RICHARD DEREK ALLEN (NPI# 1508856410) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508856410 |
| Entity Type | Individual |
| Full Name | RICHARD DEREK ALLEN |
| Credential | PA-C |
| Practice Address |
1201 S Miller St Wenatchee WA 98801-3201 |
| Mailing Address |
820 N Chelan Ave Wenatchee WA 98801-2028 |
| Practice Telephone | 5096656130 |
| Practice Fax Number | 5096656052 |
| Mailing Telephone | 5096638711 |
| Enumeration Date | 2005-10-24 |
| Last Update Date | 2015-07-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
PA10004806 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | WVH LNI | 289199 | 01 |
| WA | 1508856410 | 05 | |
| WA | RR MEDICARE WVH | P01381482 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346804986 | Richard Allen | Driver | 38025 N Academy Dr, Lake Villa, IL 60046-9731 | 2019-04-29 |
| 1720454382 | Richard Marc Allen | Nurse Practitioner | 1 Childrens Way # K2213h-1, Little Rock, AR 72202 | 2015-08-18 |
| 1063557957 | Richard Earl Allen | Dentist | 406 Longmire Road, Conroe, TX 77304-2048 | 2007-02-20 |
| 1205983715 | Richard L Allen | Chiropractor | 227 Taylors Mills Rd, Manalapan, NJ 07726-3229 | 2007-01-05 |
| 1982791281 | Richard Lee Allen | Optometrist | 204 S Lafayette St, Jerseyville, IL 62052-1657 | 2006-10-06 |
| 1033188768 | Richard Paul Allen | Physician Assistant | Dem, Madigan Army Medical Center, Ft. Lewis, WA 98433 | 2006-03-15 |
| 1427035047 | Richard Charles Allen | Chiropractor | 11576 S State St Ste 1101, Draper, UT 84020-7105 | 2005-12-23 |
| 1831174226 | Richard E Allen | Family Medicine | 1250 East 3900 South, Suite 260, Salt Lake City, UT 84124-1371 | 2005-12-08 |
| 1093717787 | Richard Michael Allen | Podiatrist | 1630 23rd Ave, Suite 1001, Lewiston, ID 83501-6350 | 2005-08-11 |
| 1497356067 | Richard Allen | Behavior Technician | 6197 Lehman Dr, Suite 102, Colorado Springs, CO 80918-3437 | 2020-11-02 |
| Street Address |
1201 S MILLER ST |
| City | WENATCHEE |
| State | WA |
| Zip Code | 98801-3201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417953530 | Craig A Pedersen | Pharmacist | 1201 S Miller St, Wenatchee, WA 98801-3201 | 2005-06-23 |
| 1861090144 | Wenatchee Emergency Physicians | Emergency Medicine | 1201 S Miller St, Wenatchee, WA 98801-3201 | 2020-10-09 |
| 1922611466 | Shelbi Brough | Pharmacist | 1201 S Miller St, Wenatchee, WA 98801-3201 | 2020-08-25 |
| 1447862842 | Melonie Lam | Pharmacist | 1201 S Miller St, Wenatchee, WA 98801-3201 | 2020-08-18 |
| 1801408281 | Caprisse R Honsbruch | Pharmacist | 1201 S Miller St, Wenatchee, WA 98801-3201 | 2020-08-18 |
| 1225655376 | Lynda N Moncrief | Occupational Therapist | 1201 S Miller St, Wenatchee, WA 98801-3201 | 2020-07-06 |
| 1700403755 | Leah Fisher | Occupational Therapist | 1201 S Miller St, Wenatchee, WA 98801-3201 | 2020-06-25 |
| 1972128361 | Monica Castillo | Registered Nurse | 1201 S Miller St, Wenatchee, WA 98801-3201 | 2020-06-11 |
| 1578184818 | Rachel Vora | Physical Therapist | 1201 S Miller St, Wenatchee, WA 98801-3201 | 2020-04-28 |
| 1073134300 | Erica Batjer | Speech-Language Pathologist | 1201 S Miller St, Wenatchee, WA 98801-3201 | 2020-04-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033728365 | Jeannie Jones | Massage Therapist | 15 2nd St, Hallway 15, Wenatchee, WA 98801 | 2020-07-22 |
