JOSHUA OWEN FREE (NPI# 1700356516) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700356516 |
| Entity Type | Individual |
| Full Name | JOSHUA OWEN FREE |
| Practice Address |
Colorado Street 211c Smith Gym Pullman WA 99164-0001 |
| Mailing Address |
1560 Brandi Way Apt I228 Pullman WA 99163-7107 |
| Practice Telephone | 5093355485 |
| Mailing Telephone | 3605621645 |
| Enumeration Date | 2018-12-05 |
| Last Update Date | 2018-12-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | WA | Student, Health Care |
| Street Address |
COLORADO STREET 211C SMITH GYM |
| City | PULLMAN |
| State | WA |
| Zip Code | 99164-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952837494 | Andrew Mutnan | Specialist/Technologist | 1547 Ne Colorado Street, Pullman, WA 99164 | 2017-05-03 |
| 1861866535 | Washington State University | Psychologist | 305 Ne Troy Mall, Pullman, WA 99164 | 2015-11-18 |
| 1174944169 | Cassie Marie Hodgin | Specialist/Technologist | 1455 Colorado St, Bohler Athletic Complex M4, Pullman, WA 99164 | 2013-12-18 |
| 1629364062 | Brenda Kay Deal Bye | Psychiatry & Neurology | Washington State University 1125 Se Washington St, Pullman, WA 99164 | 2011-06-23 |
| 1750914339 | Kalee Kennedy | Specialist/Technologist | Washington State University, 160 Cleveland Hall 1155 College Ave, Pullman, WA 99164 | 2020-02-21 |
| 1942541859 | Abby Myers Howard | Physician Assistant | 1125 Se Washington Street, Po Box 642302, Pullman, WA 99164 | 2013-03-04 |
| 1235490038 | Blake Cooper Corcoran | Family Medicine | 1125 Se Washington St., Pullman, WA 99164 | 2012-06-07 |
| 1417261934 | Kyrsten E Stoops | Family Medicine | 1125 Se Washington St, Pullman, WA 99164 | 2010-07-27 |
| 1104071752 | Pam Spens | Nurse Practitioner | 1125 Se Washington St, Pullman, WA 99164 | 2008-11-24 |
| 1700958493 | Petrina E Gavrilis | Nurse Practitioner | 1125 Se Washington St., Pullman, WA 99164 | 2006-11-15 |
| Find all providers in zip 99164 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104175231 | Brian Q Cai | Student in an Organized Health Care Education/Training Program | 2290 Ne Westwood Dr, Apt# J304, Pullman, WA 99163-5171 | 2012-09-05 |
| 1033742697 | Keira Reid Mcdonnell | Student in an Organized Health Care Education/Training Program | Washington State University, Pullman, WA 99163 | 2020-02-21 |
| 1689207235 | Katelynn Towry | Student in an Organized Health Care Education/Training Program | Washington State University, Pullman, WA 99163 | 2020-02-21 |
| 1659904217 | Emily R Wadden | Student in an Organized Health Care Education/Training Program | Washington State University, Pullman, WA 99163 | 2020-02-21 |
| 1326585456 | Lindsey Marco | Student in an Organized Health Care Education/Training Program | 1125 Ne Washington St, Pullman, WA 99164-0001 | 2017-01-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841890449 | Chad Savaikie | Student in an Organized Health Care Education/Training Program | 801 15th St Ne, Auburn, WA 98002-3337 | 2020-11-01 |
| 1942800362 | Pratishtha Chhabra | Student in an Organized Health Care Education/Training Program | 1727 14th Ln Ne, Issaquah, WA 98029-7637 | 2020-10-26 |
| 1790384642 | Scott Davis | Student in an Organized Health Care Education/Training Program | 14027 20th Pl W, Lynnwood, WA 98087-2010 | 2020-10-21 |
| 1417556606 | Sarah Blau | Student in an Organized Health Care Education/Training Program | 1605 Ledwich Ave, Yakima, WA 98902-6022 | 2020-10-20 |
| 1437757556 | Christina Brown | Student in an Organized Health Care Education/Training Program | 4526 Federal Ave Ms# 11, Everett, WA 98203-2132 | 2020-10-12 |
| 1396342358 | Emma Peconga | Student in an Organized Health Care Education/Training Program | 3619 Ashworth Ave N, Seattle, WA 98103-8116 | 2020-10-02 |
| 1174139596 | Kelsey Yared | Student in an Organized Health Care Education/Training Program | 11914 59th Ave W, Mukilteo, WA 98275-5569 | 2020-09-21 |
| 1780290361 | Compassionate Peer Counseling LLC | Student in an Organized Health Care Education/Training Program | 3250 Airport Way S Ste 608, Seattle, WA 98134-2172 | 2020-09-19 |
| 1033724968 | Julia Yunkyung Yi | Student in an Organized Health Care Education/Training Program | 527 Bellevue Way Se Apt 203, Bellevue, WA 98004-6684 | 2020-09-08 |
| 1366055113 | Diana Spann | Student in an Organized Health Care Education/Training Program | 702 141st Ln Se, Bellevue, WA 98007-6764 | 2020-08-30 |
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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.