MCKENZI ROULETTE (NPI# 1659918472) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659918472 |
| Entity Type | Individual |
| Full Name | MCKENZI ROULETTE |
| Practice Address |
4000 Ne 109th Ave Unit 68 Vancouver WA 98682-5718 |
| Practice Telephone | 8013094601 |
| Mailing Telephone | 8013094601 |
| Enumeration Date | 2019-12-01 |
| Last Update Date | 2019-12-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | 8056019-4701 | UT | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
4000 NE 109TH AVE UNIT 68 |
| City | VANCOUVER |
| State | WA |
| Zip Code | 98682-5718 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184230625 | Helen Trinidad Uy | Registered Nurse | 15814 Ne 72nd St., Vancouver, WA 98682 | 2020-09-21 |
| 1891258711 | Washington Dental Corporation, PC | Dentist | 14411 Ne Fourth Plain, Suite 134, Vancouver, WA 98682 | 2019-04-08 |
| 1588174833 | Oliver Uy | Nurse Practitioner | 15814 Ne 72nd, Vancouver, WA 98682 | 2017-10-01 |
| 1285095000 | Julia Melinda Zamora | Naturopath | 15640 Ne Fourth Plain Blvd Ste 120a, Vancouver, WA 98682 | 2016-03-08 |
| 1871999243 | Jumana Sayyam | Counselor | 13114 Ne 41st St, Vancouver, WA 98682 | 2014-11-13 |
| 1679998538 | Chris Briggs | Massage Therapist | 6700 N.e. 162 Ave, Suite 415, Vancouver, WA 98682 | 2014-02-28 |
| 1790113371 | Kaiser Foundation Health Plan of The Northwest | Pharmacy | 1230 7th Ave., Longview, WA 98682 | 2013-10-17 |
| 1821336736 | Carol Lynn Fischer | Occupational Therapist | 13501 Ne 28th Street, Vancouver, WA 98682 | 2013-01-28 |
| 1336412485 | Erica Paige Schmidt | Massage Therapist | 13025 Ne 4th Plain Blvd, Suite 102, Vancouver, WA 98682 | 2012-02-21 |
| 1669767828 | Scott Germann | Contractor | 15410 Ne 85th Street, Vancouver, WA 98682 | 2011-06-16 |
| Find all providers in zip 98682 | ||||
| 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 |
|---|---|---|---|---|
| 1417558743 | Erin Claire Stafford | Massage Therapist | 709 Nw 120th St, Vancouver, WA 98685-2495 | 2020-11-03 |
| 1225650112 | Zachary Dodds | Massage Therapist | 12314 Nw 42nd Ct, Vancouver, WA 98685 | 2020-05-13 |
| 1205469871 | Gary James Wartella II | Massage Therapist | 21201 Ne 58th St Unit 1, Vancouver, WA 98682-9660 | 2020-02-21 |
| 1114550126 | Alexander J Lindo | Massage Therapist | 2125 E 8th St, Vancouver, WA 98661-4301 | 2020-02-18 |
| 1487297313 | Rachel Ann Tudor | Massage Therapist | 9618 Ne Fourth Plain Blvd, Vancouver, WA 98662-6107 | 2019-10-23 |
| 1982245064 | Andrea Joy | Massage Therapist | 1401 Se 164th Ave Ste 130, Vancouver, WA 98683-9612 | 2019-09-30 |
| 1083265722 | Rob Elmer William Anderson | Massage Therapist | 6509 Ne 45th Way, Vancouver, WA 98661-2893 | 2019-09-24 |
| 1366092132 | Rooted Spruce Massage and Bodywork | Massage Therapist | 120 Ne 117th Ave Rm 8, Vancouver, WA 98684-5020 | 2019-09-13 |
| 1477106581 | Steven J Zerfing | Massage Therapist | 4903 Ne St James Rd Apt 30, Vancouver, WA 98663-1900 | 2019-07-17 |
| 1194382093 | Jose Angel Delapaz | Massage Therapist | 400 E Evergreen Blvd Ste 322a, Vancouver, WA 98660-3385 | 2019-05-26 |
| 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.