HEIDI LYNNETTE KANGAS


Address: 1128 Broadway St, Longview, WA 98632-3831
Phone: 3609997749

HEIDI LYNNETTE KANGAS (NPI# 1346848561) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1346848561
Entity Type Individual
Full Name HEIDI LYNNETTE KANGAS
Credential RN
Practice Address 1128 Broadway St
Longview
WA 98632-3831
Mailing Address 120 Solomon Rd Apt A3
Kelso
WA 98626-1751
Practice Telephone 3609997749
Mailing Telephone 3609579294
Enumeration Date 2020-10-09
Last Update Date 2020-10-09
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 163WP0808X Registered Nurse
Specialization: Psych/Mental Health
60823371 WA Nursing Service Providers

Office Location

Street Address 1128 BROADWAY ST
City LONGVIEW
State WA
Zip Code 98632-3831

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1891291910 Ellen Sumner Hornbeak Physical Therapist 200 Triangle Shopping Ctr Ste 270, Longview, WA 98632 2018-04-05
1700399961 Johnna Joyce Knapp Speech-Language Pathologist 2615 Lilac St, Longview, WA 98632 2017-11-09
1841711868 Deborah Annette Burzynski Registered Nurse 1057 12th Avenue, Longview, WA 98632 2017-06-29
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Taxonomy Information

Taxonomy Code 163WP0808X
Grouping Nursing Service Providers
Classification Registered Nurse
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

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1225671969 Virginia Hadley Registered Nurse 3436 Mary Elder Rd Ne # E&t, Olympia, WA 98506-5050 2019-10-25
1114569464 Diana Wilcox Registered Nurse 2011 Mottman Rd Sw, Tumwater, WA 98512-6218 2019-10-08
1023579430 Joan Watkins Opyr Registered Nurse Telecare North Sound E&t, 7825 North Sound Drive, Sedro-woolley, WA 98273 2019-03-28
1609351717 Charlotte Gex Morgan Registered Nurse 57 W Main St Ste 260, Chehalis, WA 98532-4815 2018-09-25
1821571050 Kimberlee Susan Long Registered Nurse 4104 Puffin Rd, Ferndale, WA 98248-9579 2018-09-13
1235669607 Bridget Lash Registered Nurse 4319 Tyler Way, Anacortes, WA 98221-3215 2017-06-18
1174072623 Vicki Boothe Registered Nurse 26254 Ne Barrett Rd, Kingston, WA 98346-9342 2016-09-26
1265981997 Lorraine Jeanette Diricco Registered Nurse 1717 W Francis Ave Ste 204, Spokane, WA 99205 2016-09-22
1265897110 Lauren Mitchell Registered Nurse 8007 Ne 38th Ave, Vancouver, WA 98665-1159 2015-12-19
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Competitor

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City LONGVIEW
Zip Code 98632

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Dataset Information

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.

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