DEIRDRE JOAN GATELY (NPI# 1730398249) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730398249 |
| Entity Type | Individual |
| Full Name | DEIRDRE JOAN GATELY |
| Credential | PA-C |
| Practice Address |
20200 54th Ave W Lynnwood WA 98036-6318 |
| Practice Telephone | 4256726400 |
| Practice Fax Number | 4256726518 |
| Mailing Telephone | 4256726400 |
| Mailing Fax Number | 4256726518 |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2020-03-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA10003928 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
PA10003928 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
20200 54TH AVE W |
| City | LYNNWOOD |
| State | WA |
| Zip Code | 98036-6318 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396711487 | Elisa Marie Frost Granger | Family Medicine | 20200 54th Ave W, Lynnwood, WA 98036-6318 | 2006-02-27 |
| 1205440625 | Lisa Szuwei Li | Registered Nurse | 20200 54th Ave W, Lynnwood, WA 98036-6318 | 2020-09-02 |
| 1063988012 | Andrea Lyn Coleman | Registered Nurse | 20200 54th Ave W, Lynnwood, WA 98036-6318 | 2018-10-17 |
| 1679090260 | Karielle B Jewell | Physician Assistant | 20200 54th Ave W, Lynnwood, WA 98036-6318 | 2017-08-24 |
| 1821444811 | Deanna Irene Dickerman | Dermatology | 20200 54th Ave W, Lynnwood, WA 98036-6318 | 2016-05-09 |
| 1598129827 | Taneev Escamilla | Family Medicine | 20200 54th Ave W, Lynnwood, WA 98036-6318 | 2016-04-13 |
| 1386000990 | Oscar Alonso Hernandez | Physical Therapist | 20200 54th Ave W, Lynnwood, WA 98036-6318 | 2016-01-12 |
| 1588080485 | Naomi Kim | Physical Therapist | 20200 54th Ave W, Lynnwood, WA 98036-6318 | 2014-03-16 |
| 1568753531 | Kaiser Foundation Health Plan of Washington | Clinic/Center | 20200 54th Ave W, Lynnwood, WA 98036-6318 | 2011-04-26 |
| 1033418819 | Derek Steven Sylte | Family Medicine | 20200 54th Ave W, Lynnwood, WA 98036-6318 | 2011-03-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396342630 | Zachary Perry | Behavior Technician | 4100 Veterans Way, Unit 100, Lynnwood, WA 98036 | 2020-10-08 |
| 1942832795 | Alexis Michelle Solomon-winne | Behavior Technician | 4100 Veterans Way Unit 100 Lynnwood, Wa 98036 United S, Lynnwood, WA 98036 | 2020-02-10 |
| 1881239028 | Endc Pllc | Psychologist | 19217 36th Ave W. Suite 219, Lynnwood, WA 98036 | 2019-11-12 |
| 1225507866 | Kyung Suk Seo | Massage Therapist | 18904 Hwy 99, Ste. K, Lynnwood, WA 98036 | 2018-11-13 |
| 1790270197 | Kabal Sriviboon | Behavior Technician | 20818 44th Ave W Suite 270, Lynnwood, WA 98036 | 2018-06-27 |
| 1992206148 | Kendal Ilyse Borison | Behavioral Analyst | 4100 194th Se, Suite 100, Lynnwood, WA 98036 | 2018-02-23 |
| 1205352515 | Doug Brant | Registered Nurse | 19931 Cypress Way, Lynnwood, WA 98036 | 2017-08-17 |
| 1588184980 | Evergreen Recovery Centers-lynnwood Detox | Substance Abuse Rehabilitation Facility | 20508 56th Ave W, Lynnwood, WA 98036 | 2017-06-27 |
| 1699213439 | Patrick J. Pacyga | Dentist | 19620 Wa-99, Suite 106, Lynnwood, WA 98036 | 2017-02-01 |
| 1134676646 | Fiona Green | Occupational Therapy Assistant | 21503 8th Place W, A, Lynnwood, WA 98036 | 2016-09-01 |
| Find all providers in zip 98036 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649887548 | Jesse E Davis | Physician Assistant | 3512 Serene Way, Lynnwood, WA 98087-5202 | 2020-09-25 |
| 1205307451 | Laniel Cua | Physician Assistant | 19221 36th Ave W Ste 201, Lynnwood, WA 98036-5700 | 2018-12-16 |
| 1043725328 | Emily Louise Hutchins | Physician Assistant | 4111 194th St Sw, Lynnwood, WA 98036 | 2017-12-07 |
| 1679090260 | Karielle B Jewell | Physician Assistant | 20200 54th Ave W, Lynnwood, WA 98036-6318 | 2017-08-24 |
| 1518315472 | Lamont Andante Scott | Physician Assistant | 4111 194th St Sw, Lynnwood, WA 98036-4604 | 2016-06-01 |
| 1861869661 | Elysia Bethany Louise Andrews | Physician Assistant | 19020 33rd Ave W Ste 210, Lynnwood, WA 98036-4748 | 2015-08-27 |
| 1174906176 | Jennifer Wilson | Physician Assistant | 4111 194th St Sw, Lynnwood, WA 98036-4604 | 2015-07-08 |
| 1265859664 | Meghan Mosbo | Physician Assistant | 4111 194th St Sw, Lynnwood, WA 98036-4604 | 2014-03-24 |
| 1205265998 | Lindsay Moran | Physician Assistant | 4111 194th St Sw, Lynnwood, WA 98036-4604 | 2013-11-04 |
| 1245483569 | Michael Shane Siem | Physician Assistant | 19020 33rd Ave W Ste 210, Lynnwood, WA 98036-4748 | 2008-10-30 |
| Find all providers in LYNNWOOD | ||||
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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.