MYRIAM S CABALLERO


Address: 1330 Rockefeller Ave, Suite 400, Everett, WA 98201-1684
Phone: 4252614950

MYRIAM S CABALLERO (NPI# 1477688471) 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) 1477688471
Entity Type Individual
Full Name MYRIAM S CABALLERO
Credential P.A.
Practice Address 1330 Rockefeller Ave
Suite 400
Everett
WA 98201-1684
Mailing Address Po Box 3360
Portland
OR 97208-3360
Practice Telephone 4252614950
Mailing Telephone 8663662983
Enumeration Date 2007-02-22
Last Update Date 2014-02-12
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AS0400X Physician Assistant
Specialization: Surgical Technologist
PA10004602 WA Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
WA 8395584 05

Office Location

Street Address 1330 ROCKEFELLER AVE
SUITE 400
City EVERETT
State WA
Zip Code 98201-1684

Providers in the same location

NPI Name Taxonomy Address Enumeration
1366435943 John F Matista Physician Assistant 1330 Rockefeller Ave, Suite 225, Everett, WA 98201-1684 2005-08-29
1326598715 Providence Regional Medical Center Clinic/Center 1330 Rockefeller Ave, Suite 150 Medical Offfic Building, Everett, WA 98201-1684 2016-10-10
1861940504 Lindsay Cook Mertz Physician Assistant 1330 Rockefeller Ave, Suite 310, Everett, WA 98201-1684 2016-09-12
1437524352 John Gavareski Physician Assistant 1330 Rockefeller Ave, Everett, WA 98201-1684 2015-12-03
1700261120 Anna Chan Pharmacist 1330 Rockefeller Ave, Suite 150, Everett, WA 98201-1684 2015-07-27
1588051494 Luis Fernando Alberton Surgery 1330 Rockefeller Ave, Ste 400, Everett, WA 98201-1684 2015-04-17
1205222551 Patrick Willauer Surgery 1330 Rockefeller Ave, Everett, WA 98201-1684 2015-04-14
1538554761 Patrick M Haugstad Pharmacist 1330 Rockefeller Ave, Suite 150, Everett, WA 98201-1684 2015-04-03
1770972481 Lisa Mccabe Nurse Practitioner 1330 Rockefeller Ave, Suite 310, Everett, WA 98201-1684 2015-01-19
1851798714 Emily Rockwell Williamson Pharmacist 1330 Rockefeller Ave, Suite 150, Everett, WA 98201 2014-11-20
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1306471867 Shannon Michelle Dewald Registered Nurse D8s 1700 13th St, Everett, WA 98201 2020-03-05
1578123113 Precious Medicial Spa, LLC Registered Nurse 1728 W. Marine View Dr Suite 212, Everett, WA 98201 2019-06-17
1508429796 Alix Deschain Counselor 2801 Broadway, Everett, WA 98201 2019-04-15
1811457534 Khushboo Patel Pharmacist 1330 Rockefeller Ave Ste 150, Everett, WA 98201 2019-03-20
1164991188 Grace Talbot Davis Registered Nurse 2601 Summit Avenue, Bldg. C, Everett, WA 98201 2018-11-20
1063924603 Tracy Sisk Counselor 3120 Colby Ave, 502, Everett, WA 98201 2017-11-03
1710403126 Michelle Durham Counselor 3322 Boadway Fl 2, Everett, WA 98201 2017-08-17
1861927949 Melanie Schmidt Counselor 2610 Westmore Ave, Everett, WA 98201 2017-04-26
1518413327 Joseph Madson Dmd Pllc Clinic/Center 3802 Colby Ave, 4th Floor, Everett, WA 98201 2016-08-31
1043683162 Jennifer Adams Counselor 1511 26th St, Everett, WA 98201 2015-11-11
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Taxonomy Information

Taxonomy Code 363AS0400X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Surgical Technologist

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1295822740 Gregory Douglas Stewart Sr. Physician Assistant 2424 122nd St Sw, B, Everett, WA 98204-4744 2006-10-06
1003881020 James Potocsnak Physician Assistant 2320 Rucker Ave, Everett, WA 98201 2006-02-22
1710979521 Eric M Tilley Physician Assistant 728 134th St Sw Ste 120, Radia Inc., Ps, Everett, WA 98204-5322 2005-08-17
1003271339 Christine Reichert Physician Assistant 1330 Rockefeller Ave Ste 400, Everett, WA 98201-1676 2015-12-31
1396132015 Alvin Abueg Physician Assistant 3927 Rucker Ave, Everett, WA 98201-4833 2015-04-21
1598167074 Jon Pennington Physician Assistant 3726 Broadway, Suite 201, Everett, WA 98201-3787 2014-09-16
1528496858 James Albert Marsh Physician Assistant 3927 Rucker Ave, Everett, WA 98201-4833 2013-10-23
1558609578 Julie Lorraine Patterson Physician Assistant 3726 Broadway Ste 201, Everett, WA 98201-3788 2013-01-25
1871809517 Amanda Farrell Physician Assistant 103 Garland St, Everett, MA 02149 2010-08-19
1528370723 Western Washington Medical Group, Inc Physician Assistant 3726 Broadway Ste 201, Everett, WA 98201-3788 2010-07-06
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Competitor

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City EVERETT
Zip Code 98201

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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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