DR. ANUSHA REDDY ETIKALA (NPI# 1518511369) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518511369 |
| Entity Type | Individual |
| Full Name | DR. ANUSHA REDDY ETIKALA |
| Other Name | DR. ANUSHA REDDY ETIKYALA |
| Credential | BDS, MS |
| Practice Address |
2611 Ne 125th St Seattle WA 98125-4373 |
| Practice Telephone | 2063655880 |
| Practice Fax Number | 2063656412 |
| Mailing Telephone | 2063655880 |
| Mailing Fax Number | 2063656412 |
| Enumeration Date | 2019-07-30 |
| Last Update Date | 2019-10-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0300X |
Dentist Specialization: Periodontics |
60887185 | WA | Dental Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 18910 28th Ave W Ste 202, Lynnwood, WA 980364701 | 4257755557 |
| Street Address |
2611 NE 125TH ST |
| City | SEATTLE |
| State | WA |
| Zip Code | 98125-4373 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295719698 | Kathryn Mabel Hahn | Physical Therapist | 2611 Ne 125th St, Tai Northlake Physical Therapy Ste 140, Seattle, WA 98125-4357 | 2005-11-30 |
| 1073090858 | Consejo Counseling and Referral Service - Lake City | Community/Behavioral Health | 2611 Ne 125th St, Suite 145, Seattle, WA 98125-4373 | 2018-07-24 |
| 1881141216 | Ally Lund | Physical Therapist | 2611 Ne 125th St, Suite 140, Seattle, WA 98125-4373 | 2016-09-01 |
| 1144684051 | Lily Jei-ho Chang | Non-Pharmacy Dispensing Site | 2611 Ne 125th St, Suite 115, Seattle, WA 98125-4373 | 2016-04-06 |
| 1134585458 | Becky Brooker | Physical Therapist | 2611 Ne 125th St, Suite 140, Seattle, WA 98125-4373 | 2016-01-04 |
| 1780058099 | Vlinder Communication Therapies, Pllc | Speech-Language Pathologist | 2611 Ne 125th St, Suite 103, Seattle, WA 98125-4373 | 2015-11-24 |
| 1669848669 | Karin Kittay | Massage Therapist | 2611 Ne 125th St, Suite 240, Seattle, WA 98125-4373 | 2015-08-13 |
| 1013326339 | Devin Langaker | Physical Therapist | 2611 Ne 125th St, Suite 140, Seattle, WA 98125-4373 | 2014-08-12 |
| 1114352259 | Sarah Marie Walker | Physical Therapist | 2611 Ne 125th St, Suite 140, Seattle, WA 98125-4373 | 2013-09-09 |
| 1124370242 | Tonia 'heather' Carlson | Counselor | 2611 Ne 125th St, Suite 203, Seattle, WA 98125-4373 | 2012-10-12 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235771494 | Erin Renee Blood | Behavior Technician | 14301 30th Ave Ne, Seattle, WA 98125 | 2019-10-09 |
| 1023587912 | Ami Tsuchiya | Physical Therapist | 2611 Ne 125th St, Suite 90, Seattle, WA 98125 | 2018-11-20 |
| 1730603556 | Lauren Morgan | Counselor | 10125 Lake City Way Ne, Seattle, WA 98125 | 2017-08-02 |
| 1427572353 | Beverly Ann Williamson | Counselor | Community Psychiatric Clinic, 11000 Lake City Way, Ne, Seattle, WA 98125 | 2017-08-02 |
| 1902320229 | Lillian Marilynanne Olin | Nurse's Aide | 12728 28th Ave Ne Apt 510, Seattle, WA 98125 | 2017-07-28 |
| 1760913743 | Ariel Alon | Counselor | 13325 31st Ave Ne, Seattle, WA 98125 | 2017-03-22 |
| 1154872380 | Jean Hung | Naturopath | 12317 15th Ave Ne Suite #103, Seattle, WA 98125 | 2016-10-24 |
| 1063806438 | Hope Health Senior Care | Clinic/Center | 507ne Northgate Way, Suite #441, Seattle, WA 98125 | 2015-03-24 |
| 1073938585 | Lily Jei-ho Chang | Acupuncturist | 12710 102nd Ave Ne, Kirkland, WA 98125 | 2014-02-20 |
| 1033548177 | George Ray Coleman | Naturopath | 12520 26th Ave Ne, Unit B, Seattle, WA 98125 | 2013-11-08 |
| Find all providers in zip 98125 | ||||
| Taxonomy Code | 1223P0300X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Periodontics |
| That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225653397 | Rika Takada | Dentist | B403 Health Sciences Building, Seattle, WA 98195-0001 | 2020-06-14 |
| 1467074757 | Amit Srikant Gharpure | Dentist | 1959 Ne Pacific Street Health Science Center Room B-403, Seattle, WA 98195-0001 | 2020-05-10 |
| 1164890026 | Shih-chung Liao | Dentist | 720 Olive Way Ste 810, Seattle, WA 98101-1836 | 2015-09-09 |
| 1093147068 | Etheridge Family Dentistry | Dentist | 3130 E Madison St Ste 103, Seattle, WA 98112-4221 | 2013-08-01 |
| 1790036903 | Neal Christopher Raval | Dentist | 2801 1st Avenue, #509, Seattle, WA 98121 | 2012-09-27 |
| 1083971238 | Yung-ting Hsu | Dentist | 1959 Ne Pacific St # D-554, Seattle, WA 98195-7444 | 2012-04-12 |
| 1760760847 | Martin J. Campbell | Dentist | 2046 Westlake Ave N Ste 204, Seattle, WA 98109-2753 | 2011-07-24 |
| 1962739102 | David Au-yeung, Dmd., Pllc | Dentist | 2033 2nd Ave, #906, Seattle, WA 98121-2242 | 2009-11-09 |
| 1760465306 | Thomas Patrick Sweeney | Dentist | 701 5th Ave Ste 4660, Seattle, WA 98104-7057 | 2005-11-29 |
| 1326044058 | Er-jia Mao | Dentist | 2111 N Northgate Way, Ste 215, Seattle, WA 98133-9018 | 2005-06-27 |
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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.