BETH ANN EARTHMAN (NPI# 1396126512) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396126512 |
| Entity Type | Individual |
| Full Name | BETH ANN EARTHMAN |
| Credential | CPNP |
| Practice Address |
2205 W Lincoln Ave Yakima WA 98902-2437 |
| Mailing Address |
Po Box 190 Toppenish WA 98948-0190 |
| Practice Telephone | 5095753399 |
| Practice Fax Number | 5095753398 |
| Mailing Telephone | 5098652395 |
| Mailing Fax Number | 5098650757 |
| Enumeration Date | 2015-06-12 |
| Last Update Date | 2015-08-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
AP60551118 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 1396126512 | 05 | |
| WA | MEDICARE | G8941771 | 01 |
| Street Address |
2205 W LINCOLN AVE |
| City | YAKIMA |
| State | WA |
| Zip Code | 98902-2437 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801810924 | Eric Hohman | Physician Assistant | 2205 W Lincoln Ave, Yakima, WA 98902-2437 | 2006-07-26 |
| 1457985574 | Brett Parks | Student in an Organized Health Care Education/Training Program | 2205 W Lincoln Ave, Yakima, WA 98902-2437 | 2020-02-27 |
| 1811521362 | Rosa Elvira Briseno | Case Manager/Care Coordinator | 2205 W Lincoln Ave, Yakima, WA 98902-2437 | 2020-02-24 |
| 1518510858 | Cecia Dianely Acevedo | Dietitian, Registered | 2205 W Lincoln Ave, Yakima, WA 98902-2437 | 2019-07-16 |
| 1619536034 | Maria Brnjic | Nurse Practitioner | 2205 W Lincoln Ave, Yakima, WA 98902-2437 | 2019-06-10 |
| 1336606300 | Stephanie Campbell | Student in an Organized Health Care Education/Training Program | 2205 W Lincoln Ave, Yakima, WA 98902-2437 | 2019-02-26 |
| 1295292266 | Emily Jean Loy | Student in an Organized Health Care Education/Training Program | 2205 W Lincoln Ave, Yakima, WA 98902-2437 | 2019-02-26 |
| 1124597281 | Jaime Lynn Wells | Registered Nurse | 2205 W Lincoln Ave, Yakima, WA 98902-2437 | 2018-11-19 |
| 1659856904 | Noemi Zarate | Case Manager/Care Coordinator | 2205 W Lincoln Ave, Yakima, WA 98902-2437 | 2018-10-02 |
| 1962999060 | Laboratory Corporation of America | Clinical Medical Laboratory | 2205 W Lincoln Ave, Yakima, WA 98902-2437 | 2018-04-16 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922653203 | Laboratory Corporation of America | Clinical Medical Laboratory | 314 S 11th Ave Suite A, Yakima, WA 98902 | 2019-08-05 |
| 1669967865 | Rebecca Schrader | Speech-Language Pathologist | Children's Village 3801 Kern Road, Yakima, WA 98902 | 2018-06-29 |
| 1720572928 | Hyperbaric Centers of Washington | Preventive Medicine | 302 S. 12th Ave., Yakima, WA 98902 | 2018-06-20 |
| 1487155503 | Courtney Lombardi | Nurse Practitioner | 1515 W Yakima Ave, Yakima, WA 98902 | 2018-02-23 |
| 1003329665 | Maria-elena Mendoza | Case Manager/Care Coordinator | 918 E Mead Avenue, Yakima, WA 98902 | 2017-11-06 |
| 1679017610 | Claudia Zepeda | Massage Therapist | 3908 Creekside Loop Ste # 110, Yakima, WA 98902 | 2016-12-09 |
| 1093194425 | Silas Klaver | Podiatrist | 1607 Creekside Loop Ste 140, Yakima, WA 98902 | 2015-05-18 |
| 1821490905 | Jen Lynn Silver | Massage Therapist | 3512 Tieton Dr, Yakima, WA 98902 | 2014-09-20 |
| 1194131383 | Brenna Claire Hayes | Genetic Counselor, MS | 2903 W Walnut, Yakima, WA 98902 | 2014-07-08 |
| 1720400435 | Agnes Nadine Jeske | Speech-Language Pathologist | 621 S. 13th Ave., Mckinley Elementary School, Yakima, WA 98902 | 2014-01-15 |
| Find all providers in zip 98902 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316981665 | Jennie Olson | Nurse Practitioner | 3801 Kern Way, Yakima, WA 98902-6340 | 2006-06-16 |
| 1003471046 | Leticia Rodriguez | Nurse Practitioner | 3801 Kern Way, Yakima, WA 98902-6340 | 2019-05-06 |
| 1609240563 | Rishi S Mistry | Nurse Practitioner | 402 S 12th Ave, Yakima, WA 98902-3115 | 2015-11-16 |
| 1326334665 | Samantha Jean Garlow | Nurse Practitioner | 2205 W Lincoln Ave, Yakima, WA 98902-2437 | 2011-06-24 |
| 1568539989 | Melissa L Hanses | Nurse Practitioner | 314 S 11th Ave, Suite A, Yakima, WA 98902-3212 | 2006-11-29 |
| 1407926421 | Susan C Dennis | Nurse Practitioner | 12 S 8th St, Yakima, WA 98901-3020 | 2006-11-08 |
| 1790881340 | Ellen Q Stepniewski | Nurse Practitioner | 314 S 11th Ave, Suite A, Yakima, WA 98902-3212 | 2006-09-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881200509 | Megan Maureen Bauer | Nurse Practitioner | 6057 California Ave Sw, Seattle, WA 98136-1612 | 2020-09-17 |
| 1265077960 | Hannah Thornton | Nurse Practitioner | 4800 Sand Point Way Ne # Fa.2114, Seattle, WA 98105-3901 | 2019-11-17 |
| 1598319683 | Jennifer Lynn Bryson | Nurse Practitioner | 8738 Falls Ave Se, Snoqualmie, WA 98065-9610 | 2019-07-28 |
| 1013494434 | Lindsay Bascom Brown | Nurse Practitioner | 12815 120th Ave Ne Ste A, Kirkland, WA 98034-3003 | 2018-07-27 |
| 1518475631 | Sarah Remorca Agtarap | Nurse Practitioner | 175 1st Pl Nw Ste A, Issaquah, WA 98027-2746 | 2018-01-11 |
| 1518470137 | Bear Creek Pediatrics | Nurse Practitioner | 105 W 8th Ave Ste 7035, Spokane, WA 99204-2313 | 2017-11-06 |
| 1871005298 | Alexis Anne Abel | Nurse Practitioner | 15650 Ne 24th St Ste C, Bellevue, WA 98008-2460 | 2017-10-25 |
| 1326569021 | Spencer Rorie Crihfield | Nurse Practitioner | Po Box 1452, Pasco, WA 99301-1223 | 2017-07-03 |
| 1912427386 | Melinda Ehren Kratzig | Nurse Practitioner | 4800 Sand Point Way Ne # Msoa9220, Seattle, WA 98105-3901 | 2017-06-26 |
| 1245766880 | Jennifer Jean Baker | Nurse Practitioner | 904 7th Ave Fl 3, Seattle, WA 98104-1132 | 2017-05-02 |
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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.