MS. CONSTANCE RUTH GRACE (NPI# 1366799660) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366799660 |
| Entity Type | Individual |
| Full Name | MS. CONSTANCE RUTH GRACE |
| Credential | CTR |
| Practice Address |
16921 135th Pl Se Renton WA 98058-6901 |
| Practice Telephone | 4252215918 |
| Practice Fax Number | 4252357420 |
| Mailing Telephone | 4252215918 |
| Mailing Fax Number | 4252357420 |
| Enumeration Date | 2012-08-07 |
| Last Update Date | 2012-08-07 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171W00000X | Contractor | Other Service Providers |
| Street Address |
16921 135TH PL SE |
| City | RENTON |
| State | WA |
| Zip Code | 98058-6901 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639799471 | Fairwood Dental LLC | Dentist | 14250 Se 176th #j7, Renton, WA 98058 | 2020-04-22 |
| 1538641386 | Kenneth Graber | Physical Therapist | 17650 140th Avenue Sw, Suite B-07, Renton, WA 98058 | 2018-08-29 |
| 1508210154 | Lucy Johnson | Specialist/Technologist | 11808 Se 172nd Ln Apt N303, Renton, WA 98058 | 2016-04-20 |
| 1104253947 | Bertila Martinez | Dental Hygienist | 14600 Se 176th St #v4, Renton, WA 98058 | 2013-10-10 |
| 1326340456 | Tabatha Burris | Specialist | 14410 Petrovistsky Rd Se #109, Renton, WA 98058 | 2010-11-22 |
| 1295042570 | Hanh Q Nguyen | Pharmacist | 16940 116th Avenue Southeast, Renton, WA 98058 | 2010-09-08 |
| 1861692675 | Ernestine Johanna Rombouts | Counselor | 16205 128th Place Se, Renton, WA 98058 | 2007-07-19 |
| 1912100991 | Cara Rozell | Pharmacist | 400 South 43rd St, Renton, WA 98058 | 2007-06-07 |
| 1699821231 | Lynne Suzanne Balderson | Massage Therapist | 14410 Se Petrovitsky Rd #201, Renton, WA 98058 | 2007-01-26 |
| 1023173465 | Sara Jean Denherder | Massage Therapist | 17070 - 140th Ave Se, Renton, WA 98058 | 2006-12-26 |
| Find all providers in zip 98058 | ||||
| Taxonomy Code | 171W00000X |
| Grouping | Other Service Providers |
| Classification | Contractor |
| A person who contracts to supply certain materials or do certain work for a stipulated sum; esp., one whose business is contracting work in any of the building trades. For purposes of the taxonomy, a person who contracts to complete home repairs or modifications to accommodate a health condition (e.g. wheelchair ramp, kitchen counter lowering). |
| Notes: Source: Websters New World Dictionary of the American Language, Second College Edition, William Collins + World Publishing Co., Inc., New York: 1974, p. 308 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164820668 | Mariya Khomlyak | Contractor | 2111 Shattuck Pl S, Renton, WA 98055-4289 | 2014-12-15 |
| 1912282500 | Anna Marie Koonce | Contractor | 10622 Se Carr Rd # A, Renton, WA 98055-5406 | 2011-10-14 |
| 1073823936 | Katherine Jones | Contractor | 912 N 1rst St, Renton, WA 98057-5759 | 2010-10-13 |
| 1568772556 | Patrick N Okoye | Contractor | 612 Nw 3rd Ct, Renton, WA 98057-3400 | 2010-10-08 |
| 1730308024 | Deborah J. Smith | Contractor | 4300 Talbot Rd S Ste 304, Renton, WA 98055-6238 | 2007-04-24 |
| 1194190538 | Massage for World Peace | Contractor | 17333 Se 133rd St, Renton, WA 98059-7026 | 2015-12-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376158410 | Luan Kim Do | Contractor | 1832 Pointe Woodworth Dr Ne, Tacoma, WA 98422-3466 | 2020-09-15 |
| 1023635026 | Vanessa L Mendez | Contractor | 4306 Vermilion Ln, Pasco, WA 99301-1321 | 2020-06-25 |
| 1144844150 | Michele Burtner | Contractor | 36 Salvaggi Ln, Elma, WA 98541-9063 | 2020-06-04 |
| 1760017495 | Estefani Perete Gomez | Contractor | 606 Lilly Rd Ne Apt 324, Olympia, WA 98506-5169 | 2020-03-03 |
| 1073144424 | Strom Holdings LLC | Contractor | 3335 Paine Ave, Everett, WA 98201-5301 | 2020-02-03 |
| 1528602182 | Deborah Harris | Contractor | 1284 Mt Baker Ave, Camano Island, WA 98282-8439 | 2019-11-06 |
| 1205486826 | Hattie Marie Stigum | Contractor | 2406 Ne 139th St Apt 298, Vancouver, WA 98686-2314 | 2019-09-16 |
| 1134774425 | Amanda Rene Collins | Contractor | 11905 N Guinevere Dr, Spokane, WA 99218-1715 | 2019-08-05 |
| 1720566755 | American Integrated Health | Contractor | 14121 Tukla Intl Blvd, Tukwila, WA 98168-4122 | 2018-08-01 |
| 1093202053 | Wilson Pershing Stevenson IIi | Contractor | 3250 Port of Benton Blvd Ste D, Richland, WA 99354-1670 | 2018-04-16 |
| Find all providers with the same taxonomy | ||||
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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.