DOMINIC F PEREZ (NPI# 1588133839) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588133839 |
| Entity Type | Individual |
| Full Name | DOMINIC F PEREZ |
| Practice Address |
1033 Sw 152nd St Burien WA 98166-1845 |
| Mailing Address |
11017 Se 241st Pl Apt L104 Kent WA 98030-5362 |
| Practice Telephone | 2066604248 |
| Enumeration Date | 2018-11-15 |
| Last Update Date | 2018-11-15 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 175T00000X | Peer Specialist | WA | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | MENTAL HEALTH | 175T99994L | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306234547 | Dominic Perez | Counselor | 2215 N Broadway # 200, Santa Ana, CA 92706-2663 | 2014-12-22 |
| 1518226778 | Dominic Perez | Counselor | 430 Niagara St, Buffalo, NY 14201-1886 | 2012-05-09 |
| Street Address |
1033 SW 152ND ST |
| City | BURIEN |
| State | WA |
| Zip Code | 98166-1845 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235194275 | Camille A Robinson | Counselor | 1033 Sw 152nd St, Burien, WA 98166-1845 | 2006-04-20 |
| 1912508961 | Elizabeth M Adcock | Counselor | 1033 Sw 152nd St, Burien, WA 98166-1845 | 2020-11-05 |
| 1275140113 | Jacelyn Hunter | Marriage & Family Therapist | 1033 Sw 152nd St, Burien, WA 98166-1845 | 2020-09-24 |
| 1124634589 | Elizabeth Rivera | Counselor | 1033 Sw 152nd St, Burien, WA 98166 | 2020-09-21 |
| 1801400528 | Thomas Jacob Kalina | Registered Nurse | 1033 Sw 152nd St, Burien, WA 98166-1845 | 2020-09-01 |
| 1740893379 | Dorothy Lynn Devaney | Student in an Organized Health Care Education/Training Program | 1033 Sw 152nd St, Burien, WA 98166-1845 | 2020-08-24 |
| 1306464060 | Stacy Saliba | Registered Nurse | 1033 Sw 152nd St, Burien, WA 98166-1845 | 2020-07-09 |
| 1821615212 | Savannah Julianne Sales | Registered Nurse | 1033 Sw 152nd St, Burien, WA 98166-1845 | 2020-07-01 |
| 1285250829 | Kiesha Destiny Garcia-stubbs | Registered Nurse | 1033 Sw 152nd St, Burien, WA 98166-1845 | 2020-06-19 |
| 1609490853 | Robin Jay Jeffries | Counselor | 1033 Sw 152nd St, Burien, WA 98166-1845 | 2020-06-03 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508341488 | Robert James Woodland Sr. | Counselor | 1210 Sw 136th St., Burien, WA 98166 | 2018-09-26 |
| 1215467329 | Amy Elizabeth Castillo | Massage Therapist | 1204 Sw 168th St, Normandy Park, WA 98166 | 2017-06-13 |
| 1053856070 | Michael David Blackledge | Physical Therapist | 15811 Ambaum Blvd Sw Ste 140, Burien, WA 98166 | 2016-12-29 |
| 1114372232 | Maris Gibson | Massage Therapist | 801 S.w. 150thst, #110, Burien, WA 98166 | 2016-04-26 |
| 1649642992 | Navos | Community/Behavioral Health | 31408 28th Ave South, 1201 Sw 136th Street, Burien, WA 98166 | 2015-10-27 |
| 1154790798 | Han Nguyen | Chiropractor | 15811 Ambaum Blvd Sw Suite 110, Burien, WA 98166 | 2015-09-24 |
| 1497163778 | Maria Garvey-caruso | Physical Therapist | 1511 Ambaum Blvd South West, Suite 140, Burien, WA 98166 | 2014-07-30 |
| 1427495274 | Mohammed Nayeemuddin | Internal Medicine | 16259 Sylvester Rd Sw Ste 404, Burien, WA 98166 | 2013-06-03 |
| 1023362753 | Donna Shaman | Occupational Therapist | 15675 Ambaum Blvd, Burien, WA 98166 | 2012-11-02 |
| 1366707010 | Tracy C Saephanh | Pharmacy Technician | 14901 4th Ave Sw Ste 100, Burien, WA 98166 | 2012-07-09 |
| Find all providers in zip 98166 | ||||
| Taxonomy Code | 175T00000X |
| Grouping | Other Service Providers |
| Classification | Peer Specialist |
| Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. |
| Notes: Source: National Uniform Claim Committee [7/1/2014: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851933139 | Tracy Romero | Peer Specialist | 1210 Sw 136th St, Burien, WA 98166-1214 | 2019-10-08 |
| 1295385383 | Jasmine Christina Martinez | Peer Specialist | 1033 Sw 152nd St, Burien, WA 98166-1845 | 2019-09-19 |
| 1912477423 | Lisa Ann Daniels | Peer Specialist | 1210 Sw 136th St, Burien, WA 98166-1214 | 2018-11-27 |
| 1588134217 | Bin Lu | Peer Specialist | 1210 Sw 136th St, Burien, WA 98166-1214 | 2018-11-26 |
| 1922573484 | Lisa Susan Earley | Peer Specialist | 1210 Sw 136th St, Burien, WA 98166-1214 | 2018-10-10 |
| 1215402789 | Danny Wills | Peer Specialist | 1210 Sw 136th St, Burien, WA 98166-1214 | 2018-10-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992304703 | Corina Thornton | Peer Specialist | Arrow Lakes Street, Nespelem, WA 99155-0304 | 2020-10-22 |
| 1578161402 | Yavonnie Leslie Griggs | Peer Specialist | 3285 Ferguson Ln Sw, Tumwater, Wa 98512, Tumwater, WA 98512 | 2020-10-13 |
| 1306454061 | Ashley D Vinson-harris | Peer Specialist | 116 S 339th Cir, Federal Way, WA 98003-4537 | 2020-07-20 |
| 1184240301 | Aleric Hughes | Peer Specialist | 1200 Sw Holden St, Seattle, WA 98106-2054 | 2020-06-23 |
| 1013533876 | Alyssa Camille Meaker | Peer Specialist | 4350 Cordata Pkwy Ste 220, Bellingham, WA 98226-8278 | 2020-06-17 |
| 1134741424 | Tara Lin Garcia | Peer Specialist | 4256 Federal Avenue, Everett, WA 98203 | 2020-05-11 |
| 1558982058 | Edward Thomas Gollihugh | Peer Specialist | 721 Fawcett Ave Ste 204, Tacoma, WA 98402-5502 | 2020-05-06 |
| 1295356483 | Yvette Marie Sampson | Peer Specialist | Josephinum C/o Crew, 1902 2nd Ave., Seattle, WA 98101 | 2020-04-29 |
| 1043856123 | Jayde Wailani Albright | Peer Specialist | 5920 N Calispel St, Spokane, WA 99205-6214 | 2019-11-23 |
| 1033755244 | Willapa Behavioral Health | Peer Specialist | 2204 Pacific Ave. N., Long Beach, WA 98631 | 2019-11-22 |
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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.