ANNA PENGRA (NPI# 1609223478) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609223478 |
| Entity Type | Individual |
| Full Name | ANNA PENGRA |
| Credential | MAT, LAT |
| Practice Address |
10402 Ne 88th St Vancouver WA 98662-2178 |
| Practice Telephone | 8065182014 |
| Mailing Telephone | 8065182014 |
| Enumeration Date | 2016-05-20 |
| Last Update Date | 2016-05-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
AT5651 | TX | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
10402 NE 88TH ST |
| City | VANCOUVER |
| State | WA |
| Zip Code | 98662-2178 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861024911 | Hillary Ann Devore | Behavior Technician | 9414 Ne Fouth Plain Road, Vancouver, WA 98662 | 2020-02-06 |
| 1073091781 | Jessica Edit Villasenor | Social Worker | 9800 Ne Oakview Dr, Vancouver, WA 98662 | 2018-08-03 |
| 1568991123 | Preferred Rx Pharmacy Inc | Pharmacy | 10303 Ne Fourth Plain Blvd Ste 109, Vancouver, WA 98662 | 2017-06-07 |
| 1982058814 | Nw Interventional Medicine and Orthopedic Rehab Pllc | Physician Assistant | 11802 Ne 65th St., Vancouver, WA 98662 | 2016-04-18 |
| 1942685664 | Silpa Nekkalapudi | Dentist | 11504 Ne 119th St, Suite 100, Vancouver, WA 98662 | 2015-07-23 |
| 1528468261 | Lidiya Chepa | Pharmacist | 14505 Ne Fourth Plain Boulevard, Vancouver, WA 98662 | 2014-08-29 |
| 1962827030 | Vanessa Wulff | Chiropractor | 6405 Ne 116th Ave Ste 106, Vancouver, WA 98662 | 2014-02-26 |
| 1326484080 | Precious Jewel Adult Family Home | Custodial Care Facility | 9707 Ne 115th Ct, Vancouver, WA 98662 | 2013-05-21 |
| 1457698466 | Elise C Jones | Counselor | 4400 Ne 77th Ave., Suite 275, Vancouver, WA 98662 | 2013-01-10 |
| 1396096103 | At Home Sleep Solutions | Clinic/Center | 9330 Ne Vancouver Mall Dr., Suite 202, Vancouver, WA 98662 | 2012-09-20 |
| Find all providers in zip 98662 | ||||
| Taxonomy Code | 2255A2300X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Athletic Trainer |
| Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration. |
| Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356957054 | Alex Vincent Pham | Specialist/Technologist | 3523 Se 176th Ave, Vancouver, WA 98683-3591 | 2020-09-17 |
| 1174086706 | Cameron Scot Townsen | Specialist/Technologist | 18510 Ne 30th St, Vancouver, WA 98682-3609 | 2019-04-10 |
| 1275030728 | Courtney Lynn Ryan | Specialist/Technologist | 14004 Nw 27th Ave, Vancouver, WA 98685-1871 | 2018-04-11 |
| 1902330665 | Jessica L. Padget | Specialist/Technologist | 10108 Ne 86th St, Vancouver, WA 98662-2114 | 2017-04-19 |
| 1659805315 | Vanessa Punches | Specialist/Technologist | 12810 Ne 43rd Cir, Vancouver, WA 98682-6492 | 2017-04-19 |
| 1710361225 | Amanda Widman | Specialist/Technologist | 6700 Ne 162nd Ave Ste 411, Vancouver, WA 98682-3863 | 2015-07-14 |
| 1710113501 | Neetu Rishiraj | Specialist/Technologist | Actin Health and Rehabilitation Inc., 5767 Oak Street, Vancouver, BRITISH COLUMBIA V6M2V7 | 2009-06-07 |
| 1669599320 | Chapman Leo Gee | Specialist/Technologist | 11604 Nw 30th Ct, Vancouver, WA 98685-3480 | 2007-03-26 |
| 1093832271 | Michael Scott Lefore | Specialist/Technologist | 7825 Ne 130th Ave, Vancouver, WA 98682-3316 | 2007-03-23 |
| 1740307727 | Julie A Mattox | Specialist/Technologist | 12901 Ne 28th St Apt 125, Vancouver, WA 98682-1228 | 2007-03-23 |
| 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.