MCKENZIE JAMES AIRHART (NPI# 1578120911) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578120911 |
| Entity Type | Individual |
| Full Name | MCKENZIE JAMES AIRHART |
| Credential | CDPT |
| Practice Address |
6005 Tyee Dr Sw Tumwater WA 98512-7356 |
| Mailing Address |
Po Box 98095 Lakewood WA 98496-8095 |
| Practice Telephone | 2539060273 |
| Mailing Telephone | 2539060273 |
| Enumeration Date | 2019-05-21 |
| Last Update Date | 2019-05-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
CO60936167 | WA | Behavioral Health & Social Service Providers |
| Street Address |
6005 TYEE DR SW |
| City | TUMWATER |
| State | WA |
| Zip Code | 98512-7356 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003167768 | Cyndi L Cooley | Occupational Therapist | 6005 Tyee Dr Sw, Tumwater, WA 98512-7356 | 2012-09-20 |
| 1699307488 | Alexa Andrina Ryle | Counselor | 6005 Tyee Dr Sw, Tumwater, WA 98512-7356 | 2020-02-10 |
| 1801355037 | Gabriela Carranza | Counselor | 6005 Tyee Dr Sw, Tumwater, WA 98512-7356 | 2019-03-18 |
| 1912479064 | Grace Elizabeth Burkhart | Counselor | 6005 Tyee Dr Sw, Tumwater, WA 98512-7356 | 2018-12-28 |
| 1174095939 | Hailey Ann Shelton | Counselor | 6005 Tyee Dr Sw, Tumwater, WA 98512-7356 | 2018-12-18 |
| 1497244032 | Brittany L Spencer | Counselor | 6005 Tyee Dr Sw, Tumwater, WA 98512-7356 | 2018-05-09 |
| 1518456722 | Cheri Kay Landry | Counselor | 6005 Tyee Dr Sw, Tumwater, WA 98512-7356 | 2018-05-02 |
| 1184112575 | Tracey Arnold | Counselor | 6005 Tyee Dr Sw, Tumwater, WA 98512-7356 | 2018-05-01 |
| 1013406487 | Haley Alene Bryant | Counselor | 6005 Tyee Dr Sw, Tumwater, WA 98512-7356 | 2018-05-01 |
| 1285122937 | Elisa K Stepp | Counselor | 6005 Tyee Dr Sw, Tumwater, WA 98512-7356 | 2018-04-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578161402 | Yavonnie Leslie Griggs | Peer Specialist | 3285 Ferguson Ln Sw, Tumwater, Wa 98512, Tumwater, WA 98512 | 2020-10-13 |
| 1205465622 | Falina Marie Luce | Counselor | 3285 Ferguson St, Olympia, WA 98512 | 2020-04-07 |
| 1881234912 | Andres Enrique Velazquez | Counselor | 3285 Ferguson St Sw Wa 98512, Tumwater, WA 98512 | 2020-01-07 |
| 1700432507 | Maria E Zavala Negrete | Behavior Technician | 3285 Ferguson Street Southwest, Tumwater, WA 98512 | 2019-08-16 |
| 1669026951 | Bradley Allen Labrador | Social Worker | 3285 Ferguson St, Sw, Tumwater, WA 98512 | 2019-07-25 |
| 1033762893 | Janice Lapreal Swanzey | Licensed Practical Nurse | 3285 Ferguson Lane St Sw, Olympia, WA 98512 | 2019-07-22 |
| 1821569195 | Linda Marie Moffitt | Registered Nurse | 7741 Littlerock Rd. Sw, Tumwater, WA 98512 | 2018-12-16 |
| 1427534577 | Matthew Hart | Occupational Therapist | 2620 Rw Johnson Boulevard Southwest Suite 112, Tumwater, WA 98512 | 2018-07-12 |
| 1558858019 | Amy Louise Cline | Counselor | 6005 Tyee Drive Sw, Tumwater, WA 98512 | 2018-04-19 |
| 1669998183 | Bradley Ross Bishop | Registered Nurse | 3285 Ferguson Street Sw, Tumwater, WA 98512 | 2017-08-16 |
| Find all providers in zip 98512 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467098145 | Family Education and Support Services | Counselor | 6840 Capitol Blvd Se Bldg 3, Tumwater, WA 98501-5513 | 2019-11-18 |
| 1538636394 | Mariah Mae Langton | Counselor | 301 T St Sw Apt G7, Tumwater, WA 98501-4568 | 2018-10-30 |
| 1992294078 | Nicole Lee Patina | Counselor | 1550 Irving St Sw, Tumwater, WA 98512-6358 | 2018-05-04 |
| 1558858019 | Amy Louise Cline | Counselor | 6005 Tyee Drive Sw, Tumwater, WA 98512 | 2018-04-19 |
| 1174995153 | Sherry Lorraine Watson | Counselor | 1550 Irving St Sw Ste 301, Tumwater, WA 98512-6362 | 2015-10-29 |
| 1467710764 | Kevin E Curtis | Counselor | 6334 Littlerock Rd. Sw, Bldg #6, Tumwater, WA 98512 | 2012-04-25 |
| 1033716451 | Nicole Alexandria Nomic | Counselor | 3285 Ferguson St Sw, Tumwater, WA 98512 | 2020-10-08 |
| 1255947982 | Douglas Andrew Stenchever | Counselor | 6334 Littlerock Rd Sw, Tumwater, WA 98512-7332 | 2020-09-18 |
| 1265040497 | Amber Lee Boehm | Counselor | 3285 Ferguson St Sw, Tumwater, WA 98512 | 2020-07-14 |
| 1699307488 | Alexa Andrina Ryle | Counselor | 6005 Tyee Dr Sw, Tumwater, WA 98512-7356 | 2020-02-10 |
| Find all providers in TUMWATER | ||||
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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.