MELISSA MARIE WALLER (NPI# 1588198378) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588198378 |
| Entity Type | Individual |
| Full Name | MELISSA MARIE WALLER |
| Credential | CDPT |
| Practice Address |
390 E Cedar St Sequim WA 98382-3403 |
| Practice Telephone | 3606818463 |
| Practice Fax Number | 3606838465 |
| Mailing Telephone | 3606818463 |
| Mailing Fax Number | 3606838465 |
| Enumeration Date | 2017-04-18 |
| Last Update Date | 2017-04-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
CO 60669921 | WA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316424153 | Melissa Rae Waller | Nurse Practitioner | 1860 Bearberry Cir Apt 208, Lutz, FL 33559-8778 | 2018-07-24 |
| 1184092371 | Melissa Waller | Registered Nurse | 652 Gable Oaks Ln Nw, Concord, NC 28027-5202 | 2015-09-04 |
| Street Address |
390 E CEDAR ST |
| City | SEQUIM |
| State | WA |
| Zip Code | 98382-3403 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356344519 | Mary L Arnott | Counselor | 390 E Cedar St, Sequim, WA 98382 | 2005-05-23 |
| 1336755206 | David Alonzo Freeman | Counselor | 390 E Cedar St, Sequim, WA 98382-3403 | 2020-09-16 |
| 1417563347 | Amber Lynn Freeman | Counselor | 390 E Cedar St, Sequim, WA 98382-3403 | 2020-09-16 |
| 1578185112 | Jenny Lynn Iredale | Counselor | 390 E Cedar St, Sequim, WA 98382-3403 | 2020-05-16 |
| 1730740168 | Tami Frederick- Maupin | Counselor | 390 E Cedar St, Sequim, WA 98382-3403 | 2019-06-26 |
| 1528534070 | Justin Howie Hill | Counselor | 390 E Cedar St, Sequim, WA 98382-3403 | 2018-10-22 |
| 1992271126 | Sharon Edythe Schubert | Counselor | 390 E Cedar St, Sequim, WA 98382-3403 | 2018-10-15 |
| 1023543584 | Rebecca Joann Rael | Counselor | 390 E Cedar St, Sequim, WA 98382-3403 | 2017-04-21 |
| 1144754748 | Laura Lestage | Counselor | 390 E Cedar St, Sequim, WA 98382-3403 | 2017-04-20 |
| 1649447681 | Olympic Personal Growth Center | Community/Behavioral Health | 390 E Cedar St, Sequim, WA 98382-3403 | 2008-05-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760032841 | Dale I King | Technician | 512 Lostwood Lane, Sequim, WA 98382 | 2019-09-19 |
| 1831661164 | Katheryn Murray | Community Health Worker | 80 Spencer Rd Spc 10, Sequim, WA 98382 | 2018-12-27 |
| 1306314349 | Tera Joyce Phillips | Counselor | 112 S Solmar Dr, Sequim, WA 98382 | 2018-11-07 |
| 1275025595 | Peninsula Counseling | Social Worker | 435 West Bell St Suite D, Sequim, WA 98382 | 2018-06-01 |
| 1437661816 | Kathryn Elizabeth Sanford | Registered Nurse | 720 Carlsborg Rd, Sequim, WA 98382 | 2017-10-25 |
| 1407271935 | Hoa Lien Trinh | Denturist | 124 W. Spruce St., Sequim, WA 98382 | 2014-02-20 |
| 1306267323 | Pamela Hursey-king | Occupational Therapist | 600 West Hemlock St, Sequim, WA 98382 | 2013-12-17 |
| 1821419060 | Cortney Woodford | Speech-Language Pathologist | 600 West Hemlock Street, Sequim, WA 98382 | 2013-12-13 |
| 1851638043 | Sonja Ann Bittner | Registered Nurse | 503 North Sequim Ave, Sequim, WA 98382 | 2013-01-09 |
| 1063796175 | Peak Performance Therapy LLC | Occupational Therapist | 519 Eureka Way, Suite 2, Sequim, WA 98382 | 2011-10-07 |
| Find all providers in zip 98382 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336755206 | David Alonzo Freeman | Counselor | 390 E Cedar St, Sequim, WA 98382-3403 | 2020-09-16 |
| 1417563347 | Amber Lynn Freeman | Counselor | 390 E Cedar St, Sequim, WA 98382-3403 | 2020-09-16 |
| 1578185112 | Jenny Lynn Iredale | Counselor | 390 E Cedar St, Sequim, WA 98382-3403 | 2020-05-16 |
| 1730740168 | Tami Frederick- Maupin | Counselor | 390 E Cedar St, Sequim, WA 98382-3403 | 2019-06-26 |
| 1528534070 | Justin Howie Hill | Counselor | 390 E Cedar St, Sequim, WA 98382-3403 | 2018-10-22 |
| 1992271126 | Sharon Edythe Schubert | Counselor | 390 E Cedar St, Sequim, WA 98382-3403 | 2018-10-15 |
| 1023543584 | Rebecca Joann Rael | Counselor | 390 E Cedar St, Sequim, WA 98382-3403 | 2017-04-21 |
| 1144754748 | Laura Lestage | Counselor | 390 E Cedar St, Sequim, WA 98382-3403 | 2017-04-20 |
| 1164834461 | Candace Burkhardt | Counselor | 808 N 5th Ave, Sequim, WA 98382-3045 | 2014-05-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508467564 | Summit Health Management Pllc | Counselor | 6625 Wagner Way Ste 320, Gig Harbor, WA 98335-8392 | 2020-11-05 |
| 1013517952 | Maria Escobedo | Counselor | 1321 N. Ash, Spokane, WA 99201 | 2020-10-29 |
| 1457951311 | Jonathan B Hall | Counselor | 1107 Grant Ave, Port Angeles, WA 98362-2728 | 2020-10-29 |
| 1598365595 | Deepeka Taya | Counselor | 17123 120th Ln Se Apt S303, Renton, WA 98058-5992 | 2020-10-28 |
| 1447850904 | Bethany Baril | Counselor | 1800 112th Ave Ne Ste 150w, Bellevue, WA 98004-2993 | 2020-10-26 |
| 1588263032 | Mark Alan Jewett | Counselor | 528 208th Ave Ne, Sammamish, WA 98074-6936 | 2020-10-25 |
| 1184223869 | Season Silk | Counselor | 523 Rainier St, La Conner, WA 98257-4707 | 2020-10-22 |
| 1366041048 | Shawna Lynn Mokler | Counselor | 841 Central Ave N Ste 215, Kent, WA 98032-2014 | 2020-10-22 |
| 1548868276 | Mind Over Matters, Pllc | Counselor | 2525 55th Ave Ne, Tacoma, WA 98422-3404 | 2020-10-14 |
| 1770180200 | Arika Wydur | Counselor | 23912 27th Ave Ne, Arlington, WA 98223-7629 | 2020-10-07 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on MELISSA MARIE WALLER.
| 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.