TRACEY LEE GODLEWSKI (NPI# 1558447359) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558447359 |
| Entity Type | Individual |
| Full Name | TRACEY LEE GODLEWSKI |
| Practice Address |
Ambulatory Clinic 825 Eastlake Avenue East Seattle WA 98109 |
| Mailing Address |
Po Box 50095 Seattle WA 98145-5095 |
| Practice Telephone | 2062881000 |
| Enumeration Date | 2006-10-27 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA10004714 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 8419665 | 05 | |
| INTERNAL ID-MOTOR VEHICLE ID | 328120 | 01 |
| Street Address |
AMBULATORY CLINIC 825 EASTLAKE AVENUE EAST |
| City | SEATTLE |
| State | WA |
| Zip Code | 98109 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396825352 | Kevin Lee Coleman | Physician Assistant | Ambulatory Clinic, 825 Eastlake Avenue East, Seattle, WA 98109 | 2006-10-16 |
| 1306989876 | Howard Michael Shulman | Pathology | Ambulatory Clinic, 825 Eastlake Avenue East, Seattle, WA 98109 | 2007-02-15 |
| 1275612939 | George E Sale | Pathology | Ambulatory Clinic, 825 Eastlake Avenue East, Seattle, WA 98109 | 2006-11-03 |
| 1255410916 | Barbara J Silko | Nurse Practitioner | Ambulatory Clinic, 825 Eastlake Avenue East, Seattle, WA 98109 | 2006-11-03 |
| 1215013933 | Karen L Syrjala | Psychologist | Ambulatory Clinic, 825 Eastlake Avenue East, Seattle, WA 98109 | 2006-10-27 |
| 1336225192 | Jason Wen Chien | Internal Medicine | Ambulatory Clinic, 825 Eastlake Avenue East, Seattle, WA 98109 | 2006-10-27 |
| 1528144276 | Brian J Reid | Internal Medicine | Ambulatory Clinic, 825 Eastlake Avenue East, Seattle, WA 98109 | 2006-10-27 |
| 1396821195 | Renato Goncalves Martins | Internal Medicine | Ambulatory Clinic, 825 Eastlake Avenue East, Seattle, WA 98109 | 2006-10-27 |
| 1023194826 | Sylvie Aubin | Psychologist | Ambulatory Clinic, 825 Eastlake Avenue East, Seattle, WA 98109 | 2006-10-27 |
| 1932285731 | Anthony Lee Back | Internal Medicine | Ambulatory Clinic, 825 Eastlake Avenue East, Seattle, WA 98109 | 2006-10-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710590179 | Direct Urgent Care Inc | Internal Medicine | 220 6th Avenue North, Seattle, WA 98109 | 2020-08-26 |
| 1073147104 | Hannah Christine Hoyt | Registered Nurse | 1354 Aloha St, Seattle, WA 98109 | 2020-02-27 |
| 1508402645 | Emily Elizabeth Rock | Counselor | Rain City Integrative Clinic, 2730 Westlake Ave N, Seattle, WA 98109 | 2019-11-25 |
| 1770048464 | Roger Leach | Massage Therapist | 4162, Roy Street, Seattle, WA 98109 | 2019-02-06 |
| 1306316658 | Laura Katie Richer | Counselor | 1817 Queen Anne Ave. N., 204, Seattle, WA 98109 | 2018-11-29 |
| 1912492828 | One Medical Group of Washington, P.C. | Psychologist | 625 Boren Avenue North, Seattle, WA 98109 | 2018-06-25 |
| 1942793526 | Washington Dental Corporation, PC | Dentist | 527 Boren Ave N, Seattle, WA 98109 | 2018-06-08 |
| 1417449968 | Chelsie Mccalla | Occupational Therapy Assistant | Mirabella, 116 Fairview Ave N, Seattle, Seattle, WA 98109 | 2018-05-31 |
| 1710405964 | Next Level Sports Performance Consulting | Clinic/Center | 24 Roy Street, #461, Seattle, WA 98109 | 2017-09-07 |
| 1679091953 | Amy Ly Indorf | Pharmacist | 825 Eastlake Ave E #msg5-90, Seattle, WA 98109 | 2017-09-06 |
| Find all providers in zip 98109 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770198954 | Ashish Chaudhary | Physician Assistant | 1215 Dexter Ave N Apt 704, Seattle, WA 98109-3567 | 2020-09-14 |
| 1144835422 | Juleeann Stocking | Physician Assistant | 1517 17th Ave S, Seattle, WA 98144-3522 | 2020-09-13 |
| 1558973909 | Margaret Webster | Physician Assistant | 6501 36th Ave Nw, Seattle, WA 98117-6010 | 2020-08-18 |
| 1902415888 | Elaine J Kow | Physician Assistant | 520 Terry Ave Unit 423, Seattle, WA 98104-2282 | 2020-07-27 |
| 1720603954 | Jill Kristine Nelson | Physician Assistant | 544 N 67th St, Seattle, WA 98103-5312 | 2020-06-12 |
| 1548742380 | Janal Kim | Physician Assistant | 4726 11th Ave Ne, Apt 511, Seattle, WA 98105 | 2018-08-29 |
| 1740762400 | Natalie Thoma | Physician Assistant | 2309 Boylston Ave E Apt 401, Seattle, WA 98102-3381 | 2018-08-29 |
| 1417463720 | Amadi Aesthetics Plastic Surgery Pllc | Physician Assistant | 1503 2nd Ave W, Seattle, WA 98119-3007 | 2017-12-21 |
| 1669990230 | Olivia Price | Physician Assistant | Medex Northwest 4311 11th Avenue Ne, Suite 200, Seattle, WA 98105 | 2017-09-05 |
| 1174062434 | Ngoc Diep Vu | Physician Assistant | 5832 Ne 75th St Unit E103, Seattle, WA 98115-6307 | 2017-02-20 |
| Find all providers in SEATTLE | ||||
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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.