MIRANDA K DETORE (NPI# 1720471774) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1720471774 |
Entity Type | Individual |
Full Name | MIRANDA K DETORE |
Credential | PA-C |
Practice Address |
217 W Cataldo Ave Spokane WA 99201-2217 |
Mailing Address |
Po Box 2242 Spokane WA 99210-2242 |
Practice Telephone | 5097476194 |
Practice Fax Number | 5092522837 |
Mailing Telephone | 5097476194 |
Mailing Fax Number | 5092522837 |
Enumeration Date | 2015-03-16 |
Last Update Date | 2016-11-28 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
217 W CATALDO AVE |
City | SPOKANE |
State | WA |
Zip Code | 99201-2217 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326024092 | Frederick Paul French | Surgery | 217 W Cataldo Ave, Spokane, WA 99201-2217 | 2005-12-15 |
1558989442 | Brittany Richelle Martin | Nurse Practitioner | 217 W Cataldo Ave, Spokane, WA 99201-2217 | 2020-07-08 |
1811541527 | Hannah Jones | Audiologist | 217 W Cataldo Ave, Spokane, WA 99201-2217 | 2019-07-31 |
1760963698 | Jessica Lil Anderies | Physician Assistant | 217 W Cataldo Ave, Spokane, WA 99201-2217 | 2018-08-28 |
1124532502 | Ennessa Ivy Gorkovchenko | Physician Assistant | 217 W Cataldo Ave, Spokane, WA 99201-2217 | 2017-11-21 |
1811423593 | Lucas Shulman | Physician Assistant | 217 W Cataldo Ave, Spokane, WA 99201 | 2017-05-02 |
1013441336 | Edward Hans Kaio | Hearing Instrument Specialist | 217 W Cataldo Ave, Spokane, WA 99201-2217 | 2017-04-13 |
1306390703 | Nadine E King | Hearing Instrument Specialist | 217 W Cataldo Ave, Spokane, WA 99201-2217 | 2016-08-15 |
1972963098 | Columbia Surgical Specialists | Audiologist | 217 W Cataldo Ave, Spokane, WA 99201-2217 | 2016-03-02 |
1437519568 | Suzanne Reed | Audiologist | 217 W Cataldo Ave, Spokane, WA 99201-2217 | 2016-03-02 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013517952 | Maria Escobedo | Counselor | 1321 N. Ash, Spokane, WA 99201 | 2020-10-29 |
1619576774 | Bethany Heath Arnp-pmhnp Pllc | Nurse Practitioner | 1224 West Riverside, Apt 408, Spokane, WA 99201 | 2020-10-20 |
1811594658 | Kaaren Goeller-bloom | Counselor | 106 West Mission, Spokane, WA 99201 | 2020-10-05 |
1649732793 | Marsha Rose Valenzuela | Peer Specialist | Partners With Families and Children, 1321 W. Broadway, Spokane, WA 99201 | 2019-04-05 |
1770047896 | Rachel Nicole Burns | Counselor | 1321 W. Broadway Ave, Spokane, WA 99201 | 2019-01-23 |
1760953384 | Nicole Renee Breesnee | Counselor | 2308 W. 3rd Ave, Spokane, WA 99201 | 2018-12-07 |
1083184675 | Alicia L Paschall | Counselor | 222 S Howard St, Apt 310, Spokane, WA 99201 | 2018-11-27 |
1003383159 | Sandra Kay Robinson | Counselor | New Horizons Care Centers, Inc., 701 E 3rd Street, Spokane, WA 99201 | 2018-10-26 |
1801361191 | Michael Joseph Lehman | Naturopath | 316 W Boone Ave Ste 777, Spokane, WA 99201 | 2018-10-12 |
1316422454 | Cmdpn Medical Group of Washington, P.C. | Emergency Medicine | 707 West Main Ave. Ste B1, Pmb 117, Spokane, WA 99201 | 2018-09-25 |
Find all providers in zip 99201 |
Taxonomy Code | 363AS0400X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Surgical Technologist |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528201415 | Molly Rose Morgan | Physician Assistant | 105 W 8th Ave Ste 532, Spokane, WA 99204-2318 | 2009-04-08 |
1033264056 | Kristin Michele Treece | Physician Assistant | 212 E Central Ave Ste 245, Spokane, WA 99208 | 2007-01-23 |
1588663835 | Ted A. Branstetter | Physician Assistant | 910 W 5th Ave, Ste 1000, Spokane, WA 99204-2966 | 2005-07-19 |
1598112211 | Kellen Gumm | Physician Assistant | 122 W 7th Ave Ste 110, Spokane, WA 99204-2301 | 2016-05-23 |
1275998114 | Annamarie Rose Vaughan | Physician Assistant | 62 W 7th Ave Ste 110, Spokane, WA 99204 | 2015-12-18 |
1295137578 | Sara C Zimmer | Physician Assistant | 62 W 7th Ave Ste 110, Spokane, WA 99204-2321 | 2014-09-18 |
1811321607 | Matthew Garrett Sutter | Physician Assistant | 212 E Central Ave Ste 245, Spokane, WA 99208-6289 | 2013-08-28 |
1396026555 | Justin Wade Sassone | Physician Assistant | 910 W 5th Ave, Suite 900, Spokane, WA 99204-2966 | 2011-09-01 |
1578712923 | Danny Lee Jones II | Physician Assistant | 820 S Mcclellan St, Suite 300, Spokane, WA 99204-2457 | 2008-09-10 |
1821174202 | J. Ryan Saunders | Physician Assistant | 220 E Rowan Ave, Suite 230, Spokane, WA 99207-1202 | 2006-10-28 |
Find all providers in SPOKANE |
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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.