AUDRA ROSE KUOPPALA (NPI# 1306495775) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1306495775 |
Entity Type | Individual |
Full Name | AUDRA ROSE KUOPPALA |
Other Name | AUDRA ROSE CLEMENT |
Credential | DC |
Practice Address |
5050 Wa State Hwy 303 Suite A101 Bremerton WA 98311 |
Mailing Address |
8202 Ne State Highway 104 Ste 105 Kingston WA 98346-9454 |
Practice Telephone | 3606277408 |
Enumeration Date | 2019-09-09 |
Last Update Date | 2019-09-09 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 111N00000X | Chiropractor | CH60987430 | WA | Chiropractic Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
WA | 1295287035 | 05 | |
WA | 1073032157 | 05 | |
WA | 1124105598 | 05 | |
WA | 1366890998 | 05 |
Address | Telephone Number | Fax Number |
---|---|---|
8202 Ne State Highway 104, Kingston, WA 983469454 | 3602970037 |
Street Address |
5050 WA STATE HWY 303 SUITE A101 |
City | BREMERTON |
State | WA |
Zip Code | 98311 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811535420 | Naomi Arguelles | Counselor | 5455 Almira Drve Ne, Bremerton, WA 98311 | 2019-12-13 |
1891351888 | Amanda Olney Flint | Massage Therapist | 5050 Wa-303, A101, Bremerton, WA 98311 | 2019-05-15 |
1265995385 | Daniel Mcclough | Massage Therapist | 5050 Wa-303 A101, Bremerton, WA 98311 | 2019-04-08 |
1073032157 | Kingston Crossing Wellness Ps | Chiropractor | 5050 Hwy 303 Ne, Suite A 101, Bremerton, WA 98311 | 2017-09-11 |
1811252117 | Kayla Sue Kooker | Massage Therapist | 5050 State Hwy 303 Ne #a101, Bremerton, WA 98311 | 2012-07-12 |
1336458983 | Shannon Christine Stewart | Mechanotherapist | 1487 Dawn Rd. Ne, Bremerton, WA 98311 | 2010-09-30 |
1174779656 | Kimberly Ann Vickery | Specialist | 5060 Highway 303 Ne, Suite 103, Bremerton, WA 98311 | 2008-08-15 |
1790988228 | Cynthia Erickson | Specialist | 9125 Central Valley Rd., Bremerton, WA 98311 | 2007-06-11 |
1114132388 | Jennifer Ross Tanguay | Nurse Anesthetist, Certified Registered | 1275 Ne Franklin Ave Ste A, Bremerton, WA 98311 | 2007-05-11 |
1326180811 | Jessie Michelle Banks | Dentist | 1344 Ne Mcwilliams Road, Bremerton, WA 98311 | 2007-02-13 |
Find all providers in zip 98311 |
Taxonomy Code | 111N00000X |
Grouping | Chiropractic Providers |
Classification | Chiropractor |
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073032157 | Kingston Crossing Wellness Ps | Chiropractor | 5050 Hwy 303 Ne, Suite A 101, Bremerton, WA 98311 | 2017-09-11 |
1972025062 | Gemmer Wellness, LLC | Chiropractor | 9889 Central Valley Rd Ne, Bremerton, WA 98311-9131 | 2017-07-11 |
1962807131 | Justin Reid | Chiropractor | 1487 Ne Dawn Rd, Bremerton, WA 98311-3122 | 2014-10-29 |
1700298510 | Erika Claire O'leary | Chiropractor | 1100 Wheaton Way Ste B, Bremerton, WA 98310-4459 | 2014-05-28 |
1164840047 | Amber Rose Morison | Chiropractor | 3963 Sand Dollar Road West, Bremerton, WA 98312 | 2014-03-28 |
1801166533 | Alpine Chiropractic Clinic Ps, Inc. | Chiropractor | 4020 Wheaton Way, Suite N, Bremerton, WA 98310-3566 | 2012-01-11 |
1346545829 | Doyle & Associates Chiropractic Clinic Inc Ps | Chiropractor | 603 Chester Avenue, Bremerton, WA 98337 | 2011-01-14 |
1740302173 | Amy Marie Olsen | Chiropractor | 3309 Perry Ave Ste 102, Bremerton, WA 98310-5369 | 2007-04-05 |
1346374311 | David Lee Corley Sr. | Chiropractor | 603 Chester Ave, Bremerton, WA 98337-1266 | 2007-03-14 |
1811030471 | Ronald S Hillers | Chiropractor | 4020 Wheaton Way Ste N, Bremerton, WA 98310-3566 | 2007-02-14 |
Find all providers in BREMERTON |
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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.