MS. KRISTEN LEE FUNK-TRACY (NPI# 1598235954) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598235954 |
| Entity Type | Individual |
| Full Name | MS. KRISTEN LEE FUNK-TRACY |
| Credential | LCSW |
| Practice Address |
19005 Se 34th St Vancouver WA 98683-1450 |
| Mailing Address |
Po Box 34703 Seattle WA 98124-1703 |
| Practice Telephone | 3607266720 |
| Enumeration Date | 2018-11-28 |
| Last Update Date | 2018-12-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101Y00000X | Counselor | SA60894587 | WA | Behavioral Health & Social Service Providers |
| Y | 104100000X | Social Worker | Behavioral Health & Social Service Providers |
| Street Address |
19005 SE 34TH ST |
| City | VANCOUVER |
| State | WA |
| Zip Code | 98683-1450 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932370756 | Joanne M Wallis | Nurse Practitioner | 19005 Se 34th St, Vancouver, WA 98683-1450 | 2008-03-19 |
| 1841842093 | Tasia Davis | Dental Hygienist | 19005 Se 34th St, Vancouver, WA 98683-1450 | 2019-07-09 |
| 1760995179 | Sea-mar Community Health Center | Clinic/Center | 19005 Se 34th St, Vancouver, WA 98683-1450 | 2017-11-07 |
| 1083153233 | Sea-mar Community Health Center | Pharmacy | 19005 Se 34th St, Vancouver, WA 98683-1450 | 2017-02-21 |
| 1801335617 | Sea-mar Community Health Center | Clinic/Center | 19005 Se 34th St, Vancouver, WA 98683-1450 | 2017-02-14 |
| 1629517438 | Sea-mar Community Health Center | Clinic/Center | 19005 Se 34th St, Vancouver, WA 98683-1450 | 2017-02-14 |
| 1770025363 | Sea Mar Community Health Centers | Clinic/Center | 19005 Se 34th St, Vancouver, WA 98683-1450 | 2016-11-14 |
| 1255883260 | Sea Mar Community Health Centers | Clinic/Center | 19005 Se 34th St, Building 3, Vancouver, WA 98683-1450 | 2016-10-26 |
| 1770934929 | Sea Mar Community Health Centers | Clinic/Center | 19005 Se 34th St, Building 3, Vancouver, WA 98683-1450 | 2016-06-29 |
| 1497106645 | Sea Mar Community Health Centers | Clinic/Center | 19005 Se 34th St, Building 3, Vancouver, WA 98683-1450 | 2016-06-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235761222 | Nathaniel James Eugene Powell | Behavior Technician | 4101se 192nd Ave, Ste 101, Vancouver, WA 98683 | 2020-02-07 |
| 1295294973 | Ubmhc1, LLC | Clinical Medical Laboratory | 18110 Southeast 34th St, Building 2, Suite 240, Vancouver, WA 98683 | 2019-03-13 |
| 1982116695 | Amy K Adams | Massage Therapist | 2716 Se 169th Ave, X-232, Vancouver, WA 98683 | 2017-11-03 |
| 1477088920 | Alexandra Ransonet | Dental Hygienist | 19111 Se 34th. St., Vancouver, WA 98683 | 2017-04-21 |
| 1639618630 | Digestive Gi Care | Internal Medicine | 305 Sw Chkalov Dr, 111-140, Vancouver, WA 98683 | 2017-02-23 |
| 1447706742 | Jennifer Horst | Massage Therapist | 3401 Se 192nd. Ave. Suite 107, Vancouver, WA 98683 | 2016-08-28 |
| 1154702728 | Kacie Marie Hamreus | Physician Assistant | 3101 Se 192nd Avenue, Vancouver, WA 98683 | 2015-06-09 |
| 1851782338 | Kathryn Wiedeman | Physical Therapy Assistant | 801 Se Park Crestt Ave, Vancouver, WA 98683 | 2015-02-05 |
| 1407255326 | Jesse Ryan Moses | Dentist | 16600 Se 15th Street, Suite A, Vancouver, WA 98683 | 2014-08-15 |
| 1366869893 | Stephen J Wold II | Podiatrist | 16701 Ne Mcgillivray Blvd, Ste 220, Vancouver, WA 98683 | 2014-03-21 |
| Find all providers in zip 98683 | ||||
| Taxonomy Code | 104100000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. |
| Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093332132 | Faith Swords | Social Worker | 910 Nw 50th St, Vancouver, WA 98663-1602 | 2020-07-05 |
| 1740810068 | Tara Louise Bartel | Social Worker | 13820 Se 20th Cir, Vancouver, WA 98683-7188 | 2020-01-26 |
| 1124588876 | Marjorie Louisa Molmen | Social Worker | 1601 E Fourth Plain Blvd Bldg 1, Vancouver, WA 98661-3717 | 2019-03-20 |
| 1538630850 | Heritage Nw Consulting LLC | Social Worker | 4107 Nw Fruit Valley Rd Ste K, Vancouver, WA 98660-1275 | 2018-12-16 |
| 1073091781 | Jessica Edit Villasenor | Social Worker | 9800 Ne Oakview Dr, Vancouver, WA 98662 | 2018-08-03 |
| 1205312196 | Jayme Anderson | Social Worker | 6313 Ne 87th Ave, Vancouver, WA 98662-5492 | 2018-07-14 |
| 1013403245 | Kelli Jean Anderson | Social Worker | 608 Ne 122nd Ave, Vancouver, WA 98684-5826 | 2018-07-11 |
| 1407342660 | Billie Jo Ek-bonneau | Social Worker | 16028 Ne 98th St, Vancouver, WA 98682-2843 | 2018-07-10 |
| 1376039537 | Linda Jane Rutledge | Social Worker | 16701 Se 35th Way, Vancouver, WA 98683-9498 | 2018-07-10 |
| 1356897904 | Kara Valerie Seibert | Social Worker | 1601 E Fourth Plain Blvd Bldg 17 Ste A212, Vancouver, WA 98661 | 2016-09-01 |
| Find all providers in VANCOUVER | ||||
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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.