BEVERLEY SHRUMM (NPI# 1366547804) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366547804 |
| Entity Type | Individual |
| Full Name | BEVERLEY SHRUMM |
| Practice Address |
564 Ne Ravenna Blvd Seattle WA 98115-6460 |
| Practice Telephone | 2065272266 |
| Practice Fax Number | 2065271009 |
| Mailing Telephone | 2065272266 |
| Mailing Fax Number | 2065271009 |
| Enumeration Date | 2006-09-13 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
LH00005621 | WA | Behavioral Health & Social Service Providers |
| Street Address |
564 NE RAVENNA BLVD |
| City | SEATTLE |
| State | WA |
| Zip Code | 98115-6460 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043320948 | James Young Aultman | Social Worker | 564 Ne Ravenna Blvd, Seattle, WA 98115-6460 | 2006-08-30 |
| 1386280238 | Mary Kathleen Brennan | Social Worker | 564 Ne Ravenna Blvd, Seattle, WA 98115-6460 | 2019-11-25 |
| 1225683683 | Grace Stephanie Jeanne Carpenter | Counselor | 564 Ne Ravenna Blvd, Seattle, WA 98115-6460 | 2019-08-02 |
| 1275070799 | Bonny Chang | Psychologist | 564 Ne Ravenna Blvd, Seattle, WA 98115 | 2017-01-22 |
| 1457731580 | Kristen Rene Moss | Counselor | 564 Ne Ravenna Blvd, Seattle, WA 98115-6460 | 2015-06-03 |
| 1780089540 | Anna Anderson | Marriage & Family Therapist | 564 Ne Ravenna Blvd, Seattle, WA 98115-6460 | 2014-10-22 |
| 1366881500 | Matthew Stuart Percy | Psychologist | 564 Ne Ravenna Blvd, Seattle, WA 98115-6460 | 2013-06-20 |
| 1780922757 | James Howard Ramsey | Counselor | 564 Ne Ravenna Blvd, Seattle, WA 98115-6460 | 2013-01-24 |
| 1205190162 | Heidi Nicole Gray | Marriage & Family Therapist | 564 Ne Ravenna Blvd, Seattle, WA 98115-6460 | 2012-06-26 |
| 1851669956 | Joshua Aaron Ensley | Counselor | 564 Ne Ravenna Blvd, Seattle, WA 98115-6460 | 2011-12-05 |
| Find all providers in the same location | ||||
| 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 | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902407745 | Julie Mcgowan | Counselor | 9222 12th Ave Sw, Seattle, WA 98106-2908 | 2020-11-06 |
| 1043811292 | Satya Wellness Collective, LLC | Counselor | 5608 17th Ave Nw # 1063, Seattle, WA 98107-5232 | 2020-11-04 |
| 1366043960 | Nidhi Amy Rastogi | Counselor | 7004 Murray Ave Sw Apt 103, Seattle, WA 98136-1763 | 2020-11-02 |
| 1124628797 | Krista P Marceron | Counselor | 1421 34th Ave Ste 207, Seattle, WA 98122-3634 | 2020-10-31 |
| 1326648064 | Taylor Ferry | Counselor | 3954 1st Ave Ne Apt 3, Seattle, WA 98105-6863 | 2020-10-30 |
| 1710587969 | Brenton Brooks Page Jr. | Counselor | 819 N 49th St Ste 303, Seattle, WA 98103-6577 | 2020-10-27 |
| 1215536719 | Jessica Aarsvold | Counselor | 1 Ward St Unit 5, Seattle, WA 98109-3627 | 2020-10-26 |
| 1972102911 | Philip H Benjamin | Counselor | Philip Benjamin Seattle Psychology, Pllc 200 W. Mercer, Suite 111, Seattle, WA 98119 | 2020-10-21 |
| 1588263834 | Laura Gardener | Counselor | 216 25th Ave, Seattle, WA 98122-6104 | 2020-10-19 |
| 1265031512 | Mykel Ziolo | Counselor | 11700 Evanston Ave N, Seattle, WA 98133-8225 | 2020-10-19 |
| Find all providers in SEATTLE | ||||
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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.