ERICA PEAVY (NPI# 1336411396) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336411396 |
| Entity Type | Individual |
| Full Name | ERICA PEAVY |
| Credential | MD |
| Practice Address |
3901 Hoyt Ave Everett WA 98201-4918 |
| Practice Telephone | 4253395460 |
| Mailing Telephone | 4253395460 |
| Enumeration Date | 2012-02-06 |
| Last Update Date | 2012-02-06 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | MD00022131 | WA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | LICENSE | MD00022131 | 01 |
| Street Address |
3901 HOYT AVE |
| City | EVERETT |
| State | WA |
| Zip Code | 98201-4918 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720086168 | Louie E Tsiktsiris | Internal Medicine | 3901 Hoyt Ave, Everett, WA 98201-4918 | 2005-07-11 |
| 1720606288 | Janelle Pennock | Social Worker | 3901 Hoyt Ave, Everett, WA 98201-4918 | 2020-07-10 |
| 1124660881 | Kathryn G Arneson | Nurse Practitioner | 3901 Hoyt Ave, Everett, WA 98201-4918 | 2019-10-15 |
| 1144879933 | Laura Gaskill | Nurse Practitioner | 3901 Hoyt Ave, Everett, WA 98201-4918 | 2019-09-05 |
| 1114572336 | Katie Mcwilliams | Nurse Practitioner | 3901 Hoyt Ave, Everett, WA 98201-4918 | 2019-08-05 |
| 1134782543 | Nicole Lee Reis-eibara | Nurse Practitioner | 3901 Hoyt Ave, Everett, WA 98201-4918 | 2019-04-22 |
| 1689139941 | Bridget Frauenholtz | Physician Assistant | 3901 Hoyt Ave, Everett, WA 98201-4918 | 2019-01-31 |
| 1598229445 | Vanessa Nelson | Dietitian, Registered | 3901 Hoyt Ave, Everett, WA 98201-4918 | 2019-01-24 |
| 1740779115 | Jamie Dong Viet Nguyen | Pharmacist | 3901 Hoyt Ave, Everett, WA 98201 | 2018-05-01 |
| 1902322274 | Aarica Arora | Family Medicine | 3901 Hoyt Ave, Everett, WA 98201-4918 | 2017-08-18 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306471867 | Shannon Michelle Dewald | Registered Nurse | D8s 1700 13th St, Everett, WA 98201 | 2020-03-05 |
| 1578123113 | Precious Medicial Spa, LLC | Registered Nurse | 1728 W. Marine View Dr Suite 212, Everett, WA 98201 | 2019-06-17 |
| 1508429796 | Alix Deschain | Counselor | 2801 Broadway, Everett, WA 98201 | 2019-04-15 |
| 1811457534 | Khushboo Patel | Pharmacist | 1330 Rockefeller Ave Ste 150, Everett, WA 98201 | 2019-03-20 |
| 1164991188 | Grace Talbot Davis | Registered Nurse | 2601 Summit Avenue, Bldg. C, Everett, WA 98201 | 2018-11-20 |
| 1063924603 | Tracy Sisk | Counselor | 3120 Colby Ave, 502, Everett, WA 98201 | 2017-11-03 |
| 1710403126 | Michelle Durham | Counselor | 3322 Boadway Fl 2, Everett, WA 98201 | 2017-08-17 |
| 1861927949 | Melanie Schmidt | Counselor | 2610 Westmore Ave, Everett, WA 98201 | 2017-04-26 |
| 1518413327 | Joseph Madson Dmd Pllc | Clinic/Center | 3802 Colby Ave, 4th Floor, Everett, WA 98201 | 2016-08-31 |
| 1043683162 | Jennifer Adams | Counselor | 1511 26th St, Everett, WA 98201 | 2015-11-11 |
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| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902169568 | Shannon Demas | Obstetrics & Gynecology | 900 Pacific Ave Fl 5, Everett, WA 98201 | 2012-06-19 |
| 1255537015 | Draion Montrell Burch | Obstetrics & Gynecology | 361 Hospital Dr, Upmc Bedford Ob/gyn & Assoc, Everett, PA 15537-7022 | 2007-06-26 |
| 1497876627 | Lynn H Galen | Obstetrics & Gynecology | 96 Garland St, 2nd Floor, Everett, MA 02149-5067 | 2007-04-03 |
| 1871689364 | Richard Dermody | Obstetrics & Gynecology | 900 Pacific, Suite 500, Everett, WA 98201 | 2006-10-04 |
| 1902999402 | Anne C Anholm | Obstetrics & Gynecology | 900 Pacific Suite 500, Everett, WA 98201 | 2006-10-02 |
| 1689630840 | Anne M Camber | Obstetrics & Gynecology | 900 Pacific Ave Ste 501, Everett, WA 98201-4189 | 2006-04-25 |
| 1366410375 | Laurent Nicolov | Obstetrics & Gynecology | 900 Pacific Ave Ste 500, Everett, WA 98201-4189 | 2006-03-08 |
| 1326488925 | Dennis Goulet | Obstetrics & Gynecology | 900 Pacific Ave Ste 500, Everett, WA 98201-4189 | 2013-06-27 |
| 1245541903 | Ying Liu | Obstetrics & Gynecology | 900 Pacific Ave Ste 501, Everett, WA 98201 | 2010-06-28 |
| 1255664652 | Providence Health & Services-wa | Obstetrics & Gynecology | 900 Pacific Ave, Suite 501, Everett, WA 98201-4147 | 2009-09-16 |
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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.