DR. STEPHANIE ABBOTT (NPI# 1679992903) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679992903 |
| Entity Type | Individual |
| Full Name | DR. STEPHANIE ABBOTT |
| Credential | PHARM D |
| Practice Address |
12728 19th Ave Se Ste 200 Everett WA 98208-6526 |
| Practice Telephone | 4252252760 |
| Practice Fax Number | 4252521118 |
| Mailing Telephone | 4252252760 |
| Mailing Fax Number | 4252521118 |
| Enumeration Date | 2014-04-15 |
| Last Update Date | 2014-04-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
PH00020716 | WA | Pharmacy Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | WASHINGTON STATE DEPARTMENT OF HEALTH | PH00020716 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326685371 | Stephanie Lea Abbott | Licensed Vocational Nurse | 11121 Mac Murray St, Garden Grove, CA 92841-1016 | 2019-12-09 |
| 1487815817 | Stephanie Evelyn Abbott | Massage Therapist | 931 S Ridgewood Ave, Ste B-6, Edgewater, FL 32132-2301 | 2008-06-18 |
| 1578048625 | Stephanie Anne Abbott | Counselor | 2624 9th Ave S, Fargo, ND 58103-2350 | 2018-09-25 |
| 1912485434 | Stephanie Abbott | Behavior Technician | 17911 Sky Park Cir Ste E, Irvine, CA 92614-4303 | 2018-08-06 |
| 1386072825 | Stephanie Abbott | Physician Assistant | 721 3 Mile Rd Nw, Suite 200, Grand Rapids, MI 49544-8229 | 2013-10-18 |
| Street Address |
12728 19TH AVE SE STE 200 |
| City | EVERETT |
| State | WA |
| Zip Code | 98208-6526 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376660472 | Leigh R. Anderson | Internal Medicine | 12728 19th Ave Se Ste 200, Everett, WA 98208 | 2007-03-23 |
| 1275192841 | Darya C Khalili | Nurse Practitioner | 12728 19th Ave Se Ste 200, Everett, WA 98208-6526 | 2019-06-07 |
| 1417219874 | Joshua Schilling | Internal Medicine | 12728 19th Ave Se Ste 200, Everett, WA 98208 | 2012-06-12 |
| 1336405539 | Michael Adel Eskander | Internal Medicine | 12728 19th Ave Se Ste 200, Everett, WA 98208-6526 | 2012-04-02 |
| 1134346836 | Ravilla L Mahidhar | Internal Medicine | 12728 19th Ave Se Ste 200, Everett, WA 98208-6526 | 2007-04-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790270296 | Kenneth Britt Dyer | Registered Nurse | 10333 19th Ave, Se, Ste #109, Everett, WA 98208 | 2018-06-27 |
| 1518482215 | Glacier Peak Healthcare, Inc. | Home Health | 10530 19th Ave Se Ste 201, Everett, WA 98208 | 2017-08-03 |
| 1114454865 | Aliza Kreisman | Registered Nurse | 11020 19th Avenue Se, Kaiser Permanente of Washington Seattle Care Clinic, Everett, WA 98208 | 2017-05-12 |
| 1902269418 | Clay Eakin | Counselor | 2732 Grand Evenue, Everett, WA 98208 | 2016-04-01 |
| 1467810259 | Elizabeth Anne Powley | Marriage & Family Therapist | 1920 100th Street Southeast, Bld C3, Everett, WA 98208 | 2016-02-08 |
| 1659745842 | Andrea Rose Bedlington | Pharmacist | 11407 33rd Dr. Se, Everett, WA 98208 | 2015-11-25 |
| 1396123865 | Sound Surgeons Pllc | Clinic/Center | 125 130th Street Se, 1st Floor, Everett, WA 98208 | 2015-05-15 |
| 1831576537 | Chris Sturgeon | Counselor | 10102 Meridian Ave, Everett, WA 98208 | 2015-05-01 |
| 1982011128 | James M Lee | Physical Therapist | 10821 19th Ave Se Ste 102, Everett, WA 98208 | 2014-07-21 |
| 1972937357 | Ronald Tracy | Dentist | 10315 19th Avenue Se Suite 110, Everett, WA 98208 | 2013-08-21 |
| Find all providers in zip 98208 | ||||
| Taxonomy Code | 1835P0018X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
| Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management. |
| Notes: Source: National Uniform Claim Committee, 2007 [1/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770876492 | Hiromi Truong | Pharmacist | 12800 Bothell Everett Hwy Ste 140, Everett, WA 98208-6642 | 2011-05-27 |
| 1851710495 | Western Washington Medical Group | Pharmacist | 12728 19th Ave Se, Suite 200, Everett, WA 98208-6526 | 2014-04-10 |
| 1184917023 | John Leon Somers | Pharmacist | 3305 Nassau St # 101, Everett, WA 98201-4140 | 2011-05-25 |
| 1336432350 | Michael J Mashock | Pharmacist | 3305 Nassau St, Everett, WA 98201-4140 | 2011-05-24 |
| 1851697221 | Trang Van Le | Pharmacist | 3305 Nassau St, Everett, WA 98201-4140 | 2011-02-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891395760 | Evelyn Tong | Pharmacist | 4229 122nd Ave Se, Bellevue, WA 98006-1915 | 2020-10-29 |
| 1356985345 | Nancy Celine Tran | Pharmacist | 906 S 38th Ct, Renton, WA 98055-5897 | 2019-11-01 |
| 1265087654 | Valorie Swensen | Pharmacist | 4500 Harrison St, Bellingham, WA 98229-3323 | 2019-08-02 |
| 1982110805 | Derek Matlock | Pharmacist | 3715 Ocean Beach Hwy # 2, Longview, WA 98632-4801 | 2017-12-15 |
| 1659880938 | Hazel Ann Feist | Pharmacist | 14406 Nw 20th Ave, Vancouver, WA 98685-8007 | 2017-09-29 |
| 1528586732 | Mayumi Robbins | Pharmacist | 410 9th Ave N Fl 7, Seattle, WA 98109-4708 | 2017-09-07 |
| 1699293688 | Jin Man Choe | Pharmacist | 105 W 8th Ave Ste 350, Spokane, WA 99204-2312 | 2017-08-30 |
| 1821457813 | Marie Cermak | Pharmacist | 12333 Ne 130th Ln # Lane415, Kirkland, WA 98034-7467 | 2016-02-18 |
| 1902281959 | Carmen Joy Berg | Pharmacist | 2320 South Salnave Road, Medical Lake, WA 99022 | 2015-07-20 |
| 1639574981 | Loi Chau | Pharmacist | 601 Broadway Rm 117, Seattle, WA 98122-5330 | 2014-10-29 |
| Find all providers with the same taxonomy | ||||
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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.