MRS. TRACEY ANN KNIGHT (NPI# 1639726466) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1639726466 |
Entity Type | Individual |
Full Name | MRS. TRACEY ANN KNIGHT |
Other Name | MS. TRACEY ANN MCDOUGALL |
Credential | CPC |
Practice Address |
1022 W Main St Monroe WA 98272-2018 |
Mailing Address |
19133 Us 2 Monroe WA 98272-1531 |
Practice Telephone | 4253498810 |
Mailing Telephone | 4253597378 |
Enumeration Date | 2019-08-26 |
Last Update Date | 2020-05-15 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 175T00000X | Peer Specialist | Other Service Providers |
Street Address |
1022 W MAIN ST |
City | MONROE |
State | WA |
Zip Code | 98272-2018 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134155088 | Michael Henry Childers | Counselor | 1022 W Main St, Monroe, WA 98272-2018 | 2006-06-23 |
1548829716 | Loryn Elizabeth Moore | Behavior Technician | 1022 W Main St, Monroe, WA 98272-2018 | 2019-06-11 |
1710544101 | Katie Killingsworth | Behavior Technician | 1022 W Main St, Monroe, WA 98272-2018 | 2019-05-21 |
1376109447 | Danielle Flores | Behavior Technician | 1022 W Main St, Monroe, WA 98272-2018 | 2019-05-14 |
1902369051 | Nicole Ruston | Counselor | 1022 W Main St, Monroe, WA 98272-2018 | 2019-04-06 |
1245792852 | Samantha Harding | Behavior Technician | 1022 W Main St, Monroe, WA 98272-2018 | 2019-04-02 |
1336607597 | Anastasia Kibby | Case Manager/Care Coordinator | 1022 W Main St, Monroe, WA 98272-2018 | 2019-03-06 |
1447723580 | Cheri Woolley | Counselor | 1022 W Main St, Monroe, WA 98272-2018 | 2019-01-10 |
1568980894 | Shanon Lee Cox | Counselor | 1022 W Main St, Monroe, WA 98272-2018 | 2017-09-07 |
1538617972 | Taylor Evans | Counselor | 1022 W Main St, Monroe, WA 98272-2018 | 2016-09-14 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710346135 | Kiran Agarwal | Internal Medicine | 17707 W Main St Fl 1, Monroe, WA 98272 | 2016-02-12 |
1982073136 | Rochelle Conway Toulouse | Behavioral Analyst | 642 North Street, Monroe, WA 98272 | 2015-09-17 |
1740658467 | Casey Jane Bahr | Social Worker | Casey Bahr, C.o. Tru- Sotap, 16550 177th Ave Se, Monroe, WA 98272 | 2015-09-11 |
1811395049 | Gianna M Rosewood | Massage Therapist | 101 East Main Street Set 201, Monroe, WA 98272 | 2014-12-22 |
1528478609 | Puget Sound Kidney Centers | Clinic/Center | 18121 149th Street Se, Monroe, WA 98272 | 2014-04-29 |
1215356878 | Sabiha K Barot | Emergency Medicine | Evergreenhealth Monroe, 14701 179th Ave. Se, Monroe, WA 98272 | 2014-04-10 |
1346677986 | Irina Emily Goldstein | Pharmacist | 179th Ave Se, Monroe, WA 98272 | 2013-09-27 |
1740612449 | Erik Michael Erxleben | Massage Therapist | 211 West Hill St., Monroe, WA 98272 | 2013-08-05 |
1780023796 | Jamie Marlo Selbe | Counselor | 16560 167th St Se, Monroe, WA 98272 | 2013-06-24 |
1942644620 | Robin Fenn | Counselor | 14841 179th Ave Se, St 230, Neary Naturopathic Clinic, Monroe, WA 98272 | 2013-04-24 |
Find all providers in zip 98272 |
Taxonomy Code | 175T00000X |
Grouping | Other Service Providers |
Classification | Peer Specialist |
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. |
Notes: Source: National Uniform Claim Committee [7/1/2014: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1184264665 | Jazmin Trenise Clark | Peer Specialist | 4308 S Grand St, Monroe, LA 71202-6322 | 2020-01-13 |
1831606904 | Paul Zinder | Peer Specialist | 12 W Front St Ste B, Monroe, MI 48161-2337 | 2018-01-10 |
1780208298 | Amber Madison | Peer Specialist | 4306 S Grand St, Monroe, LA 71202-6322 | 2020-06-01 |
1437772019 | William Charles Morgan Jr. | Peer Specialist | 4306 S Grand St, Monroe, LA 71202-6322 | 2020-05-18 |
1063048379 | Victoria Salley Westfield | Peer Specialist | 2313 Katie Leigh Ln, Monroe, NC 28110-6435 | 2020-03-18 |
1396371001 | Peyton Harrel | Peer Specialist | 4306 S Grand St, Monroe, LA 71202-6322 | 2020-03-14 |
1548895311 | Misty Mcdowell | Peer Specialist | 4306 S Grand St, Monroe, LA 71202-6322 | 2020-03-11 |
1194350652 | Alison Hope Williams | Peer Specialist | 4306 S Grand St, Monroe, LA 71202-6322 | 2020-03-05 |
1598398737 | Melissa Ann Brown | Peer Specialist | 4306 S Grand St, Monroe, LA 71202-6322 | 2020-02-17 |
1073146361 | Lexus Nichole Hamer | Peer Specialist | 4306 S Grand St, Monroe, LA 71202-6322 | 2020-02-15 |
Find all providers in MONROE |
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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.