STACY BERTSCH (NPI# 1760532717) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760532717 |
| Entity Type | Individual |
| Full Name | STACY BERTSCH |
| Credential | LMP |
| Practice Address |
6603 220th St Sw Ste C-1 Mountlake Terrace WA 98043-2186 |
| Mailing Address |
125 N Nyden Farms Rd Lake Stevens WA 98258-9705 |
| Practice Telephone | 4257761056 |
| Mailing Telephone | 4252906024 |
| Mailing Fax Number | 4257764357 |
| Enumeration Date | 2007-01-11 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | MA00018581 | WA | Other Service Providers |
| Street Address |
6603 220TH ST SW STE C-1 |
| City | MOUNTLAKE TERRACE |
| State | WA |
| Zip Code | 98043-2186 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538785357 | Maria Angelica Lopez | Counselor | 22815 Lakeview Dr Apt 'g' - 308, Mountlake Terrace, WA 98043 | 2020-06-17 |
| 1447891411 | Juana Antonia Hartley | Technician | 4808 221st St. Sw, Mountlake Terrace, WA 98043 | 2019-10-01 |
| 1437709961 | Jamil Vaughn Shoot | Acupuncturist | 21705 56th Ave W, Mount Lake Terrace, WA 98043 | 2019-09-17 |
| 1942709449 | Julie A Hill | Registered Nurse | 22001 44th Ave W, Mountlake Terrace, WA 98043 | 2018-02-09 |
| 1205285004 | Preeti Suryakumar | Occupational Therapist | 23008 56th Ave West, Vineyard Park At Mountlake Terrace, Mountlake Terrace, WA 98043 | 2016-06-13 |
| 1467819623 | Liisa Marlene Geyer | Social Worker | 6021 244th St Sw # 400, Mountlake Terrace, WA 98043 | 2016-01-19 |
| 1346611696 | Isaiah Johnson | Massage Therapist | 21604 66th Ave N, #a, Mountlake Terrace, WA 98043 | 2015-10-13 |
| 1417343260 | Sunanta Angela Astorga | Counselor | 6021 244th St Sw #400, Mountlake Terrace, WA 98043 | 2015-04-08 |
| 1366835746 | Teresa Antoinette White | Chiropractor | 6603 220th St. Sw Suite 100, Mountlake Terrace, WA 98043 | 2015-03-10 |
| 1508156647 | Monica Jean Scott | Massage Therapist | 23009-56 Ave W # B, Mountlake Terrace, WA 98043 | 2011-04-11 |
| Find all providers in zip 98043 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053773325 | Jeannine Meadowcroft | Specialist | 4704 223rd St Sw, Mountlake Terrace, WA 98043-4138 | 2016-03-24 |
| 1639515422 | Kathy Nwokobia | Specialist | 6808 220th St Sw Ste 203, Mountlake Terrace, WA 98043-2187 | 2013-05-20 |
| 1568720654 | Jeanne Kensler | Specialist | 23104 53rd Ave W, Mountlake Terrace, WA 98043-4704 | 2012-04-26 |
| 1366748345 | Tiffany Marie Wilson | Specialist | 22003 66th Ave W # M5, Mountlake Terrace, WA 98043 | 2011-02-08 |
| 1033246293 | Guinevere Ilana Amadeo | Specialist | 5104 239th Pl Sw, Mountlake Terrace, WA 98043-5625 | 2007-02-27 |
| 1538210315 | Jennifer Rion Reardon | Specialist | 5003 240th Pl Sw, Mountlake Terrace, WA 98043-5628 | 2007-01-16 |
| 1891846267 | Kazumi N Ayres | Specialist | 22726 44th Ave W, Mountlake Terrace, WA 98043-4578 | 2007-01-14 |
| 1790869352 | Mark Alan Silver | Specialist | 6100 219th St Sw Ste 480, Mountlake Terrace, WA 98043-2222 | 2006-10-24 |
| 1871953430 | Julie Anne Davis | Specialist | 6808 220th St Sw Ste 203, Mountlake Terrace, WA 98043-2187 | 2016-02-25 |
| 1093107708 | Edmonds Massage Center | Specialist | 6808 220th St Sw Ste 203, Mountlake Terrace, WA 98043-2187 | 2015-03-04 |
| Find all providers in MOUNTLAKE TERRACE | ||||
| City | MOUNTLAKE TERRACE |
| Zip Code | 98043 |
Please comment or provide details below to improve the information on STACY BERTSCH.
| 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.