BRADEN JEFFRY ADAMS-LEWANDOWSKI (NPI# 1457994659) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1457994659 |
Entity Type | Individual |
Full Name | BRADEN JEFFRY ADAMS-LEWANDOWSKI |
Practice Address |
7610 40th St W Ste 300 University Place WA 98466-3834 |
Practice Telephone | 2538306242 |
Mailing Telephone | 2538306242 |
Enumeration Date | 2019-10-21 |
Last Update Date | 2019-10-21 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 175T00000X | Peer Specialist | Other Service Providers |
Street Address |
7610 40TH ST W STE 300 |
City | UNIVERSITY PLACE |
State | WA |
Zip Code | 98466-3834 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376669671 | Michelle Marie Crowell | Counselor | 7610 40th St W Ste 300, University Place, WA 98466-3834 | 2007-03-21 |
1598364432 | Heather Rae Penny | Counselor | 7610 40th St W Ste 300, University Place, WA 98466-3834 | 2020-10-21 |
1023634714 | Bridgette Noll | Counselor | 7610 40th St W Ste 300, University Place, WA 98466-3834 | 2020-06-18 |
1124664495 | Danielle Konicek | Peer Specialist | 7610 40th St W Ste 300, University Place, WA 98466-3834 | 2019-11-21 |
1922644202 | James Monh | Peer Specialist | 7610 40th St W Ste 300, University Place, WA 98466-3834 | 2019-11-21 |
1376186577 | Lancy Canley | Peer Specialist | 7610 40th St W Ste 300, University Place, WA 98466-3834 | 2019-10-21 |
1992346654 | Alexis Cole | Counselor | 7610 40th St W Ste 300, University Place, WA 98466-3834 | 2019-10-03 |
1801437561 | Donna Lou Anderson | Counselor | 7610 40th St W Ste 300, University Place, WA 98466-3834 | 2019-10-03 |
1730720491 | Ryne Gregory Zuzinec | Counselor | 7610 40th St W Ste 300, University Place, WA 98466-3834 | 2019-10-03 |
1699325944 | Sheba Summers | Counselor | 7610 40th St W Ste 300, University Place, WA 98466-3834 | 2019-09-18 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306499215 | Julie Mccartney | Counselor | 7610 40th St W Ste 20, University Place, WA 98466 | 2019-07-19 |
1033682752 | Jms Corporate Services Group | In Home Supportive Care | 2621 70th Avenue West, Suite C, University Place, WA 98466 | 2019-01-04 |
1992270243 | Kathleen Marie Kulman | Massage Therapist | 4113 Bridgeport Avenue, Suite B, Tacoma, WA 98466 | 2018-10-12 |
1518441674 | Michala Lin Dymond-shaw | Speech-Language Pathologist | 3725 Grandview Dr W, University Place, WA 98466 | 2018-09-24 |
1770001133 | Micky Patrick Cates | Physician Assistant | 1924 70th Ave West, Apt E5, University Place, WA 98466 | 2017-09-06 |
1386160984 | Stephanie Herrala | Dentist | Okubo Dental Clinic 11582 C St, Jblm, WA 98466 | 2017-08-16 |
1033581640 | Jay Hyuck Sung | Dentist | 3670 Bridgeport Way W, Unit B, University Place, WA 98466 | 2015-10-22 |
1174951867 | Adrienne Holliday | Occupational Therapy Assistant | 3717 Grandview Drive W, University Place, WA 98466 | 2013-10-16 |
1598106650 | Maricris Pang Espino | Registered Nurse | 1541 Cottonwood Avenue, Fircrest, WA 98466 | 2013-07-17 |
1417393653 | Nurhan Karakas | Counselor | 9330 59th Ave Sw, Lakewood, WA 98466 | 2013-05-15 |
Find all providers in zip 98466 |
Taxonomy Code | 175T00000X |
Grouping | Other Service Providers |
Classification | Peer Specialist |
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] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1700307410 | Jessica Alejandra Gudino | Peer Specialist | 7710 40th St W Ste 300, University Place, WA 98466-3112 | 2017-07-03 |
1104450915 | Zoya Bustamante | Peer Specialist | 7610 40th St W Ste 200, University Place, WA 98466-3838 | 2020-03-02 |
1184258394 | Katie Eromae | Peer Specialist | 7610 40th St W Ste 200, University Place, WA 98466-3838 | 2020-02-26 |
1124664495 | Danielle Konicek | Peer Specialist | 7610 40th St W Ste 300, University Place, WA 98466-3834 | 2019-11-21 |
1922644202 | James Monh | Peer Specialist | 7610 40th St W Ste 300, University Place, WA 98466-3834 | 2019-11-21 |
1376186577 | Lancy Canley | Peer Specialist | 7610 40th St W Ste 300, University Place, WA 98466-3834 | 2019-10-21 |
1326697095 | Justi Pfutzenreuter | Peer Specialist | 7610 40th St W Ste 300, University Place, WA 98466-3834 | 2019-09-05 |
1124673686 | Destiny Jane Marie Baer | Peer Specialist | 7610 40th St W Ste 300, University Place, WA 98466-3834 | 2019-08-01 |
1306499330 | Carrie Scholastica Fraga | Peer Specialist | 7610 40th St W Ste 300, University Place, WA 98466-3834 | 2019-07-18 |
1811549678 | Victoria Kay Laroche | Peer Specialist | 7610 40th St W Ste 300, University Place, WA 98466-3834 | 2019-07-11 |
Find all providers in UNIVERSITY PLACE |
City | UNIVERSITY PLACE |
Zip Code | 98466 |
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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.