RODOLFO TRIVISONNO (NPI# 1578610721) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578610721 |
| Entity Type | Individual |
| Full Name | RODOLFO TRIVISONNO |
| Credential | M.D. |
| Practice Address |
1710 100th Pl Se Ste 101b Everett WA 98208-3839 |
| Practice Telephone | 4252529216 |
| Practice Fax Number | 4252528637 |
| Mailing Telephone | 4252529216 |
| Mailing Fax Number | 4252528637 |
| Enumeration Date | 2007-01-03 |
| Last Update Date | 2020-02-15 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
MD00034739 | WA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | REGENCE | 4890RT | 01 |
| WA | VALUE OPTION | 553011 | 01 |
| WA | 8214850 | 05 | |
| WA | LABOR AND INDUSTRIES | 202833 | 01 |
| Street Address |
1710 100TH PL SE STE 101B |
| City | EVERETT |
| State | WA |
| Zip Code | 98208-3839 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184846099 | Tena Louise Sadowski | Massage Therapist | 1710 100th Pl Se, Suite 102, Everett, WA 98208 | 2007-05-02 |
| 1710030010 | Deborah D. Stiles | Nurse Practitioner | 1710 100th Pl Se, Suite 100, Everett, WA 98208-3839 | 2007-01-19 |
| 1386796928 | Deborah D. Stiles, Arnp, Inc. P.s. | Nurse Practitioner | 1710 100th Pl Se, Suite 100, Everett, WA 98208-3839 | 2007-01-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790270296 | Kenneth Britt Dyer | Registered Nurse | 10333 19th Ave, Se, Ste #109, Everett, WA 98208 | 2018-06-27 |
| 1518482215 | Glacier Peak Healthcare, Inc. | Home Health | 10530 19th Ave Se Ste 201, Everett, WA 98208 | 2017-08-03 |
| 1114454865 | Aliza Kreisman | Registered Nurse | 11020 19th Avenue Se, Kaiser Permanente of Washington Seattle Care Clinic, Everett, WA 98208 | 2017-05-12 |
| 1902269418 | Clay Eakin | Counselor | 2732 Grand Evenue, Everett, WA 98208 | 2016-04-01 |
| 1467810259 | Elizabeth Anne Powley | Marriage & Family Therapist | 1920 100th Street Southeast, Bld C3, Everett, WA 98208 | 2016-02-08 |
| 1659745842 | Andrea Rose Bedlington | Pharmacist | 11407 33rd Dr. Se, Everett, WA 98208 | 2015-11-25 |
| 1396123865 | Sound Surgeons Pllc | Clinic/Center | 125 130th Street Se, 1st Floor, Everett, WA 98208 | 2015-05-15 |
| 1831576537 | Chris Sturgeon | Counselor | 10102 Meridian Ave, Everett, WA 98208 | 2015-05-01 |
| 1982011128 | James M Lee | Physical Therapist | 10821 19th Ave Se Ste 102, Everett, WA 98208 | 2014-07-21 |
| 1972937357 | Ronald Tracy | Dentist | 10315 19th Avenue Se Suite 110, Everett, WA 98208 | 2013-08-21 |
| Find all providers in zip 98208 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154546521 | George A Henriksen | Psychiatry & Neurology | 3216 Wetmore Ave, Suite 203, Everett, WA 98201-4368 | 2007-04-13 |
| 1336200047 | Nawar Mohammed Alnaquib | Psychiatry & Neurology | 2722 Colby Ave Ste 507, Everett, WA 98201-3533 | 2006-12-13 |
| 1780787648 | Thomas W Greisamer | Psychiatry & Neurology | 2000 W. Marine View, Building 2010, Branch Health Clinic Evertt, Everett, WA 98207 | 2006-09-06 |
| 1134235062 | Robert Nadol | Psychiatry & Neurology | 1728 W Marine View Dr Ste 106, Everett, WA 98201-2094 | 2006-08-22 |
| 1851927370 | Judith R Milner Md Inc | Psychiatry & Neurology | 2230 Rucker Ave, Everett, WA 98201-2772 | 2020-03-16 |
| 1538574439 | Rimple Manan | Psychiatry & Neurology | 1728 W Marine View Dr, Everett, WA 98201 | 2014-06-30 |
| 1255743910 | Katherine D Mitchell | Psychiatry & Neurology | 1728 W Marine View Dr, Everett, WA 98201-2094 | 2014-05-28 |
| 1033555925 | Arun Arora | Psychiatry & Neurology | 916 Pacific Ave, Everett, WA 98201-4147 | 2013-05-17 |
| 1174886568 | Farhat S. Siddiqui | Psychiatry & Neurology | 1728 W Marine View Dr Ste 106, Everett, WA 98201-2094 | 2012-06-20 |
| 1033401518 | Vikram Manjunath Gopal | Psychiatry & Neurology | 12800 Bothell Everett Hwy, Everett, WA 98208-6642 | 2011-05-03 |
| Find all providers in EVERETT | ||||
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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.