REBECCA OLUFADE (NPI# 1427443332) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427443332 |
| Entity Type | Individual |
| Full Name | REBECCA OLUFADE |
| Practice Address |
9600 Veterans Dr Sw Tacoma WA 98493-0001 |
| Mailing Address |
3910 N 28th St Apt 428 Tacoma WA 98407-5130 |
| Practice Telephone | 2535828440 |
| Mailing Telephone | 4048059663 |
| Enumeration Date | 2015-03-30 |
| Last Update Date | 2020-08-21 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
MD60931357 | WA | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | 263561 | MA | Student, Health Care |
| N | 2084P0015X |
Psychiatry & Neurology Specialization: Psychosomatic Medicine |
MD60931357 | WA | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 759 Chestnut Street, Baystate Medical Center, Springfield, MA 01199 | 4137940000 | |
| University of Washington, Seattle, WA 981950001 | 2065436577 |
| Street Address |
9600 VETERANS DR SW |
| City | TACOMA |
| State | WA |
| Zip Code | 98493-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063418739 | Lyndel Cubberley | Nurse Practitioner | 9600 Veterans Dr Sw, Tacoma, WA 98493-0003 | 2005-06-27 |
| 1770182453 | Karri Vierra | Social Worker | 9600 Veterans Dr Sw, Tacoma, WA 98493-0003 | 2020-10-22 |
| 1083223788 | Brianna Bryant | Social Worker | 9600 Veterans Dr Sw, Tacoma, WA 98493-0003 | 2020-07-28 |
| 1760007066 | Kristy Mildon | Social Worker | 9600 Veterans Dr Sw, Tacoma, WA 98493-0003 | 2020-06-11 |
| 1184245789 | Malcolm Reed | Occupational Therapist | 9600 Veterans Dr Sw, Tacoma, WA 98493-0003 | 2020-05-05 |
| 1396365060 | Jordan Cannon | Audiologist | 9600 Veterans Dr Sw, Tacoma, WA 98493-0003 | 2020-04-22 |
| 1831725258 | Ashley Brown | Student in an Organized Health Care Education/Training Program | 9600 Veterans Dr Sw, Tacoma, WA 98493-0003 | 2020-03-17 |
| 1942833645 | Ashley Kristine Satter | Occupational Therapist | 9600 Veterans Dr Sw, Tacoma, WA 98493-0003 | 2020-02-20 |
| 1912539081 | Shanna Jeane Rea | Recreation Therapist | 9600 Veterans Dr Sw, Tacoma, WA 98493-0003 | 2020-02-06 |
| 1104465251 | Tyler Ritsema | Specialist/Technologist | 9600 Veterans Dr Sw, Tacoma, WA 98493-0003 | 2020-01-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508389032 | Alina Pechko | Optometrist | 9600 Veterans Dr Sw Bldg 6, Tacoma, WA 98493 | 2017-07-17 |
| 1720372121 | Va Hospital American Lake | Rehabilitation Hospital | 9600 Veterans Dr., Lakewood, WA 98493 | 2011-06-02 |
| 1326290305 | Margaret Elizabeth Johnston-grysho | Social Worker | 9600 Veterans Dr Sw Bldg 148, Tacoma, WA 98493 | 2008-10-21 |
| 1811195126 | Jerry J Thomas | Psychiatry & Neurology | Va Puget Sound Health Care System, American Lake Divisi, 9600 Veterans Drive Southwest, Buidling 61, Tacoma, WA 98493 | 2007-07-08 |
| 1043372873 | Tomi Thompson Dominguez | Social Worker | 9600 Veteran's Drive Sw Bldg 61 Room 136, Puget Sound Va- American Lake Division, Tacoma, WA 98493 | 2006-12-15 |
| 1669555397 | Amor G Carethers | Registered Nurse | Va Puget Sound Anerican Lake Division, 9600 Veterans Drive, Lake Wood, WA 98493 | 2006-10-24 |
| 1295818144 | Kimha Thi Vu | Registered Nurse | 9600 Veteran Dr., Lakewood, WA 98493 | 2006-10-23 |
| 1952496226 | Cathy Ann Sorem | Registered Nurse | 9600 Veterans Drive A116-r, Bldg. 61a, Room 123, Tacoma, WA 98493 | 2006-10-04 |
| 1831285527 | Ann Christine Uppenberg-liedtke | Nurse Practitioner | Puget Sound Health Care Systems, American Lake, 9600 Veterans Drive, Tacoma, WA 98493 | 2006-10-04 |
| 1972695948 | Charlene Howard | Social Worker | 9600 Veteran Drive, Tacoma, WA 98493 | 2006-09-28 |
| Find all providers in zip 98493 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356505283 | Jennifer Ann Irwin | Psychiatry & Neurology | 618 N G St, Tacoma, WA 98403-2410 | 2008-07-10 |
| 1811195126 | Jerry J Thomas | Psychiatry & Neurology | Va Puget Sound Health Care System, American Lake Divisi, 9600 Veterans Drive Southwest, Buidling 61, Tacoma, WA 98493 | 2007-07-08 |
| 1255544359 | Jessy Awiten Ang | Psychiatry & Neurology | 2411 S 19th St, Tacoma, WA 98405-2954 | 2007-05-07 |
| 1902942089 | Fletcher Brandon Taylor | Psychiatry & Neurology | 2706 N Warner St, Tacoma, WA 98407-6259 | 2007-01-29 |
| 1518028414 | Lisa Ann Robinson | Psychiatry & Neurology | 2610 N Alder St, Tacoma, WA 98407-6221 | 2006-12-13 |
| 1518032374 | Agnes Barbara Kocsis | Psychiatry & Neurology | 2209 E.32nd Str, Tacoma, WA 98404 | 2006-11-21 |
| 1013004662 | Robert Edward Sands | Psychiatry & Neurology | 3609 So 19th St, Robert E Sands Md, Tacoma, WA 98405 | 2006-10-06 |
| 1801993894 | Rogelio Soria Zaragoza | Psychiatry & Neurology | Va Puget Sound Health Care System American Lake Divisio, 9600 Veterans Dr. Sw, Tacoma, WA 98493-0001 | 2006-09-20 |
| 1346346020 | Maya Chandran Kumar | Psychiatry & Neurology | 900 Veterans Dr, American Lake Vamc - Pshcs, Tacoma, WA 98493-0001 | 2006-09-16 |
| 1578665931 | Mary Foster | Psychiatry & Neurology | American Lake Veterans Administration, 9600 Veterans Drive, Tacoma, WA 98493 | 2006-09-05 |
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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.