DEEPEKA TAYA (NPI# 1598365595) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598365595 |
| Entity Type | Individual |
| Full Name | DEEPEKA TAYA |
| Credential | SUDPT |
| Practice Address |
17123 120th Ln Se Apt S303 Renton WA 98058-5992 |
| Practice Telephone | 2534332272 |
| Mailing Telephone | 2534332272 |
| Enumeration Date | 2020-10-28 |
| Last Update Date | 2020-10-28 |
| 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) |
CO61113567 | WA | Behavioral Health & Social Service Providers |
| Street Address |
17123 120TH LN SE APT S303 |
| City | RENTON |
| State | WA |
| Zip Code | 98058-5992 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639799471 | Fairwood Dental LLC | Dentist | 14250 Se 176th #j7, Renton, WA 98058 | 2020-04-22 |
| 1538641386 | Kenneth Graber | Physical Therapist | 17650 140th Avenue Sw, Suite B-07, Renton, WA 98058 | 2018-08-29 |
| 1508210154 | Lucy Johnson | Specialist/Technologist | 11808 Se 172nd Ln Apt N303, Renton, WA 98058 | 2016-04-20 |
| 1104253947 | Bertila Martinez | Dental Hygienist | 14600 Se 176th St #v4, Renton, WA 98058 | 2013-10-10 |
| 1326340456 | Tabatha Burris | Specialist | 14410 Petrovistsky Rd Se #109, Renton, WA 98058 | 2010-11-22 |
| 1295042570 | Hanh Q Nguyen | Pharmacist | 16940 116th Avenue Southeast, Renton, WA 98058 | 2010-09-08 |
| 1861692675 | Ernestine Johanna Rombouts | Counselor | 16205 128th Place Se, Renton, WA 98058 | 2007-07-19 |
| 1912100991 | Cara Rozell | Pharmacist | 400 South 43rd St, Renton, WA 98058 | 2007-06-07 |
| 1699821231 | Lynne Suzanne Balderson | Massage Therapist | 14410 Se Petrovitsky Rd #201, Renton, WA 98058 | 2007-01-26 |
| 1023173465 | Sara Jean Denherder | Massage Therapist | 17070 - 140th Ave Se, Renton, WA 98058 | 2006-12-26 |
| Find all providers in zip 98058 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720550486 | Nicole Jacqueline Tannheimer | Counselor | 1000 Sw 7th St Ste B, Renton, WA 98057-5216 | 2018-12-19 |
| 1477024586 | Bonnie Lou Rinker | Counselor | 17600 Talbot Rd S Ste 3, Renton, WA 98055-5771 | 2018-12-16 |
| 1710330824 | Genise Rachelle Bagby | Counselor | 15 S Grady Way Ste 634, Renton, WA 98057-3218 | 2016-07-13 |
| 1750731238 | Chan Saelee | Counselor | 16517 115th Ave Se, Renton, WA 98055-5206 | 2016-06-15 |
| 1639541840 | Donna Virginia Whitmire | Counselor | 533 Redmond Pl Ne, 401 Olympia Ave. N.e., Suite 318, Renton, WA 98056-3988 | 2015-10-27 |
| 1154749000 | Terry Woodland | Counselor | 451 Sw 10th St Ste 100, Renton, WA 98057-2981 | 2014-03-28 |
| 1588905517 | Vance Newton Jr. | Counselor | 16720 116th Ave Se Ste 4, Renton, WA 98058-5277 | 2013-03-15 |
| 1396015988 | Arthur Egene Johnson | Counselor | 220 Sw Sunset Blvd, Ste B103, Renton, WA 98057-2320 | 2012-01-12 |
| 1669794913 | Darin John Keuter | Counselor | 451 Sw 10th St, Suite 108, Renton, WA 98057-2981 | 2010-02-26 |
| 1578724498 | Amanda Michelle Mayoh | Counselor | 15 S Grady Way Ste 249, Renton, WA 98057-3209 | 2008-06-23 |
| Find all providers in RENTON | ||||
Please comment or provide details below to improve the information on DEEPEKA TAYA.
| 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.