RAINIER FAMILY PRACTICE PLLC (NPI# 1285886770) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1285886770 |
Entity Type | Organization |
Organization Name | RAINIER FAMILY PRACTICE PLLC |
Practice Address |
1408 State Ave Ne Suite 111 Olympia WA 98506-4481 |
Practice Telephone | 3607052273 |
Practice Fax Number | 3603572274 |
Mailing Telephone | 3607052273 |
Mailing Fax Number | 3603572274 |
Enumeration Date | 2008-10-16 |
Last Update Date | 2010-08-10 |
Authorized Official Name | MRS. SHANA LISA CHARLES (OWENER/ARNP) |
Authorized Official Telephone | 3602598300 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261Q00000X | Clinic/Center | AP30006938 | WA | Ambulatory Health Care Facilities |
Street Address |
1408 STATE AVE NE SUITE 111 |
City | OLYMPIA |
State | WA |
Zip Code | 98506-4481 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396793725 | Jennifer L Goodwin | Counselor | 1408 State Ave Ne, Olympia, WA 98506-4481 | 2006-05-05 |
1841492105 | Evergreen Family Medicine, Inc., P.s. | Clinic/Center | 1408 State Ave Ne, Suite 108, Olympia, WA 98506-4481 | 2007-05-31 |
1932250222 | Karen Rappaport Ahrens | Counselor | 1408 State Ave Ne, Suite 108, Olympia, WA 98506-4481 | 2007-01-15 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477185460 | Chloe Harper | Technician, Other | 3443 Lilly Rd Se, Ste B, Olympia, WA 98506 | 2020-02-07 |
1912543539 | Jessica Marie Radakovich | Licensed Practical Nurse | 3426 Mary Elder Rd, Olympia, WA 98506 | 2019-11-19 |
1669014973 | Arlene Josephine Adams | Registered Nurse | 413 Lily Rd Ne, Olympia, WA 98506 | 2019-10-09 |
1861999120 | Debra Delores Barker | Licensed Practical Nurse | 3710 South Bay Rd Ne, Olympia, WA 98506 | 2018-04-12 |
1801304431 | Michelle Warner | Nurse Practitioner | 205 Lilly Rd Ne Ste A1, Olympia, WA 98506 | 2018-01-17 |
1396258364 | Institute for Family Development | Community/Behavioral Health | 204 Quince St. Ne, Suite 200, Olympia, WA 98506 | 2017-11-13 |
1083137715 | Cameron Kunkel | Specialist/Technologist | 2512 20th Ave Ne, Olympia, WA 98506 | 2017-07-25 |
1184144768 | Trevor Shane Kwan | Family Medicine | 525 Lilly Road Ne, Olympia, WA 98506 | 2017-06-23 |
1073043212 | Michael H Harburg | Behavior Technician | 3857 Martin Way Ne, Olympia, WA 98506 | 2017-06-19 |
1780114371 | Priscilla Kangyang Jadu | Counselor | 3857 Martin Way E., Olympia, WA 98506 | 2017-06-15 |
Find all providers in zip 98506 |
Taxonomy Code | 261Q00000X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477035210 | Ideal Option, Pllc | Clinic/Center | 205b Lilly Rd Ne Ste C, Olympia, WA 98506-7401 | 2018-08-29 |
1134656135 | Providence Health & Services Washington | Clinic/Center | 1018 Capitol Way S Ste 300, Olympia, WA 98501-1212 | 2017-05-22 |
1861939597 | The Olympia Free Clinic | Clinic/Center | 108 State Ave Nw, Olympia, WA 98501-8249 | 2017-01-19 |
1689273955 | Sisu Health PC | Clinic/Center | 1824 Black Lake Blvd Sw Ste 101, Olympia, WA 98512-5714 | 2020-10-19 |
1215549894 | Clevenger Chiropractic Services LLC | Clinic/Center | 549 Mcphee Rd Sw, Olympia, WA 98502-5015 | 2020-08-17 |
1366940645 | Provasoli Chiropractic Inc. | Clinic/Center | 1018 7th Ave Se, Olympia, WA 98501-1512 | 2018-02-01 |
1528599685 | South Sound Vasectomy and Men's Health | Clinic/Center | 324 W Bay Dr Nw, Suite 105, Olympia, WA 98502-4926 | 2017-03-21 |
1760840755 | Atlas Sleep Diagnostics LLC | Clinic/Center | 3627 Ensign Rd Ne Ste A, Olympia, WA 98506-6104 | 2016-02-04 |
1962876540 | Wellness Navigators, Pllc | Clinic/Center | 1804 Black Lake Blvd Sw, Suite 101, Olympia, WA 98512-5633 | 2015-11-19 |
1487047601 | Rainier Family Practice, Pllc | Clinic/Center | 1408 State Ave Ne Ste 111, Olympia, WA 98506-4481 | 2015-03-12 |
Find all providers in OLYMPIA |
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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.