MR. KEVIN R LAFAVE (NPI# 1265477129) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265477129 |
| Entity Type | Individual |
| Full Name | MR. KEVIN R LAFAVE |
| Credential | PA-C |
| Practice Address |
34519 9th Ave S Federal Way WA 98003-6761 |
| Mailing Address |
505 S 336th St Suite 600 Federal Way WA 98003-6328 |
| Practice Telephone | 2538389700 |
| Practice Fax Number | 2538386418 |
| Mailing Telephone | 2538386180 |
| Mailing Fax Number | 2538386418 |
| Enumeration Date | 2006-06-17 |
| Last Update Date | 2019-04-05 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA10004138 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | BSWA | 2164NO | 01 |
| WA | 8348914 | 05 | |
| WA | LIWA | 0150556 | 01 |
| WA | LIWA | 0150557 | 01 |
| WA | BSWA | 1594LA | 01 |
| WA | BSWA | 1913LA | 01 |
| Street Address |
34519 9TH AVE S |
| City | FEDERAL WAY |
| State | WA |
| Zip Code | 98003-6761 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124634969 | Jossie Jeniffer Wong-vicuna | Interpreter | 3001 S 288th Street, 201, Ferderal Way, WA 98003 | 2020-09-17 |
| 1336642420 | Otto Family | Massage Therapist | 720 S 348th St Ste A-1b, Federal Way, WA 98003 | 2018-03-14 |
| 1962912709 | Lindsay Plumley | Occupational Therapist | 33330 8th Avenue S, Federal Way, WA 98003 | 2017-10-06 |
| 1861922387 | Sea Mar Community Health Centers | Pharmacy | 31405 18th Ave South, Federal Way, WA 98003 | 2017-06-18 |
| 1023547072 | Iora Health Washington Physicians, P.C. | Internal Medicine | 1414 S. 324th Street, Federal Way, WA 98003 | 2017-06-05 |
| 1811346869 | Iora Senior Health Inc | Internal Medicine | 1414 S 324th St, Federal Way, WA 98003 | 2016-06-10 |
| 1972958940 | Kathy Marie Haviland | Registered Nurse | 1010 S. 336th St, Supplemental Health Care, Federal Way, WA 98003 | 2016-04-27 |
| 1972969343 | Jacklyn Marie James | Specialist | 530 South 336th Street, Ste C, Massage for Health and Day Spa, Inc., Federal Way, WA 98003 | 2016-01-14 |
| 1659767036 | Jillian Liner | Pediatrics | 34503 9th Ave S Ste 220, Federal Way, WA 98003 | 2015-04-12 |
| 1235537739 | Simranjit Singh Longia | Student in an Organized Health Care Education/Training Program | 34618 11th Ave. S., Suite 100, Federal Way, WA 98003 | 2014-12-15 |
| Find all providers in zip 98003 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700309416 | Jennifer Lynn Cha | Physician Assistant | 820 Sw 341st St., Federal Way, WA 98023 | 2017-07-25 |
| 1265985972 | Destiny Voelpel | Physician Assistant | 34509 9th Ave S Ste 304, Federal Way, WA 98003-8709 | 2016-07-28 |
| 1629474135 | Sossan Jamilah Johnston | Physician Assistant | 109 Sw 366th St, Federal Way, WA 98023-7372 | 2014-11-10 |
| 1295137719 | Nicholas Dale Francis | Physician Assistant | 31829 3rd Pl Sw, 13d, Federal Way, WA 98023-4839 | 2014-09-16 |
| 1710240841 | Seattle Pain Relief Pllc | Physician Assistant | 35002 Pacific Hwy S, Ste A105, Federal Way, WA 98003-8365 | 2012-06-22 |
| 1679897235 | Chavela Briones Stokes | Physician Assistant | 35002 Pacific Hwy S Ste A105, Federal Way, WA 98003-8366 | 2010-03-24 |
| 1154571263 | Erin Lisa Mcilrath | Physician Assistant | 34515 9th Ave S., St. Francis Hospital, Federal Way, WA 98003 | 2008-09-25 |
| 1952951030 | Colleen Marie Davies | Physician Assistant | 34716 1st Ave S, Federal Way, WA 98003-6760 | 2019-09-19 |
| 1982175527 | Nathan Harding | Physician Assistant | 34515 9th Ave S, Federal Way, WA 98003-6761 | 2018-12-07 |
| 1013499110 | Kelsey Anne Hansen | Physician Assistant | 34509 9th Ave S Ste 304, Federal Way, WA 98003-8709 | 2018-09-05 |
| Find all providers in FEDERAL WAY | ||||
| City | FEDERAL WAY |
| Zip Code | 98003 |
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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.