MRS. BROOKE MAE ELLIOTT (NPI# 1285816264) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285816264 |
| Entity Type | Individual |
| Full Name | MRS. BROOKE MAE ELLIOTT |
| Credential | PA-C |
| Practice Address |
14201 Ne 20th Ave Ste 3103 Vancouver WA 98686-6414 |
| Mailing Address |
2101 Ne 139th St Ste 450 Vancouver WA 98686-2325 |
| Practice Telephone | 3605719799 |
| Practice Fax Number | 3605766320 |
| Mailing Telephone | 3609046694 |
| Enumeration Date | 2007-11-30 |
| Last Update Date | 2019-04-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
PA10332 | OR | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA10005303 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 9430 Ne Vancouver Mall Dr, Vancouver, WA 986626172 | 3602536947 | 3604486324 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447725288 | Brooke Nicole Elliott | Pharmacist | 7020 W State St, Boise, ID 83714-7419 | 2018-10-08 |
| 1114455532 | Brooke Elliott | Behavior Technician | 10514 Racetrack Rd Ste G, Berlin, MD 21811-3241 | 2017-05-30 |
| 1497129209 | Brooke Elliott | Speech-Language Pathologist | 10560 Old Olive Street Rd, Suite 100, Creve Coeur, MO 63141-5916 | 2015-11-17 |
| 1831413012 | Brooke Elliott | Counselor | 2530 S Commerce St, Ardmore, OK 73401-5519 | 2010-03-17 |
| Street Address |
14201 NE 20TH AVE STE 3103 |
| City | VANCOUVER |
| State | WA |
| Zip Code | 98686-6414 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316161219 | Robert S Croft | Dentist | 14201 Ne 20th Ave Ste 3103, Vancouver, WA 98686-6414 | 2007-04-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154891117 | Dorota Bozena Barton | Speech-Language Pathologist | 2121 Ne 139th Street Mob A, Suite 200, Vancouver, WA 98686 | 2018-12-03 |
| 1881161818 | Michelle Wolfe | Dental Assistant | A101, 1484, 14313 Ne 20th Ave, Vancouver, WA 98686 | 2018-10-29 |
| 1306321237 | Rainier Springs Physician Group, LLC | General Practice | 2805 Ne 129th Street, Vancouver, WA 98686 | 2018-09-26 |
| 1801382387 | Kristopher K Kostenko | Dentist | 14201 Ne 20th Ave Ste A101, Vancouver, WA 98686 | 2018-07-08 |
| 1689164071 | Tegan Mills | Occupational Therapist | 7101 Ne 109th Street, Apt 64, Vancouver, WA 98686 | 2018-05-11 |
| 1164924122 | Kate Kristin Lawrence | Speech-Language Pathologist | 2215 Ne 104th St, Vancouver, WA 98686 | 2018-03-06 |
| 1437609567 | Elina Baranets | Registered Nurse | 14204 Ne Salmon Creek Avenue, Vancouver, WA 98686 | 2016-10-13 |
| 1386039550 | Sean Vikram Bhatia | Internal Medicine | Kaiser Salmon Creek, 14406 Ne 20th Ave, Vancouver, WA 98686 | 2015-04-03 |
| 1376988642 | Lindsay Hussey-andersen | Orthopaedic Surgery | 2525 Ne 139th St Ste 140, Vancouver, WA 98686 | 2013-05-01 |
| 1710253109 | Legacy Salmon Creek Hospital | Speech-Language Pathologist | 2121 Ne 139th St., Mob A, Ste 200, Vancouver, WA 98686 | 2012-03-29 |
| Find all providers in zip 98686 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982058814 | Nw Interventional Medicine and Orthopedic Rehab Pllc | Physician Assistant | 11802 Ne 65th St., Vancouver, WA 98662 | 2016-04-18 |
| 1194128116 | Kimberlee Tess | Physician Assistant | 13003 Ne 46th St, Vancouver, WA 98682-6465 | 2014-10-04 |
| 1689977852 | Maliheh Razavi | Physician Assistant | 14508 Nw 20th Ave Ste 102, Vancouver, WA 98685 | 2010-12-10 |
| 1093936122 | Dan Lee Osborne | Physician Assistant | 4421 Ne St. Johns Blvd, Suite F, Vancouver, WA 98661-2573 | 2007-05-02 |
| 1629158464 | Joseph No Middle Name Marzucco | Physician Assistant | 406 Se 131st Ave Ste 101, Vancouver, WA 98683-4031 | 2006-10-16 |
| 1124571971 | Rebecca Rowney | Physician Assistant | 2525 Ne 139th St, Vancouver, WA 98686-2719 | 2016-07-28 |
| 1750751285 | Rolando Mendez | Physician Assistant | 100 E 33rd St, Suite 100, Vancouver, WA 98663-2776 | 2015-09-26 |
| 1356734966 | Jeffery Smith | Physician Assistant | 400 Ne Mother Joseph Pl, Vancouver, WA 98664-3200 | 2015-03-07 |
| 1447640347 | Vancouver Chiropractic Group | Physician Assistant | 16821 Se Mcgillivray Blvd, Suite 204, Vancouver, WA 98683-0499 | 2015-01-29 |
| 1689077059 | Aaron Fordice | Physician Assistant | 400 Ne Mother Joseph Pl, Vancouver, WA 98664-3200 | 2014-09-30 |
| Find all providers in VANCOUVER | ||||
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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.