DERBY ROUSSEAU (NPI# 1588278154) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588278154 |
| Entity Type | Individual |
| Full Name | DERBY ROUSSEAU |
| Credential | DNP |
| Practice Address |
326 S Stillaguamish Ave Arlington WA 98223-1652 |
| Mailing Address |
1019 112th St Sw Everett WA 98204-4875 |
| Practice Telephone | 3605725400 |
| Enumeration Date | 2020-09-01 |
| Last Update Date | 2020-10-21 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
61098690 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
326 S STILLAGUAMISH AVE |
| City | ARLINGTON |
| State | WA |
| Zip Code | 98223-1652 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427012475 | Sharil L Kallstrom | Massage Therapist | 326 S Stillaguamish Ave, Arlington, WA 98223-1652 | 2006-04-14 |
| 1063971455 | Courtney Jankowski | Physician Assistant | 326 S Stillaguamish Ave, Arlington, WA 98223-1652 | 2019-03-15 |
| 1609353028 | Minh Ngoc Phi | Dentist | 326 S Stillaguamish Ave, Arlington, WA 98223 | 2018-07-27 |
| 1063931293 | Tiffanie P.o. Kimura | Dental Hygienist | 326 S Stillaguamish Ave, Arlington, WA 98223-1652 | 2017-09-19 |
| 1346625977 | Amberly Rae Halbert | Physician Assistant | 326 S Stillaguamish Ave, Arlington, WA 98223-1652 | 2015-07-24 |
| 1326434531 | Aaron Douglas Brinklow | Family Medicine | 326 S Stillaguamish Ave, Arlington, WA 98223 | 2015-04-14 |
| 1134544075 | Brian Christopher Mahoney | Dentist | 326 S Stillaguamish Ave, Chc of Snohomish County, Arlington, WA 98223-1652 | 2014-03-02 |
| 1821420589 | Community Health Center of Snohomish County | Pharmacy | 326 S Stillaguamish Ave, Arlington, WA 98223-1652 | 2013-08-05 |
| 1649602756 | Community Health Center of Snohomish County | Clinic/Center | 326 S Stillaguamish Ave, Arlington, WA 98223-1652 | 2013-07-31 |
| 1255772406 | Jasanjot Jenny Parmar | Family Medicine | 326 S Stillaguamish Ave, Arlington, WA 98223-1652 | 2013-07-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225667462 | Clark Nursing LLC | Registered Nurse | 30818 412th Dr. N.e., Arlington, WA 98223 | 2020-04-08 |
| 1952952442 | Tina Willett | Technician | 18404 19th Avenue Ne, Arlington, WA 98223 | 2019-09-25 |
| 1841841764 | Carolyn Marie Lantz | Technician | 6002 Cemetery Road, Arlington, WA 98223 | 2019-09-23 |
| 1801457643 | Maddison Post | Massage Therapist | 18725 Smokey Point Boulevard, Arlington, WA 98223 | 2019-06-24 |
| 1790341113 | Brandon Tyler Stott | Specialist/Technologist | 17023 11th Ave Ne, Arlington, WA 98223 | 2019-05-10 |
| 1881177715 | Hailey R Tanis | Massage Therapist | 3131 Smokey Point Drive #5b, Arlington, WA 98223 | 2018-09-06 |
| 1407381023 | Rest Easy Hair Clinic | Specialist | 3710 168th Street N.e. B101, Arlington, WA 98223 | 2017-04-21 |
| 1851839617 | Jamie Claire Chatters-elf | Preventive Medicine | 315 N French Avenue, Arlington, WA 98223 | 2017-02-01 |
| 1790153286 | Glenda Louise Taylor | Massage Therapist | 16404 Smokey Point Blvd #307, 307, Arlington, WA 98223 | 2015-09-14 |
| 1972990042 | Lizette Jamora Antig | Pediatrics | 875 Wesley St Ste 130, Arlington, WA 98223 | 2015-04-16 |
| Find all providers in zip 98223 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
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| 1912524687 | Judi Saini | Nurse Practitioner | 12 Old Colony Ln Apt 9, Arlington, MA 02476-4413 | 2020-06-29 |
| 1396360269 | Restoring Minds Behavioral Services LLC | Nurse Practitioner | 2909 E Arkansas Ln Ste C, Arlington, TX 76010-6930 | 2020-06-16 |
| 1588286793 | Creative Minds Behavioral Health, LLC | Nurse Practitioner | 110 W Randol Mill Rd Ste 200, Arlington, TX 76011-4612 | 2020-05-11 |
| 1497390694 | Ijeoma Esther Osuji | Nurse Practitioner | 5307 Alta Vista Lane, Arlington, TX 76017 | 2019-11-12 |
| 1194367813 | Agather Onyango | Nurse Practitioner | 725 Sendero Dr, Arlington, TX 76002-5715 | 2019-10-14 |
| 1710535398 | Ebelechukwu Ekwenugo | Nurse Practitioner | 616 Jagera Way, Arlington, TX 76002-4582 | 2019-08-28 |
| 1427514553 | Fast Behavorial Health Corporation | Nurse Practitioner | 1406 Anglican Dr, Arlington, TX 76002-3741 | 2019-02-13 |
| 1184129157 | Perfect Peace Health Consultants Pllc | Nurse Practitioner | 1401 Gilday Dr, Arlington, TX 76002-3734 | 2018-03-29 |
| Find all providers in ARLINGTON | ||||
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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.