MS. MELISSA ANN FUKUNAGA (NPI# 1518214824) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518214824 |
| Entity Type | Individual |
| Full Name | MS. MELISSA ANN FUKUNAGA |
| Credential | NURSE PRACTITIONER |
| Practice Address |
631 Strander Blvd Ste G Tukwila WA 98188-2963 |
| Mailing Address |
509 Sw 104th St Seattle WA 98146-1501 |
| Practice Telephone | 2067174594 |
| Mailing Telephone | 2067174595 |
| Enumeration Date | 2012-08-07 |
| Last Update Date | 2020-04-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
AP60293527 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 509 Sw 104th St, Seattle, WA 981461501 | 2067174595 |
| Street Address |
631 STRANDER BLVD STE G |
| City | TUKWILA |
| State | WA |
| Zip Code | 98188-2963 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871654954 | Kristy M Ziemke | Counselor | 631 Strander Blvd Ste G, Tukwila, WA 98188-2963 | 2006-12-13 |
| 1386241966 | Kristy Ziemke Phd, Pllc | Psychologist | 631 Strander Blvd Ste G, Tukwila, WA 98188-2963 | 2020-10-06 |
| 1679193346 | Be Well Seattle | Clinic/Center | 631 Strander Blvd Ste G, Tukwila, WA 98188-2963 | 2020-04-22 |
| 1164990404 | Quintessential Counseling & Consultation | Psychologist | 631 Strander Blvd Ste G, Tukwila, WA 98188-2963 | 2018-11-05 |
| 1689152142 | Alfred Lee White | Counselor | 631 Strander Blvd Ste G, Tukwila, WA 98188-2963 | 2018-08-06 |
| 1235558438 | Lauren Lowenthal | Counselor | 631 Strander Blvd Ste G, Tukwila, WA 98188-2963 | 2014-04-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194342774 | Yemisirach Fikru Tufa | Registered Nurse | 3039 S 154th St, Aptb304, Seatac, WA 98188 | 2020-06-30 |
| 1841756608 | Silvia Ruby Campos | Behavior Technician | 651 Stander Blvd., Suite 112, Tukwila, WA 98188 | 2019-02-18 |
| 1720562036 | Alissa Hayes | Counselor | 631 Strander Bvd. Ste A., Tukwila, WA 98188 | 2018-09-21 |
| 1457859035 | Bashayer S Albadr | Student in an Organized Health Care Education/Training Program | 6100 South Center Blvd. 3rd Floor, Tukwila, WA 98188 | 2018-01-29 |
| 1356855522 | Miguel Angel Banos | Massage Therapist | 3000 Ne 4th St., Renton, WA 98188 | 2017-11-27 |
| 1801312061 | Emma Sinclair Jennings | Counselor | 651 Strander Blvd. Suite 105, Tukwila, WA 98188 | 2017-08-19 |
| 1518417526 | Jamila Fyrouz Iraqui | Counselor | 15142 65th Ave S, Apt. 312, Tukwila, WASHINGTON 98188 | 2016-10-13 |
| 1487026076 | Catholic Community Services of Western Washington | Clinic/Center | 631 Strander Blvd Ste A, Tukwila, WA 98188 | 2015-10-22 |
| 1659773174 | Thanh Thi-hong Nguyen | Physician Assistant | 3739 S 191st Pl, Seatac, WA 98188 | 2014-09-16 |
| 1053725101 | Affinity Home Care Services Inc | In Home Supportive Care | 601 Strander Blvd, Tukwila, WA 98188 | 2014-06-17 |
| Find all providers in zip 98188 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578722344 | Rosemary Nduka | Nurse Practitioner | 6100 Southcenter Blvd Ste 200, Tukwila, WA 98188-5714 | 2008-06-05 |
| 1669581823 | Patricia Dianne Larsen | Nurse Practitioner | 6100 Southcenter Blvd., Sound Mental Health, Tukwila, WA 98188-2735 | 2006-08-30 |
| 1578179388 | Kira Knight | Nurse Practitioner | 12844 Military Rd S, Tukwila, WA 98168-3045 | 2020-09-17 |
| 1568000669 | Tirhas A Zerahaimanot | Nurse Practitioner | 12844 Military Rd S, Tukwila, WA 98168-3045 | 2019-12-19 |
| 1942707781 | Aleksandr Torchilo | Nurse Practitioner | 6400 Southcenter Blvd, Tukwila, WA 98188 | 2018-04-09 |
| 1144619099 | Gemy George | Nurse Practitioner | 12844 Military Rd S, Tukwila, WA 98168-3045 | 2015-01-15 |
| 1710303284 | Jasmyne Lyons | Nurse Practitioner | 6400 Southcenter Blvd, Tukwila, WA 98188-2547 | 2014-03-08 |
| 1053680231 | Yingxuan Law | Nurse Practitioner | 6400 Southcenter Blvd, Tukwila, WA 98188-2547 | 2011-12-18 |
| 1467690693 | Edward H Ebert | Nurse Practitioner | 15455 65th Ave S, Tukwila, WA 98188 | 2009-01-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134720139 | Youwen Hu | Nurse Practitioner | 10824 Se 170th St Unit A304, Renton, WA 98055-5950 | 2020-11-05 |
| 1831799048 | Sarah Louise Weerheim | Nurse Practitioner | 2727 Hollycroft St Ste 110v, Gig Harbor, WA 98335-1371 | 2020-10-27 |
| 1619576774 | Bethany Heath Arnp-pmhnp Pllc | Nurse Practitioner | 1224 West Riverside, Apt 408, Spokane, WA 99201 | 2020-10-20 |
| 1437761988 | Hollye Hahn | Nurse Practitioner | 1012 Nw Longview Dr, Oak Harbor, WA 98277-8947 | 2020-08-17 |
| 1386254290 | Candie M. Wellwood | Nurse Practitioner | 9908 S Sherman Rd, Spokane, WA 99224-9811 | 2020-08-05 |
| 1104434679 | Progressive Psychiatric Consultant | Nurse Practitioner | 170 S Lincoln St # 150, Spokane, WA 99201-4443 | 2020-07-21 |
| 1235747213 | Peaceful Coexistence, LLC | Nurse Practitioner | 4730 University Way Ne Ste 104, Seattle, WA 98105-4424 | 2020-07-16 |
| 1134747066 | New Dawn Psychotherapy Pllc | Nurse Practitioner | 2223 Benson Rd S Apt D102, Renton, WA 98055-8837 | 2020-07-07 |
| 1376160861 | Clarity Behavioral Health | Nurse Practitioner | 7704 193rd Pl Sw, Edmonds, WA 98026-6234 | 2020-06-30 |
| 1174140677 | Rachael Davison | Nurse Practitioner | 22525 Se 64th Pl Ste 228, Issaquah, WA 98027-5383 | 2020-06-30 |
| Find all providers with the same taxonomy | ||||
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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.