CHANDRA KRISTI COGBURN (NPI# 1235589128) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235589128 |
| Entity Type | Individual |
| Full Name | CHANDRA KRISTI COGBURN |
| Credential | ARNP |
| Practice Address |
325 E Pioneer Puyallup WA 98372-3265 |
| Mailing Address |
16518 147th Ave Se Renton WA 98058-8203 |
| Practice Telephone | 2536978400 |
| Mailing Telephone | 2533278177 |
| Enumeration Date | 2016-06-21 |
| Last Update Date | 2016-06-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
60657872 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
325 E PIONEER |
| City | PUYALLUP |
| State | WA |
| Zip Code | 98372-3265 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609838168 | Heidi J Vose-hoffman | Counselor | 325 E Pioneer, Puyallup, WA 98372-3265 | 2006-04-03 |
| 1043811078 | Blayne Anthony Clanton | Counselor | 325 E Pioneer, Puyallup, WA 98372-3265 | 2020-11-05 |
| 1861093882 | Amanda Nichole Anderson | Counselor | 325 E Pioneer, Puyallup, WA 98372-3265 | 2020-11-05 |
| 1548861552 | Laurel Elizabeth Boettcher | Counselor | 325 E Pioneer, Puyallup, WA 98372-3265 | 2020-11-05 |
| 1821604398 | Jeffrey Morris Snowking | Counselor | 325 E Pioneer, Puyallup, WA 98372-3265 | 2020-09-21 |
| 1932715943 | Rachele Marie Brady | Counselor | 325 E Pioneer, Puyallup, WA 98372-3265 | 2020-09-16 |
| 1639784663 | Brandi Rainee Robinson | Counselor | 325 E Pioneer, Puyallup, WA 98372-3265 | 2020-09-15 |
| 1013522044 | Sarabeth Butts | Counselor | 325 E Pioneer, Puyallup, WA 98372-3265 | 2020-09-15 |
| 1649884206 | Veronica Garcia | Counselor | 325 E Pioneer, Puyallup, WA 98372-3265 | 2020-09-01 |
| 1295343655 | Demeisha Richie Lollis | Counselor | 325 E Pioneer, Puyallup, WA 98372-3265 | 2020-07-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295371532 | Jeffrey Allen Zhan | Urology | Good Samaritan Medical Office Bldg 1450 5th St Se, Suite 2100- Urology Clinic, Puyallup, WA 98372 | 2019-11-21 |
| 1447811419 | Serenity Counseling & Consulting, LLC | Marriage & Family Therapist | 102 23rd St Se, Unit B, Puyallup, WA 98372 | 2019-06-21 |
| 1316401565 | Katherine Juarez Davidson | Nurse Practitioner | 325 E Pioneer # A145, Puyallup, WA 98372 | 2019-01-22 |
| 1679041404 | Cara Ann Lundin | Nurse Practitioner | 11926 43rd St Crt E, Edgewood, WA 98372 | 2018-11-09 |
| 1104392109 | Megan Black | Occupational Therapist | 40 29th St Ne, Puyallup, WA 98372 | 2018-10-17 |
| 1063919470 | Myriah Shekinah Olakpe | Occupational Therapist | 516 Se 23rd Ave, Puyallup, WA 98372 | 2018-04-11 |
| 1902330202 | Tyler Girdler | Student in an Organized Health Care Education/Training Program | 1322 3rd Street Se Suite 240, Puyallup, WA 98372 | 2017-04-13 |
| 1770039471 | Mahalakshmi Hariharan | Pharmacist | 2117 28th St Se, Puyallup, WA 98372 | 2016-09-01 |
| 1801241112 | Nawazish Ali | Internal Medicine | 401 15th Ave Se Multicare God Samartian Hopsital, Puyallup, WA 98372 | 2016-04-25 |
| 1932567559 | Denice L. Voss | Physical Therapist | 400 29th St. Ne, Puyallup, WA 98372 | 2016-02-10 |
| Find all providers in zip 98372 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457761314 | Richard Paul Brooks Jr. | Nurse Practitioner | 12704 167th Street Ct E, Puyallup, WA 98374-8841 | 2014-05-01 |
| 1750921615 | Lekisha Wilde | Nurse Practitioner | 325 E Pioneer, Puyallup, WA 98372-3265 | 2020-01-08 |
| 1750927539 | Ashley Jefferson | Nurse Practitioner | 12812 101st Avenue Ct E, Puyallup, WA 98373-9101 | 2019-11-27 |
| 1013469592 | Timothy C Wical Jr. | Nurse Practitioner | 15406 Meridian E, Puyallup, WA 98375-9504 | 2016-10-31 |
| 1841435161 | Jane Katherine Small | Nurse Practitioner | 325 E Pioneer Ave, Puyallup, WA 98372-3265 | 2008-12-16 |
| 1861519837 | Sally M Plumly | Nurse Practitioner | 325 E Pioneer, Puyallup, WA 98372-3265 | 2007-03-23 |
| 1396882064 | Margaret Jean Love | Nurse Practitioner | 325 E Pioneer, Puyallup, WA 98372-3265 | 2007-01-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134720139 | Youwen Hu | Nurse Practitioner | 10824 Se 170th St Unit A304, Renton, WA 98055-5950 | 2020-11-05 |
| 1831799048 | Sarah Louise Weerheim | Nurse Practitioner | 2727 Hollycroft St Ste 110v, Gig Harbor, WA 98335-1371 | 2020-10-27 |
| 1619576774 | Bethany Heath Arnp-pmhnp Pllc | Nurse Practitioner | 1224 West Riverside, Apt 408, Spokane, WA 99201 | 2020-10-20 |
| 1437761988 | Hollye Hahn | Nurse Practitioner | 1012 Nw Longview Dr, Oak Harbor, WA 98277-8947 | 2020-08-17 |
| 1386254290 | Candie M. Wellwood | Nurse Practitioner | 9908 S Sherman Rd, Spokane, WA 99224-9811 | 2020-08-05 |
| 1104434679 | Progressive Psychiatric Consultant | Nurse Practitioner | 170 S Lincoln St # 150, Spokane, WA 99201-4443 | 2020-07-21 |
| 1235747213 | Peaceful Coexistence, LLC | Nurse Practitioner | 4730 University Way Ne Ste 104, Seattle, WA 98105-4424 | 2020-07-16 |
| 1134747066 | New Dawn Psychotherapy Pllc | Nurse Practitioner | 2223 Benson Rd S Apt D102, Renton, WA 98055-8837 | 2020-07-07 |
| 1376160861 | Clarity Behavioral Health | Nurse Practitioner | 7704 193rd Pl Sw, Edmonds, WA 98026-6234 | 2020-06-30 |
| 1174140677 | Rachael Davison | Nurse Practitioner | 22525 Se 64th Pl Ste 228, Issaquah, WA 98027-5383 | 2020-06-30 |
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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.