TULALIP TRIBES HEALTH CLINIC (NPI# 1558410910) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558410910 |
| Entity Type | Organization |
| Organization Name | TULALIP TRIBES HEALTH CLINIC |
| Practice Address |
7520 Totem Beach Rd Tulalip WA 98271-6160 |
| Practice Telephone | 3606514511 |
| Practice Fax Number | 3606519451 |
| Mailing Telephone | 3606514511 |
| Mailing Fax Number | 3606519451 |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MRS. CHRISTIE Y GOBIN (CLINIC BOOKKEEPER) |
| Authorized Official Telephone | 3606519007 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 2083P0901X |
Preventive Medicine Specialization: Public Health & General Preventive Medicine |
Allopathic & Osteopathic Physicians | ||
| X | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 7602105 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902955362 | Tulalip Tribes Health Clinic | Case Management | 7520 Totem Beach Rd, Tulalip, WA 98271-6160 | 2007-01-08 |
| 1902976715 | Tulalip Tribes Health Clinic | Clinic/Center | 7520 Totem Beach Rd, Tulalip, WA 98271-6160 | 2006-11-09 |
| 1043263742 | Tulalip Tribes Health Clinic | Pediatrics | 7520 Totem Beach Rd, Tulalip, WA 98271 | 2006-05-17 |
| Street Address |
7520 TOTEM BEACH RD |
| City | TULALIP |
| State | WA |
| Zip Code | 98271-6160 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770531501 | Tulalip Tribes of Washington | Psychiatry & Neurology | 7520 Totem Beach Rd, Tulalip, WA 98271 | 2006-05-04 |
| 1477194421 | Vicki Lee Giacoman | Dental Assistant | 7520 Totem Beach Rd, Tulalip, WA 98271-6160 | 2019-10-01 |
| 1730747544 | Bibianna Ancheta | Massage Therapist | 7520 Totem Beach Rd, Tulalip, WA 98271-6160 | 2019-06-05 |
| 1023500386 | Miguel Antonio Arteaga | Registered Nurse | 7520 Totem Beach Rd, Tulalip, WA 98271-6160 | 2018-06-03 |
| 1306361746 | Preet Kamal | Nurse Practitioner | 7520 Totem Beach Rd, Tulalip, WA 98271-6160 | 2017-08-07 |
| 1952840290 | Susan Lynn Adams | Dietitian, Registered | 7520 Totem Beach Rd, Tulalip, WA 98271-6160 | 2017-02-20 |
| 1770021677 | Andrew Lee Morris | Nurse Practitioner | 7520 Totem Beach Rd, Tulalip, WA 98271 | 2017-02-10 |
| 1255722484 | Julie J Mann | Nurse Practitioner | 7520 Totem Beach Rd, Tulalip, WA 98271-6160 | 2015-02-10 |
| 1184024747 | Kristin Mellein | Registered Nurse | 7520 Totem Beach Rd, Tulalip, WA 98271-6160 | 2014-09-01 |
| 1699186023 | Kari Baggarley | Massage Therapist | 7520 Totem Beach Rd, Tulalip, WA 98271-6160 | 2014-05-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174155345 | Kaiser Foundation Health Plan of Washington | Pharmacy | 2335 172nd Street Ne, Marysville, WA 98271 | 2020-02-06 |
| 1124511126 | Roger Lucas, P.s. | Dentist | 3806 116th St. Ne, Marysville, WA 98271 | 2018-06-13 |
| 1679020150 | Vest Seattle, LLC | Psychiatric Hospital | 3955 156th St, Marysville, WA 98271 | 2016-09-01 |
| 1790141828 | Washington Dental Corporation, PC | Dentist | 17103 28th Dr. Ne, Suite 104, Marysville, WA 98271 | 2016-01-05 |
| 1376932533 | Mindy Wiese | Counselor | 2321 Marine Dr. Ne, Marysville, WA 98271 | 2015-01-12 |
| 1609276260 | Sara Julsrud | Counselor | 2828 Mission Hill Road, Tulalip, WA 98271 | 2014-09-01 |
| 1710395355 | Sandra Breaux | Pharmacist | 8924 Quil Ceda Blvd, Tulalip, WA 98271 | 2014-07-28 |
| 1245665207 | Delores Helen Dusterhoft | Registered Nurse | 4421 122nd Pl Ne, Marysville, WA 98271 | 2013-09-10 |
| 1295079390 | Santi Wibawantini | Marriage & Family Therapist | 2321 Marine Dr Ne, Tulalip, WA 98271 | 2012-11-15 |
| 1558690586 | Stephen Lee | Pharmacist | 8825 34th Avenue Ne, Suite A, Tulalip, WA 98271 | 2009-12-22 |
| Find all providers in zip 98271 | ||||
| Taxonomy Code | 2083P0901X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Preventive Medicine |
| Specialization | Public Health & General Preventive Medicine |
| Public health and general preventive medicine focuses on promoting health, preventing disease, and managing the health of communities and defined populations. These practitioners combine population-based public health skills with knowledge of primary, secondary, and tertiary prevention-oriented clinical practice in a wide variety of settings. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Preventive Medicine, 2007. http://www.abprevmed.org/. American Osteopathic Board of Preventive Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Preventive Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Preventive Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851840508 | Kimquy Kieu | Preventive Medicine | 711 24th Ave S, Seattle, WA 98144-3003 | 2016-09-22 |
| 1659799443 | James Kublin | Preventive Medicine | 1100 Fairview Ave N # E3-300, Seattle, WA 98109-4433 | 2014-03-31 |
| 1679918031 | Richard L. Rysdam | Preventive Medicine | 4742 42nd Ave Sw # 292, Seattle, WA 98116-4553 | 2013-04-29 |
| 1275886533 | Ashley Hedeen | Preventive Medicine | 1400 N 143rd St, Seattle, WA 98133-7102 | 2012-10-23 |
| 1821354069 | Aristotle Sun | Preventive Medicine | 3915 Talbot Rd S Ste 104, Renton, WA 98055-5738 | 2012-04-02 |
| 1760756563 | Reimert Thorolf Ravenholt | Preventive Medicine | 3156 E Laurelhurst Dr Ne, Seattle, WA 98105-5333 | 2012-02-27 |
| 1124316641 | Steven Dale Helgerson | Preventive Medicine | 601 Belmont Ave E, Suite F11, Seattle, WA 98102-4875 | 2011-07-18 |
| 1194054247 | Lewis B Rock IIi | Preventive Medicine | 2375 30th Ave Ne, Issaquah, WA 98029-3618 | 2009-12-21 |
| 1609047810 | Paul Howard Stepak | Preventive Medicine | 15300 Bothell Way Ne, Lake Forest Park, WA 98155-7634 | 2008-03-14 |
| 1326253501 | Kristin Elise Erickson | Preventive Medicine | 9040 Jackson Ave Medical Evaluation Board, Tacoma, WA 98431-0001 | 2007-05-11 |
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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.