RICK KEVIN PREMRO (NPI# 1407090608) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407090608 |
| Entity Type | Individual |
| Full Name | RICK KEVIN PREMRO |
| Practice Address |
6925 216th St Sw Ste P Lynnwood WA 98036-7358 |
| Mailing Address |
Po Box 66500 Portland OR 97290-6500 |
| Practice Telephone | 5036578663 |
| Practice Fax Number | 5037233180 |
| Mailing Telephone | 5036578663 |
| Mailing Fax Number | 5037233180 |
| Enumeration Date | 2009-05-01 |
| Last Update Date | 2009-05-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 247100000X | Radiologic Technologist | RT00005682 | WA | Technologists, Technicians & Other Technical Service Providers |
| Street Address |
6925 216TH ST SW STE P |
| City | LYNNWOOD |
| State | WA |
| Zip Code | 98036-7358 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356585558 | Veronica Prajedez Macias | Radiologic Technologist | 6925 216th St Sw Ste P, Lynnwood, WA 98036-7358 | 2009-05-01 |
| 1417288465 | Christina F Sebastiano | Radiologic Technologist | 6925 216th St Sw Ste P, Lynnwood, WA 98036-7358 | 2010-01-14 |
| 1427389477 | Erik S Forsell | Radiologic Technologist | 6925 216th St Sw Ste P, Lynnwood, WA 98036-7358 | 2010-01-14 |
| 1275862971 | Todd A Hunter | Radiologic Technologist | 6925 216th St Sw Ste P, Lynnwood, WA 98036-7358 | 2009-12-09 |
| 1578899068 | Vanessa Renee Taylor | Radiologic Technologist | 6925 216th St Sw Ste P, Lynnwood, WA 98036-7358 | 2009-10-19 |
| 1760614028 | Tadd A Schmidt | Radiologic Technologist | 6925 216th St Sw Ste P, Lynnwood, WA 98036-7358 | 2009-08-19 |
| 1972747178 | Michael John Beasley | Radiologic Technologist | 6925 216th St Sw Ste P, Lynnwood, WA 98036-7358 | 2009-05-01 |
| 1831333038 | Angela J Lane | Radiologic Technologist | 6925 216th St Sw Ste P, Lynnwood, WA 98036-7358 | 2009-05-01 |
| 1932343134 | Leonard Ernest Loreen | Radiologic Technologist | 6925 216th St Sw Ste P, Lynnwood, WA 98036-7358 | 2009-05-01 |
| 1295979490 | Enoch Rudolph Kuki | Radiologic Technologist | 6925 216th St Sw Ste P, Lynnwood, WA 98036-7358 | 2009-05-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396342630 | Zachary Perry | Behavior Technician | 4100 Veterans Way, Unit 100, Lynnwood, WA 98036 | 2020-10-08 |
| 1942832795 | Alexis Michelle Solomon-winne | Behavior Technician | 4100 Veterans Way Unit 100 Lynnwood, Wa 98036 United S, Lynnwood, WA 98036 | 2020-02-10 |
| 1881239028 | Endc Pllc | Psychologist | 19217 36th Ave W. Suite 219, Lynnwood, WA 98036 | 2019-11-12 |
| 1225507866 | Kyung Suk Seo | Massage Therapist | 18904 Hwy 99, Ste. K, Lynnwood, WA 98036 | 2018-11-13 |
| 1790270197 | Kabal Sriviboon | Behavior Technician | 20818 44th Ave W Suite 270, Lynnwood, WA 98036 | 2018-06-27 |
| 1992206148 | Kendal Ilyse Borison | Behavioral Analyst | 4100 194th Se, Suite 100, Lynnwood, WA 98036 | 2018-02-23 |
| 1205352515 | Doug Brant | Registered Nurse | 19931 Cypress Way, Lynnwood, WA 98036 | 2017-08-17 |
| 1588184980 | Evergreen Recovery Centers-lynnwood Detox | Substance Abuse Rehabilitation Facility | 20508 56th Ave W, Lynnwood, WA 98036 | 2017-06-27 |
| 1699213439 | Patrick J. Pacyga | Dentist | 19620 Wa-99, Suite 106, Lynnwood, WA 98036 | 2017-02-01 |
| 1134676646 | Fiona Green | Occupational Therapy Assistant | 21503 8th Place W, A, Lynnwood, WA 98036 | 2016-09-01 |
| Find all providers in zip 98036 | ||||
| Taxonomy Code | 247100000X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Radiologic Technologist |
| An individual who is trained and qualified in the art and science of both ionizing and non-ionizing radiation for the purposes of diagnostic medical imaging, interventional procedures and therapeutic treatment. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356585558 | Veronica Prajedez Macias | Radiologic Technologist | 6925 216th St Sw Ste P, Lynnwood, WA 98036-7358 | 2009-05-01 |
| 1548588197 | Viola Merrell | Radiologic Technologist | 6925 216th St Sw, Suite P, Lynnwood, WA 98036-7358 | 2010-05-06 |
| 1417288465 | Christina F Sebastiano | Radiologic Technologist | 6925 216th St Sw Ste P, Lynnwood, WA 98036-7358 | 2010-01-14 |
| 1427389477 | Erik S Forsell | Radiologic Technologist | 6925 216th St Sw Ste P, Lynnwood, WA 98036-7358 | 2010-01-14 |
| 1275862971 | Todd A Hunter | Radiologic Technologist | 6925 216th St Sw Ste P, Lynnwood, WA 98036-7358 | 2009-12-09 |
| 1760614028 | Tadd A Schmidt | Radiologic Technologist | 6925 216th St Sw Ste P, Lynnwood, WA 98036-7358 | 2009-08-19 |
| 1972747178 | Michael John Beasley | Radiologic Technologist | 6925 216th St Sw Ste P, Lynnwood, WA 98036-7358 | 2009-05-01 |
| 1831333038 | Angela J Lane | Radiologic Technologist | 6925 216th St Sw Ste P, Lynnwood, WA 98036-7358 | 2009-05-01 |
| 1932343134 | Leonard Ernest Loreen | Radiologic Technologist | 6925 216th St Sw Ste P, Lynnwood, WA 98036-7358 | 2009-05-01 |
| 1295979490 | Enoch Rudolph Kuki | Radiologic Technologist | 6925 216th St Sw Ste P, Lynnwood, WA 98036-7358 | 2009-05-01 |
| Find all providers in LYNNWOOD | ||||
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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.