DANIELLE BROXHOLM (NPI# 1518363357) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518363357 |
| Entity Type | Individual |
| Full Name | DANIELLE BROXHOLM |
| Practice Address |
2708 Grandview Dr W University Place WA 98466-2619 |
| Mailing Address |
119 Glennwood Ave Se Renton WA 98056-8885 |
| Practice Telephone | 2535665620 |
| Practice Fax Number | 2535665704 |
| Mailing Telephone | 2535665620 |
| Mailing Fax Number | 2535665704 |
| Enumeration Date | 2014-11-06 |
| Last Update Date | 2014-11-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2355S0801X |
Specialist/Technologist Specialization: Speech-Language Assistant |
SP60511061 | WA | Speech, Language and Hearing Service Providers |
| Street Address |
2708 GRANDVIEW DR W |
| City | UNIVERSITY PLACE |
| State | WA |
| Zip Code | 98466-2619 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841542172 | Lavonna Miesse | Community Health Worker | 2708 Grandview Dr W, University Place, WA 98466-2619 | 2012-10-10 |
| 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 | 2355S0801X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Speech-Language Assistant |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265804710 | Jordan Ann Monasmth | Specialist/Technologist | 3717 Grandview Dr W, University Place, WA 98466-2138 | 2015-10-23 |
| 1528499100 | Marcie Allen | Specialist/Technologist | 3717 Grandview Dr W, University Place, WA 98466-2138 | 2013-12-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437765567 | Holly Jo Dorning | Specialist/Technologist | 9215 29th St Ne, Lake Stevens, WA 98258-4200 | 2020-09-23 |
| 1669087706 | Melissa Dawn Taylor | Specialist/Technologist | 209 Lynch Creek Rd. E., Eatonville, WA 98328 | 2020-09-15 |
| 1659919041 | Kayla Lewis | Specialist/Technologist | 1011 S 4th Ave # B, Walla Walla, WA 99362-4026 | 2019-12-16 |
| 1497304554 | Bridget Thompson | Specialist/Technologist | 316 Washington Ave N, Orting, WA 98360-8404 | 2019-09-10 |
| 1770131633 | Patricia Garcia | Specialist/Technologist | 1979 N Devon Ave, East Wenatchee, WA 98802-5911 | 2019-09-03 |
| 1043779432 | Katharine Maria Levin | Specialist/Technologist | 4420 Ne St Johns Rd, Vancouver, WA 98661-2561 | 2019-03-15 |
| 1821568601 | Christen Ann Harlow | Specialist/Technologist | 250 E Campus Dr, Belfair, WA 98528 | 2018-12-05 |
| 1841765567 | Jami Danielle Rover | Specialist/Technologist | 702 N Granite Ave, Granite Falls, WA 98252-8774 | 2018-10-09 |
| 1083128920 | Leah Rachelle Norrbom | Specialist/Technologist | 2696 State Route 903, Cle Elum, WA 98922-8704 | 2017-11-30 |
| 1710404447 | Lynn Maurer | Specialist/Technologist | Po Box 225, Reardan, WA 99029-0225 | 2017-08-24 |
| Find all providers with the same taxonomy | ||||
| City | UNIVERSITY PLACE |
| Zip Code | 98466 |
Please comment or provide details below to improve the information on DANIELLE BROXHOLM.
| 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.