ave Ne Ste 5, Bellevue, WA 98007-4344 | 2017-03-25 |
| 1508302969 | Cher Riedel | Prevention Professional | 1121 Westmoor Pl, Camano Island, WA 98282-8426 | 2017-01-10 |
| 1841368453 | Osman O Carrim | Prevention Professional | 7501 29th St W, University Place, WA 98466 | 2006-12-01 |
| 1295210391 | Angelia Marie Buckles | Prevention Professional | 1101 W College Ave, Spokane, WA 99201-2010 | 2018-09-25 |
| 1871008946 | Integrated Testing and Solutions LLC | Prevention Professional | 212 Wells Ave S Ste 103, Renton, WA 98057-2142 | 2017-12-11 |
| 1174058622 | Kelsey Knabel | Prevention Professional | 8615 S Tacoma Way, Lakewood, WA 98499 | 2017-04-21 |
| 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.