KELLAN BECKHAM (NPI# 1336778695) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336778695 |
| Entity Type | Individual |
| Full Name | KELLAN BECKHAM |
| Practice Address |
2400 Ne 95th St Seattle WA 98115-2426 |
| Mailing Address |
2904 E Cherry St Apt B Seattle WA 98122-5067 |
| Practice Telephone | 2065255050 |
| Enumeration Date | 2020-04-07 |
| Last Update Date | 2020-04-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 175T00000X | Peer Specialist | WA | Other Service Providers |
| Street Address |
2400 NE 95TH ST |
| City | SEATTLE |
| State | WA |
| Zip Code | 98115-2426 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548478001 | Ryther Child Center | Substance Abuse Rehabilitation Facility | 2400 Ne 95th St, Seattle, WA 98115-2426 | 2007-05-18 |
| 1568063261 | Jessamy Whitsitt-hunt | Counselor | 2400 Ne 95th St, Seattle, WA 98115-2426 | 2020-11-08 |
| 1427659044 | Hangatu Umar Dawud | Counselor | 2400 Ne 95th St, Seattle, WA 98115-2426 | 2020-11-02 |
| 1457958894 | Nhi Uyen Ly | Counselor | 2400 Ne 95th St, Seattle, WA 98115-2426 | 2020-10-08 |
| 1952918062 | Priyanka Ghosh | Social Worker | 2400 Ne 95th St, Seattle, WA 98115-2426 | 2020-09-23 |
| 1740896976 | Ingrid Lissette Lara Rivera | Social Worker | 2400 Ne 95th St, Seattle, WA 98115-2426 | 2020-09-22 |
| 1023622891 | Vincenza Standridge | Case Manager/Care Coordinator | 2400 Ne 95th St, Seattle, WA 98115-2426 | 2020-08-31 |
| 1639781990 | Shian Venee Corine Witherspoon | Behavior Technician | 2400 Ne 95th St, Seattle, WA 98115-2426 | 2020-08-18 |
| 1922610526 | Kassie Means | Student in an Organized Health Care Education/Training Program | 2400 Ne 95th St, Seattle, WA 98115-2426 | 2020-08-17 |
| 1912521469 | Miranda Rosemarie Sullivan | Social Worker | 2400 Ne 95th St, Seattle, WA 98115-2426 | 2020-06-01 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366079972 | Aaron Hui | Oral & Maxillofacial Surgery | 6222 Ne 74th Street Building 25, 2nd Floor, Seattle, WA 98115 | 2020-03-24 |
| 1396387346 | Catherine Erickson | Social Worker | 6527 - 21st Ave Ne, Suite 4, Seattle, WA 98115 | 2019-10-10 |
| 1275003857 | Margaret Ellen Haber | Social Worker | 2400 Ne 95th Street, Seattle, WA 98115 | 2018-11-27 |
| 1528584513 | Katharine Huntington Poinier | Registered Nurse | 8521 5th Avenue Ne, Seattle, WA 98115 | 2017-08-21 |
| 1750802229 | Cody David Pollock | Student in an Organized Health Care Education/Training Program | 1959 Northeast Pacific Street, Box 357115 University of Washington Medical Center, Seattle, WA 98115 | 2017-07-05 |
| 1144759416 | Amber Padron | Behavior Technician | 6537 Oswego Place Ne, Apt 8, Seattle, WA 98115 | 2017-06-08 |
| 1639603509 | Matthew Vanwinkle | Physical Therapist | 3290 Ne 65th Street, Unit 101, Seattle, WA 98115 | 2017-04-17 |
| 1538607650 | Karen Van Vuren | Registered Nurse | 204 Ne 94h St, Seattle, WA 98115 | 2017-02-09 |
| 1992251599 | Anders Kobbevik | Massage Therapist | 1200 Ne 65th Street, Seattle, WA 98115 | 2016-09-01 |
| 1295288181 | Brandon Marsicek | Counselor | 419 Ne 71st St Apt 407, Seattle, WA 98115 | 2016-07-27 |
| Find all providers in zip 98115 | ||||
| Taxonomy Code | 175T00000X |
| Grouping | Other Service Providers |
| Classification | Peer Specialist |
| Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. |
| Notes: Source: National Uniform Claim Committee [7/1/2014: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184240301 | Aleric Hughes | Peer Specialist | 1200 Sw Holden St, Seattle, WA 98106-2054 | 2020-06-23 |
| 1295356483 | Yvette Marie Sampson | Peer Specialist | Josephinum C/o Crew, 1902 2nd Ave., Seattle, WA 98101 | 2020-04-29 |
| 1881252575 | Darryl Lee Wright | Peer Specialist | Gossett Place, 4719 12th Ave Ne, Seattle, WA 98105 | 2019-05-29 |
| 1376007286 | Fritzina Fay Johnson | Peer Specialist | 1420 Western Ave Apt 1004, Seattle, WA 98101-2041 | 2019-01-24 |
| 1134693856 | Kimo Martin | Peer Specialist | 1600 Lane St, Seattle, WA 98144 | 2019-01-15 |
| 1548735897 | Kris Glen Hills | Peer Specialist | 28 S Brandon St, Seattle, WA 98134-2428 | 2018-10-12 |
| 1558960237 | Nicolette Vandenberg | Peer Specialist | 2100 24th Ave S, Seattle, WA 98144-4637 | 2020-10-22 |
| 1649878562 | Jay Thomas Scott | Peer Specialist | 222 Wall St, Seattle, WA 98121-1431 | 2020-10-13 |
| 1699372219 | Jody Orr | Peer Specialist | 2100 24th Ave S, Seattle, WA 98144-4637 | 2020-10-06 |
| 1902410970 | Sheridan Elizabeth Turner | Peer Specialist | 1600 S Lane St, Seattle, WA 98144-2810 | 2020-09-07 |
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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.