MRS. DANETTE NEUCOM (NPI# 1700247681) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1700247681 |
Entity Type | Individual |
Full Name | MRS. DANETTE NEUCOM |
Other Name | DANETTE CAVENDER OR CREAGER |
Credential | MA |
Practice Address |
20174 Front Street Poulsbo WA 98370 |
Mailing Address |
19689 7th Ave Ne Ste 183 Pmb 336 Poulsbo WA 98370 |
Practice Telephone | 3606971141 |
Practice Fax Number | 3606972395 |
Mailing Telephone | 3606971141 |
Mailing Fax Number | 3606972395 |
Enumeration Date | 2016-03-18 |
Last Update Date | 2018-02-05 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 101Y00000X | Counselor | MC 60610560 | WA | Behavioral Health & Social Service Providers |
Y | 103TC1900X |
Psychologist Specialization: Counseling |
LH60805877 | WA | Behavioral Health & Social Service Providers |
Street Address |
20174 FRONT STREET |
City | POULSBO |
State | WA |
Zip Code | 98370 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255426292 | Antone B Pryor | Psychologist | 20174 Front Street, Poulsbo, WA 98370 | 2006-10-04 |
1710051529 | Kristin L Kennedy | Counselor | 20174 Front Street, Poulsbo, WA 98342 | 2006-11-20 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790324010 | Francie Corinn Edens | Massage Therapist | 225 Nw Lindvig Way Suite# 6, Poulsbo, WA 98370 | 2020-01-03 |
1972155679 | Marcela Serocki | Massage Therapist | 18657 Wa-305, Suite 4, Poulsbo, WA 98370 | 2019-07-12 |
1508425943 | Ryan Brinton | Physical Therapist | Kitsap Physical Therapy and Sports Clinics, 19319 7th Ave Ne Ste 108, Poulsbo, WA 98370 | 2019-06-10 |
1598220816 | Naomi Whitney Orong | Massage Therapist | 19068 Nw Jenson Way, Suite 4b, Poulsbo, WA 98370 | 2019-02-01 |
1043774953 | Maryanne Phillips Bellman | Physical Therapist | 442 Viewmont Ave, Poulsbo, WA 98370 | 2019-01-24 |
1285102293 | Andrea Sander | Registered Nurse | 19883 12th Ave Ne, Poulsbo, WA 98370 | 2018-11-07 |
1376038281 | Sharon Renay Christor | Nurse Practitioner | 19160 Front St. Ne, Poulsbo, WA 98370 | 2018-06-25 |
1700304334 | Samantha Przybylek Gavinski | Nurse Practitioner | 19500 10th Ave Ne Suite 100, Poulsbo, WA 98370 | 2017-09-04 |
1285164327 | Johanna Taylor | Behavior Technician | 21786 Windmill Loop Nw, Poulsbo, WA 98370 | 2017-06-12 |
1568990554 | Eva Geurtsen | Physical Therapy Assistant | 19160 Front St, Poulsbo, WA 98370 | 2017-06-02 |
Find all providers in zip 98370 |
Taxonomy Code | 103TC1900X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Counseling |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1083198451 | Terry Macdonald | Psychologist | 19125 N Creek Pkwy Ste 115, Bothell, WA 98011-8000 | 2018-09-20 |
1518447630 | Robert Matthew Fontana | Psychologist | 1827 Ne 58th St # B, Seattle, WA 98105-2440 | 2018-08-17 |
1801380191 | Northwest Integrative Psychotherapy, Inc. P.s. | Psychologist | 3245 Fairview Ave E Ste 310, Seattle, WA 98102 | 2018-06-19 |
1245732288 | Shannon Dubois | Psychologist | 19803 N Creek Pkwy # 205, Bothell, WA 98011-8214 | 2018-03-06 |
1982134714 | John M Gottman | Psychologist | 1689 Spring Point Rd, Deer Harbor, WA 98243-9824 | 2017-06-14 |
1245765650 | Renee St Jacques | Psychologist | 11441 81st Ave Ne, Kirkland, WA 98034-3558 | 2017-04-23 |
1962942409 | Lindsay Huettman | Psychologist | 28128 Florence Acres Rd, Monroe, WA 98272-9574 | 2017-03-02 |
1184160541 | Robin Barre | Psychologist | 421 Lincoln Avenue, Suite A, Mukilteo, WA 98237 | 2017-01-10 |
1144775644 | Lee M. Faver, Phd Pllc | Psychologist | 1220 Main St Ste 4, Vancouver, WA 98660-2953 | 2016-08-25 |
1780053454 | Jessica Renee Mason | Psychologist | 412 E Spokane Falls Blvd # 145d, Spokane, WA 99202-2131 | 2015-09-23 |
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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.