COLLINS KENNETH FREITAS (NPI# 1538566161) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538566161 |
| Entity Type | Individual |
| Full Name | COLLINS KENNETH FREITAS |
| Credential | C.PED. |
| Practice Address |
3508 12th Ave Ne Olympia WA 98506-5218 |
| Practice Telephone | 3604591099 |
| Practice Fax Number | 3604591794 |
| Mailing Telephone | 3604591099 |
| Mailing Fax Number | 3604591794 |
| Enumeration Date | 2014-11-25 |
| Last Update Date | 2014-11-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 224L00000X | Pedorthist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
3508 12TH AVE NE |
| City | OLYMPIA |
| State | WA |
| Zip Code | 98506-5218 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518031483 | Hanger Prosthetics & Orthotics West Inc | Durable Medical Equipment & Medical Supplies | 3508 12th Ave Ne, Olympia, WA 98506-5218 | 2006-11-20 |
| 1376167247 | Terese Jenks | Orthotist | 3508 12th Ave Ne, Olympia, WA 98506-5218 | 2020-06-05 |
| 1588287973 | Cerise R Knakal | Orthotist | 3508 12th Ave Ne, Olympia, WA 98506-5218 | 2020-05-20 |
| 1932624004 | Riley Brydan Liddell | Orthotist | 3508 12th Ave Ne, Olympia, WA 98506-5218 | 2017-08-09 |
| 1578927646 | Brian Arotca | Orthotist | 3508 12th Ave Ne, Olympia, WA 98506-5218 | 2016-04-05 |
| 1003241563 | Russell Miller | Prosthetist | 3508 12th Ave Ne, Olympia, WA 98506-5218 | 2013-09-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477185460 | Chloe Harper | Technician, Other | 3443 Lilly Rd Se, Ste B, Olympia, WA 98506 | 2020-02-07 |
| 1912543539 | Jessica Marie Radakovich | Licensed Practical Nurse | 3426 Mary Elder Rd, Olympia, WA 98506 | 2019-11-19 |
| 1669014973 | Arlene Josephine Adams | Registered Nurse | 413 Lily Rd Ne, Olympia, WA 98506 | 2019-10-09 |
| 1861999120 | Debra Delores Barker | Licensed Practical Nurse | 3710 South Bay Rd Ne, Olympia, WA 98506 | 2018-04-12 |
| 1801304431 | Michelle Warner | Nurse Practitioner | 205 Lilly Rd Ne Ste A1, Olympia, WA 98506 | 2018-01-17 |
| 1396258364 | Institute for Family Development | Community/Behavioral Health | 204 Quince St. Ne, Suite 200, Olympia, WA 98506 | 2017-11-13 |
| 1083137715 | Cameron Kunkel | Specialist/Technologist | 2512 20th Ave Ne, Olympia, WA 98506 | 2017-07-25 |
| 1184144768 | Trevor Shane Kwan | Family Medicine | 525 Lilly Road Ne, Olympia, WA 98506 | 2017-06-23 |
| 1073043212 | Michael H Harburg | Behavior Technician | 3857 Martin Way Ne, Olympia, WA 98506 | 2017-06-19 |
| 1780114371 | Priscilla Kangyang Jadu | Counselor | 3857 Martin Way E., Olympia, WA 98506 | 2017-06-15 |
| Find all providers in zip 98506 | ||||
| Taxonomy Code | 224L00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Pedorthist |
| An individual who is trained in the management and treatment of conditions of the foot, ankle, and lower extremities requiring fitting, fabricating, and adjusting of pedorthic devices. |
| Notes: Source: National Uniform Claim Committee [7/1/2010: new] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407120611 | Joyce Hess | Pedorthist | 208 Lilly Rd Ne, Suite A, Olympia, WA 98506-6100 | 2012-03-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013480250 | Robert Kenneth Lozier | Pedorthist | Norm Maleng Building, 410 9th Ave, 4th Floor, Seattle, WA 98104 | 2019-01-10 |
| 1205111218 | Andrew Smart | Pedorthist | 709 N. I St. Apt #3, Tacoma, WA 98403 | 2011-10-21 |
| 1336371038 | Greg P Bruno | Pedorthist | East 212 Central Ave Suite 215, Hanger Clinic, Spokane, WA 99208 | 2009-08-13 |
| 1386982452 | Elijah Matthew Hillstrom | Pedorthist | 4903 Ne St Johns Rd, Vancouver, WA 98661-2546 | 2013-01-24 |
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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.