MRS. AUDREE ELIZABETH BEARSS (NPI# 1619584117) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1619584117 |
Entity Type | Individual |
Full Name | MRS. AUDREE ELIZABETH BEARSS |
Credential | LMT |
Practice Address |
4530b Dogwood St Sw Mcchord Afb WA 98439-1314 |
Practice Telephone | 3237398439 |
Mailing Telephone | 3237398439 |
Enumeration Date | 2020-09-29 |
Last Update Date | 2020-09-29 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 225700000X | Massage Therapist | 61049813 | WA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Street Address |
4530B DOGWOOD ST SW |
City | MCCHORD AFB |
State | WA |
Zip Code | 98439-1314 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376197251 | Denise Hawkins | Behavioral Analyst | 7513 146th St Sw Apt 314, Lakewood, WA 98439-1213 | 2019-07-29 |
1760459333 | Thomas Wayne Gammill | Physician Assistant | 7314 146th St Sw, B, Lakewood, WA 98439-1229 | 2006-03-02 |
1609317734 | Gessica Pickel | Registered Nurse | 4719b Spruce St Sw, Mcchord Afb, WA 98439-1419 | 2017-03-08 |
1043584071 | Vashti Shoudy | Specialist | 7129 150th St Sw, Lakewood, WA 98439-2007 | 2012-03-08 |
1023115359 | Donna J Ayers | Counselor | 9800 Veterans Dr., Bld. 61c Rm. 317, Tacoma, WA 98439-5000 | 2006-09-20 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609317734 | Gessica Pickel | Registered Nurse | 4719b Spruce St Sw, Mcchord Afb, WA 98439-1419 | 2017-03-08 |
1215103288 | Nico Rouse Corporation P S | Optometrist | 504 A Street, Mcchord Afb, WA 98438-1304 | 2008-04-30 |
1720205578 | Nathan Kane Fosmore | Registered Nurse | Us Dept of The Us Airforce, 690 Barnes Blvd, Mcchord Afb, WA 98438 | 2007-04-20 |
1255445623 | Erick H Auyoung | Optometrist | 504 Barnes Blvd, Mcchord Afb, WA 98438-1304 | 2006-08-19 |
1770527418 | National Vision, Inc. | Eyewear Supplier (Equipment, not the service) | A Street Bldg 504, Mcchord Afb, WA 98438 | 2006-06-15 |
1982660692 | Shanti Jones | Registered Nurse | 62nd Med Group, 690 Barnes Ave, Mcchord Afb, WA 98438 | 2006-04-21 |
1811953797 | Clinton A. Thiel | Registered Nurse | 690 Barnes Boulevard, Mcchord Afb, WA 98332 | 2006-04-21 |
1609831049 | James Christopher Ault | Registered Nurse | 62d Mdg/sgo/hci, 690 Barnes Blvd, Mcchord Afb, WA 98438-1130 | 2006-04-19 |
1326026972 | Andrea Dawn Gardner | Pharmacist | 690 Barnes Street, Mcchord Afb, WA 98438-1303 | 2006-01-04 |
1578547436 | Cynthia Lee Fry-spray | Physician Assistant | 691 Barnes Blvd, Mcchord Afb, WA 98438 | 2005-12-05 |
Find all providers in MCCHORD AFB |
Taxonomy Code | 225700000X |
Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Classification | Massage Therapist |
An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396346177 | Franco Garibaldi | Massage Therapist | 8120 378th Ave Se, Snoqualmie, WA 98065-9338 | 2020-11-06 |
1073114815 | Michael Paul Frietze | Massage Therapist | 519 Sw Cascade Ave, Chehalis, WA 98532-3213 | 2020-11-06 |
1417558305 | Madelyn Leigh Thomas | Massage Therapist | 2202 6th Ave, Tacoma, WA 98403-1049 | 2020-11-05 |
1912508094 | Catelyn Renee Wesley | Massage Therapist | 211 Marty Loop, Woodland, WA 98674-7223 | 2020-11-04 |
1154922250 | Wanju S Kellams | Massage Therapist | 677 Woodland Square Loop Se # A-8, Lacey, WA 98503-1000 | 2020-11-04 |
1417558743 | Erin Claire Stafford | Massage Therapist | 709 Nw 120th St, Vancouver, WA 98685-2495 | 2020-11-03 |
1063013332 | Andrea L Yu | Massage Therapist | 7207 265th St Nw Ste 102, Stanwood, WA 98292-6274 | 2020-11-03 |
1689274250 | Francine Marie Morales | Massage Therapist | 1320 Worrall Dr, Bremerton, WA 98310-3629 | 2020-10-31 |
1255931994 | Lotus Lounge Corporation | Massage Therapist | 200 Auburn Ave Ste 3, Auburn, WA 98002-5015 | 2020-10-30 |
1538769088 | Alison K Rostholder-harris | Massage Therapist | 1202 E Pine St Unit 101, Seattle, WA 98122-3929 | 2020-10-26 |
Find all providers with the same taxonomy |
City | MCCHORD AFB |
Zip Code | 98439 |
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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.