| 1184246688 | Mireya Ann Bahena | Case Manager/Care Coordinator | Catholic Charities of The Diocese of 145 S. Worthen St., Wenatchee, WA 98801 | 2020-05-07 |
| 1871067843 | Bfg Wenatchee Propco Iv, LLC | Assisted Living Facility | 817 Red Apple Rd, Wenatchee, WA 98801 | 2019-01-14 |
| 1982177283 | Michael Lee Miller | Behavioral Analyst | 264 N. Mission, Wenatchee, WA 98801 | 2019-01-09 |
| 1972073526 | Daniel Jentges | Family Medicine | 413 N Mission St., Wenatchee, WA 98801 | 2018-11-27 |
| 1972010437 | Daniel Nickel | Occupational Therapy Assistant | 217 Wetherald St, Wenatchee, WA 98801 | 2018-01-05 |
| 1962916379 | The Professional Denture Center | Denturist | 533 South Mission St, Wenatchee, WA 98801 | 2017-11-21 |
| 1467978155 | Matthew Jerauld Laws | Massage Therapist | 416 Ninth Street, Wenatchee, WA 98801 | 2017-08-15 |
| 1073051363 | Kimberley Rae Chambers | Massage Therapist | 25 N Wenatchee Ave Suite 104, Wenatchee, WA 98801 | 2017-02-07 |
| 1841746187 | Valentina Alvarez | Counselor | 145 S Worthern, Wenatchee, WA 98801 | 2016-08-28 |
| Find all providers in zip 98801 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558843201 | Stefanie Eller | Physician Assistant | 532 Cedar Wood Ln, Wenatchee, WA 98801-2476 | 2018-08-29 |
| 1861047425 | Amanda Roy | Physician Assistant | 1201 S Miller St, Wenatchee, WA 98801-3201 | 2019-08-09 |
| 1710368253 | Jordan Knox | Physician Assistant | 820 N Chelan Ave, Wenatchee, WA 98801-2028 | 2015-06-10 |
| 1245622059 | Steven Samuel Tilka | Physician Assistant | 820 N Chelan Ave, Wenatchee, WA 98801-2028 | 2015-03-03 |
| 1750681839 | Joshua John Phillips | Physician Assistant | 820 N Chelan Ave, Wenatchee, WA 98801-2028 | 2010-10-23 |
| 1942344189 | Corinne Viebrock Biggar | Physician Assistant | 1201 S Miller St, Wenatchee, WA 98801-3201 | 2007-02-19 |
| 1811077332 | James M. Bolanos | Physician Assistant | 520 N Chelan Ave, Wenatchee, WA 98801-6697 | 2006-10-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780153536 | Patricia Dorian | Physician Assistant | 2950 Squalicum Pkwy Ste B, Bellingham, WA 98225-1857 | 2018-11-21 |
| 1851875561 | Sarah Gene Soloff | Physician Assistant | 9730 3rd Ave Ne Ste 201, Seattle, WA 98115-2023 | 2018-09-18 |
| 1104308394 | Johnny Thanh Nguyen | Physician Assistant | 1135 116th Ave Ne Ste 605, Bellevue, WA 98004-4697 | 2018-09-04 |
| 1861987992 | Lillian Baldwin Bourret | Physician Assistant | 6317 Linden Ave N, Seattle, WA 98103-5658 | 2018-07-01 |
| 1417446758 | Janelle Elizabeth Becker | Physician Assistant | 11511 Canterwood Blvd Nw Ste 205, Gig Harbor, WA 98332 | 2018-05-02 |
| 1982058418 | Ray Johnson | Physician Assistant | 4446 88th Ave Se, Mercer Island, WA 98040 | 2016-04-21 |
| 1073990651 | Laura Skanse | Physician Assistant | 12303 Ne 130th Ln #500, Kirkland, WA 98034 | 2015-05-02 |
| 1104231893 | Amber Elaine Deck | Physician Assistant | 20307 67th Ave E, Spanaway, WA 98387-5600 | 2014-06-22 |
| 1043535024 | Pamela Baird | Physician Assistant | 2016 16th Ave East, Seattle, WA 98112-5260 | 2010-04-01 |
| 1477875011 | Puget Sound Surgical Assistants LLC | Physician Assistant | 14712 134th Ct Ne, Woodinville, WA 98072-4615 | 2010-02-24 |
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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.