POPE'S KIDS PLACE (NPI# 1649497603) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649497603 |
| Entity Type | Organization |
| Organization Name | POPE'S KIDS PLACE |
| Practice Address |
230 Washington Way Centralia WA 98531-9325 |
| Practice Telephone | 3607369178 |
| Practice Fax Number | 3607368312 |
| Mailing Telephone | 3607369178 |
| Mailing Fax Number | 3607368312 |
| Enumeration Date | 2007-04-19 |
| Last Update Date | 2015-05-26 |
| Authorized Official Name | FRANK MILLWOOD (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 3607369178 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080H0002X |
Pediatrics Specialization: Hospice and Palliative Medicine |
Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093378358 | Pope's Kids Place | Custodial Care Facility | 230 Washington Way Bldg B, Centralia, WA 98531-9225 | 2019-04-22 |
| 1801199575 | Pope's Kids Place | Clinic/Center | 230 Washington Way, Centralia, WA 98531-9325 | 2010-12-17 |
| 1790914109 | Pope's Kids Place | Respite Care | 230 Washington Way, Centralia, WA 98531-9325 | 2009-07-07 |
| 1154535771 | Pope's Kids Place | Psychiatry & Neurology | 230 Washington Way, Centralia, WA 98531-9325 | 2007-05-10 |
| Street Address |
230 WASHINGTON WAY |
| City | CENTRALIA |
| State | WA |
| Zip Code | 98531-9325 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619990678 | Isaac S Pope | Pediatrics | 230 Washington Way, Centralia, WA 98531-9325 | 2006-07-25 |
| 1801199575 | Pope's Kids Place | Clinic/Center | 230 Washington Way, Centralia, WA 98531-9325 | 2010-12-17 |
| 1306148911 | Leanne K Burkhalter-eko | Dietitian, Registered | 230 Washington Way, Centralia, WA 98531-9325 | 2010-12-02 |
| 1790914109 | Pope's Kids Place | Respite Care | 230 Washington Way, Centralia, WA 98531-9325 | 2009-07-07 |
| 1477763993 | Popes Kid's Place Dental | Dentist | 230 Washington Way, Centralia, WA 98531-9325 | 2007-05-23 |
| 1154535771 | Pope's Kids Place | Psychiatry & Neurology | 230 Washington Way, Centralia, WA 98531-9325 | 2007-05-10 |
| 1912129727 | Jean Fleming Cavendish | Psychiatry & Neurology | 230 Washington Way, Centralia, WA 98531 | 2007-05-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306462205 | Jelisa Renae Thomas | Counselor | 3510 Steelhammer Ln, Centralia, WA 98531 | 2020-06-17 |
| 1205498607 | Jennifer Kristine Mcglynn Paterno | Counselor | 2428 W. Reynods Ave, Centralia, WA 98531 | 2019-07-05 |
| 1538646328 | Adam Jeffrey Moore | Counselor | 3510 Steelhammer Lane, Centralia, WA 98531 | 2018-07-24 |
| 1144706698 | Euijeong Kim | Occupational Therapist | Rehabilitation Therapies, 914 S. Scheuber Rd, Centralia, WA 98531 | 2018-07-18 |
| 1104315266 | Margaret Fowler Floyd | Registered Nurse | Centralia High School, 813 Eshom Road, Centralia, WA 98531 | 2018-05-04 |
| 1124545777 | Samantha Michelle Moody | Speech-Language Pathologist | Centralia School District, 2320 Borst Ave, Centralia, WA 98531 | 2017-08-24 |
| 1821520289 | Alexa Franks | Behavior Technician | 2428 West Reynolds Ave., Centralia, WA 98531 | 2017-04-03 |
| 1023559861 | Brandy Michelle Peterson | Counselor | 135 W. Main Steet, Centralia, WA 98531 | 2017-03-13 |
| 1841738812 | Graceful Healing Naturopathic | Naturopath | 219 N Tower Ave, Suite 304, Centralia, WA 98531 | 2017-02-09 |
| 1043681513 | Angela Naillon | Counselor | 2428 West Reynolds, Centralia, WA 98531 | 2015-10-09 |
| Find all providers in zip 98531 | ||||
| Taxonomy Code | 2080H0002X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Hospice and Palliative Medicine |
| A pediatrician with special knowledge and skills to prevent and relieve the suffering experienced by patients with life-limiting illnesses. This specialist works with an interdisciplinary hospice or palliative care team to maximize quality of life while addressing physical, psychological, social and spiritual needs of both patient and family throughout the course of the disease, through the dying process, and beyond for the family. This specialist has expertise in the assessment of patients with advanced disease; the relief of distressing symptoms; the coordination of interdisciplinary patient and family-centered care in diverse venues; the use of specialized care systems including hospice; the management of the imminently dying patient; and legal and ethical decision making in end-of-life care. |
| Notes: Source: American Academy of Hospice and Palliative Medicine, www.aahpm.org [1/1/2007: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295969756 | Jennifer Cobelli Kett | Pediatrics | 311 S L St, Tacoma, WA 98405-3720 | 2009-05-12 |
| 1154539088 | Ekta Khurana, Md Pllc | Pediatrics | 945 Goethals Dr, Suite 310, Richland, WA 99352-3552 | 2007-05-21 |
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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.