EVAJO SKELTON


Address: 220 W 4th Ave, Ellensburg, WA 98926-3060
Phone: 5095754084

EVAJO SKELTON (NPI# 1376938878) 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) 1376938878
Entity Type Individual
Full Name EVAJO SKELTON
Practice Address 220 W 4th Ave
Ellensburg
WA 98926-3060
Mailing Address Po Box 959
Yakima
WA 98907-0959
Practice Telephone 5095754084
Enumeration Date 2015-04-01
Last Update Date 2015-04-01
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 175T00000X Peer Specialist Other Service Providers

Office Location

Street Address 220 W 4TH AVE
City ELLENSBURG
State WA
Zip Code 98926-3060

Providers in the same location

NPI Name Taxonomy Address Enumeration
1871676726 Mary L Day Counselor 220 W 4th Ave, Ellensburg, WA 98926-3060 2006-10-23
1790313211 Alicia Kratzer Case Manager/Care Coordinator 220 W 4th Ave, Ellensburg, WA 98926-3060 2020-03-30
1427684760 Jeffrey Schuler Case Manager/Care Coordinator 220 W 4th Ave, Ellensburg, WA 98926-3060 2020-03-18
1346892494 Seth Wiswell Case Manager/Care Coordinator 220 W 4th Ave, Ellensburg, WA 98926-3060 2019-07-09
1609438365 Adriana Guijarro Case Manager/Care Coordinator 220 W 4th Ave, Ellensburg, WA 98926-3060 2019-07-02
1609343268 Mckenzie Knowlden Case Manager/Care Coordinator 220 W 4th Ave, Ellensburg, WA 98926-3060 2018-10-31
1346729209 Rachael Pierce Case Manager/Care Coordinator 220 W 4th Ave, Ellensburg, WA 98926-3060 2018-08-11
1083192322 Brandi Darnall Case Manager/Care Coordinator 220 W 4th Ave, Ellensburg, WA 98926-3060 2018-07-30
1902352370 Meaghan Lincoln Case Manager/Care Coordinator 220 W 4th Ave, Ellensburg, WA 98926-3060 2016-08-26
1104209519 Mehjabeen Khan Counselor 220 W 4th Ave, Ellensburg, WA 98926-3060 2015-07-02
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1407286214 Sarah Rae Occupational Therapist 1050 E Mountian View Ave, Ellensburg, WA 98926 2013-11-14
1366885691 Leslie-ann Fox I Pharmacist 521 East Mountain View Ave, Ellensburg, WA 98926 2013-04-17
1972877330 Terri Lee Hughes Pharmacist 608 E Mountainview, Ellensburg, WA 98926 2012-03-02
1366716789 Eiko Hama Pharmacist 608 E Mountain View, Ellensburg, WA 98926 2012-03-02
1689971228 Carolyn Jeannette Brunk Massage Therapist 814 East 5th Avenue, Ellensburg, WA 98926 2011-02-17
1275862468 Creekside Dental Ellensburg Pllc Dentist 2601 Triple L Loop, Ellensburg, WA 98926 2009-12-17
1659605038 Michael Alan Patin Pharmacist 700 S. Main St., Ellensburg, WA 98926 2009-10-01
1538391040 Brenden J Davis Dentist 1206 N Dolarway Rd Ste 208, Ellensburg, WA 98926 2009-08-17
1821206186 Peggy Elaine Erickson Massage Therapist 314 E 4th, Ellensburg, WA 98926 2007-05-18
1295951259 Kenneth Francis Kladnik Specialist/Technologist 1711 E. Canterbury, Ellesnburg, WA 98926 2007-04-18
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Taxonomy Information

Taxonomy Code 175T00000X
Grouping Other Service Providers
Classification Peer Specialist

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1528667268 Angela Lynn Dietrich Peer Specialist 200 E 3rd Ave, Ellensburg, WA 98926-3347 2020-10-23
1326433988 Marc Rider Peer Specialist 220 W 4th Ave, Ellensburg, WA 98926-3060 2015-03-31

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1992304703 Corina Thornton Peer Specialist Arrow Lakes Street, Nespelem, WA 99155-0304 2020-10-22
1578161402 Yavonnie Leslie Griggs Peer Specialist 3285 Ferguson Ln Sw, Tumwater, Wa 98512, Tumwater, WA 98512 2020-10-13
1306454061 Ashley D Vinson-harris Peer Specialist 116 S 339th Cir, Federal Way, WA 98003-4537 2020-07-20
1184240301 Aleric Hughes Peer Specialist 1200 Sw Holden St, Seattle, WA 98106-2054 2020-06-23
1013533876 Alyssa Camille Meaker Peer Specialist 4350 Cordata Pkwy Ste 220, Bellingham, WA 98226-8278 2020-06-17
1134741424 Tara Lin Garcia Peer Specialist 4256 Federal Avenue, Everett, WA 98203 2020-05-11
1558982058 Edward Thomas Gollihugh Peer Specialist 721 Fawcett Ave Ste 204, Tacoma, WA 98402-5502 2020-05-06
1295356483 Yvette Marie Sampson Peer Specialist Josephinum C/o Crew, 1902 2nd Ave., Seattle, WA 98101 2020-04-29
1043856123 Jayde Wailani Albright Peer Specialist 5920 N Calispel St, Spokane, WA 99205-6214 2019-11-23
1033755244 Willapa Behavioral Health Peer Specialist 2204 Pacific Ave. N., Long Beach, WA 98631 2019-11-22
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Competitor

Search similar providers

City ELLENSBURG
Zip Code 98926

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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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