STACY PEDEGANA


Address: 1300 44th St Se, Everett, WA 98203-2200
Phone: 4253392559

STACY PEDEGANA (NPI# 1477897783) 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) 1477897783
Entity Type Individual
Full Name STACY PEDEGANA
Practice Address 1300 44th St Se
Everett
WA 98203-2200
Practice Telephone 4253392559
Mailing Telephone 4253392559
Enumeration Date 2012-11-27
Last Update Date 2012-11-27
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 225000000X Orthotic Fitter Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Office Location

Street Address 1300 44TH ST SE
City EVERETT
State WA
Zip Code 98203-2200

Providers in the same location

NPI Name Taxonomy Address Enumeration
1417995895 Cornerstone Prosthetics and Orthotics Inc Prosthetic/Orthotic Supplier 1300 44th St Se, Everett, WA 98203-2200 2006-06-04
1689224958 Shawna Jone-kai Ziemer Orthotist 1300 44th St Se, Everett, WA 98203-2200 2019-09-18
1033612791 Tuan-tu Duong Orthotist 1300 44th St Se, Everett, WA 98203-2200 2018-03-08
1679817985 Ryan Allen Orthotic Fitter 1300 44th St Se, Everett, WA 98203-2200 2012-11-27
1245574565 Michael Smith Orthotist 1300 44th St Se, Everett, WA 98203-2200 2012-11-27
1932426897 Christine Goehle Orthotist 1300 44th St Se, Everett, WA 98203-2200 2010-04-30
1851618706 Eric Goehle Prosthetist 1300 44th St Se, Everett, WA 98203-2200 2010-04-30
1831416791 David John Hughes Orthotist 1300 44th St Se, Everett, WA 98203-2200 2010-04-30
1992022966 Kristin Bennett Orthotist 1300 44th St Se, Everett, WA 98203-2200 2010-04-29

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1083226039 Lisa Mcgregor Counselor Sea Mar Community Health Centers, 5007 Claremont Way, Everett, WA 98203 2020-08-20
1417572009 Megan Ostermick-durkee Student in an Organized Health Care Education/Training Program Sunrise Services Inc., 811 Madison Street, Everett, WA 98203 2020-06-10
1134741424 Tara Lin Garcia Peer Specialist 4256 Federal Avenue, Everett, WA 98203 2020-05-11
1225505241 Reverie Aurora Shunny Counselor Sunrise Service Inc., 811 Madison Street, Everett, WA 98203 2018-10-29
1205313483 Kristina Renee Bylenga Counselor Compass Health 4526 Federal Avenue M/s # 11, Everett, WA 98203 2018-07-20
1306384300 Shantijoy Inc Naturopath 5208 S 2nd Ave, Everett, WA 98203 2017-02-09
1922545276 Ekaterina Malinovska Dds Pllc Dentist 5920 Evergreen Way Suite E, Everett, WA 98203 2017-01-25
1326404104 Job Oichoe Counselor 4625 Federal Ave, Everett, WA 98203 2016-01-08
1427423292 Ross Lee Voorhees Counselor 4423 S 3rd Ave, Everett, WA 98203 2015-12-04
1447642376 Adam Schneider Counselor 4526 Federal Ave # 40, Everett, WA 98203 2015-03-02
Find all providers in zip 98203

Taxonomy Information

Taxonomy Code 225000000X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Orthotic Fitter

Taxonomy Definition

An individual trained in the management of fitting prefabricated orthoses.
Notes: Source: National Uniform Claim Committee [1/1/2011: title modified, definition modfied] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1679817985 Ryan Allen Orthotic Fitter 1300 44th St Se, Everett, WA 98203-2200 2012-11-27

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1275040081 Cameron Eric Rich Orthotic Fitter 530 Lilly Rd Se Ste 100, Olympia, WA 98501-2105 2018-01-02
1356667703 Sandy Lee Warner Orthotic Fitter 2417 W Kennewick Ave, Suite A, Kennewick, WA 99336-3128 2010-04-09
1114168135 Kelly Wilkerson Orthotic Fitter 1360 N Louisiana St Ste D, Kennewick, WA 99336-7171 2009-03-20
1316165483 Beverly Jo Meissner Orthotic Fitter 330 Auburn Way N, Auburn, WA 98002-5007 2007-04-23
1306877592 Robert John Cook Orthotic Fitter 16500 Se 15th St, Ste 100, Vancouver, WA 98683-9666 2006-07-05
1730423054 Rosie Garcia Orthotic Fitter 1520 Roosevelt Ave, Mount Vernon, WA 98273-2685 2012-11-27
1235482704 Christopher Davis Orthotic Fitter 600 Broadway Ste 190, Seattle, WA 98122-5371 2012-10-22
1427376573 Brian Osborne Orthotic Fitter 4800 Sand Point Way Ne, M/s W4657, Seattle, WA 98105-3901 2010-05-13
1740412808 Joseph Frederick Eads Orthotic Fitter 723 Martin Luther King Jr Way, Tacoma, WA 98405-4139 2009-08-21
1497983597 Linda D Corbell Orthotic Fitter 600 Broadway Ste 190, Seattle, WA 98122-5371 2009-06-26
Find all providers with the same taxonomy

Competitor

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City EVERETT
Zip Code 98203

Improve Information

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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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