DAVE HARRIS (NPI# 1265899777) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265899777 |
| Entity Type | Individual |
| Full Name | DAVE HARRIS |
| Credential | CDP, BA, NCAC II |
| Practice Address |
719 E Main Ste C Puyallup WA 98372-3306 |
| Mailing Address |
600 S 317th St Federal Way WA 98003-5218 |
| Practice Telephone | 2537404067 |
| Mailing Telephone | 2538418165 |
| Mailing Fax Number | 2538418168 |
| Enumeration Date | 2016-01-28 |
| Last Update Date | 2016-01-28 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
CP00002706 | WA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952379380 | Dave Andrew Harris | Audiologist | 3660 Vista, Ste 312, St Louis, MO 63110 | 2006-03-10 |
| Street Address |
719 E MAIN STE C |
| City | PUYALLUP |
| State | WA |
| Zip Code | 98372-3306 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215588579 | Paulette Sue Harris | Counselor | 719 E Main Ste C, Puyallup, WA 98372-3306 | 2019-09-26 |
| 1538637814 | Debra Sue Hanna | Counselor | 719 E Main Ste C, Puyallup, WA 98372-3306 | 2018-11-05 |
| 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 | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053933044 | Rhonda J. Johnston | Counselor | 13921 Meridian E Ste 101, Puyallup, WA 98373-5605 | 2020-05-12 |
| 1811468309 | Alana Ann Lewis | Counselor | 405 W Stewart Ste A, Puyallup, WA 98371-5164 | 2018-12-10 |
| 1588062475 | Joseph Kim Myrick | Counselor | 325 Pioneer Ave, Puyallup, WA 98372 | 2014-12-09 |
| 1740609643 | Kerri Zanoni | Counselor | 104 23rd Ave Se, Puyallup, WA 98372-4527 | 2014-04-08 |
| 1952644379 | Pamala Sacks-lawlar | Counselor | 519 3rd St Ne, Puyallup, WA 98372-3044 | 2013-04-03 |
| 1174662563 | Michael C. Walling | Counselor | 400 E Pioneer Ste 201, Puyallup, WA 98372-3257 | 2007-02-05 |
| 1700977261 | Karen Marie Bier | Counselor | 10217 125th St, Court #, Puyallup, WA 98373-2761 | 2006-09-27 |
| 1386611168 | Brenda` Marie Wilson | Counselor | 12009 133rd St E, Puyallup, WA 98374-4698 | 2006-03-01 |
| 1477163012 | Beverly Jean Rollins Chapman | Counselor | 3800 3rd St Se, Puyallup, WA 98374-1109 | 2020-08-07 |
| 1063054344 | Gentry Turk | Counselor | 3800 3rd St Se, Puyallup, WA 98374-1109 | 2019-10-08 |
| Find all providers in PUYALLUP | ||||
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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.