IDLEY A EDEY (NPI# 1326672163) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326672163 |
| Entity Type | Individual |
| Full Name | IDLEY A EDEY |
| Practice Address |
1231 Sw 137th St Apt 460 Burien WA 98166-1237 |
| Mailing Address |
1700 Airport Way S Seattle WA 98134-1618 |
| Practice Telephone | 2064898824 |
| Mailing Telephone | 2062233644 |
| Enumeration Date | 2020-03-02 |
| Last Update Date | 2020-03-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | WA | Behavioral Health & Social Service Providers |
| Street Address |
1231 SW 137TH ST APT 460 |
| City | BURIEN |
| State | WA |
| Zip Code | 98166-1237 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508341488 | Robert James Woodland Sr. | Counselor | 1210 Sw 136th St., Burien, WA 98166 | 2018-09-26 |
| 1215467329 | Amy Elizabeth Castillo | Massage Therapist | 1204 Sw 168th St, Normandy Park, WA 98166 | 2017-06-13 |
| 1053856070 | Michael David Blackledge | Physical Therapist | 15811 Ambaum Blvd Sw Ste 140, Burien, WA 98166 | 2016-12-29 |
| 1114372232 | Maris Gibson | Massage Therapist | 801 S.w. 150thst, #110, Burien, WA 98166 | 2016-04-26 |
| 1649642992 | Navos | Community/Behavioral Health | 31408 28th Ave South, 1201 Sw 136th Street, Burien, WA 98166 | 2015-10-27 |
| 1154790798 | Han Nguyen | Chiropractor | 15811 Ambaum Blvd Sw Suite 110, Burien, WA 98166 | 2015-09-24 |
| 1497163778 | Maria Garvey-caruso | Physical Therapist | 1511 Ambaum Blvd South West, Suite 140, Burien, WA 98166 | 2014-07-30 |
| 1427495274 | Mohammed Nayeemuddin | Internal Medicine | 16259 Sylvester Rd Sw Ste 404, Burien, WA 98166 | 2013-06-03 |
| 1023362753 | Donna Shaman | Occupational Therapist | 15675 Ambaum Blvd, Burien, WA 98166 | 2012-11-02 |
| 1366707010 | Tracy C Saephanh | Pharmacy Technician | 14901 4th Ave Sw Ste 100, Burien, WA 98166 | 2012-07-09 |
| Find all providers in zip 98166 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295395366 | Megan Elaine Ottino | Counselor | 13404 10th Ave S, Burien, WA 98168-2742 | 2019-06-19 |
| 1225516933 | Andres I Rivera | Counselor | Sea Mar Burien 14434 Ambaum Blvd Sw Ste. 5, Burien, WA 98166-1703 | 2018-08-03 |
| 1548440456 | Toni Smith | Counselor | 17430 Ambaum Blvd S, # 13, Burien, WA 98148-1751 | 2007-11-07 |
| 1063616316 | Highline School District | Counselor | 15675 8th Avenue S, Burien, WA 98148 | 2007-06-12 |
| 1275680936 | Martin Eugene Knutson | Counselor | 15811 Ambaum Blvd. Sw Suite 110, Burien, Burien, WA 98166 | 2007-01-04 |
| 1275526949 | Wayne C. Dees | Counselor | 14212 Ambaum Blvd Sw, Suite 103, Burien, WA 98166 | 2005-08-26 |
| 1124634589 | Elizabeth Rivera | Counselor | 1033 Sw 152nd St, Burien, WA 98166 | 2020-09-21 |
| 1609490853 | Robin Jay Jeffries | Counselor | 1033 Sw 152nd St, Burien, WA 98166-1845 | 2020-06-03 |
| 1346864006 | Dashawn Taylor | Counselor | 1033 Sw 152nd St, Burien, WA 98166-1845 | 2020-05-29 |
| 1699398875 | Angelina Cruz Moras | Counselor | 1210 Sw 136th St, Burien, WA 98166-1214 | 2020-05-22 |
| Find all providers in BURIEN | ||||
Please comment or provide details below to improve the information on IDLEY A EDEY.
| 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.