MRS. ANETIRA MARY DONELAN (NPI# 1770111718) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770111718 |
| Entity Type | Individual |
| Full Name | MRS. ANETIRA MARY DONELAN |
| Practice Address |
3285 Ferguson St Sw Tumwater WA 98512 |
| Mailing Address |
Po Box 14339 Tumwater WA 98511-4339 |
| Practice Telephone | 3609431907 |
| Mailing Telephone | 3609431907 |
| Enumeration Date | 2020-03-27 |
| Last Update Date | 2020-03-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 175T00000X | Peer Specialist | WA | Other Service Providers |
| Street Address |
3285 FERGUSON ST SW |
| City | TUMWATER |
| State | WA |
| Zip Code | 98512 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730532136 | Telecare Mental Health Services of Washington, Inc. | Psychiatric Residential Treatment Facility | 3285 Ferguson St Sw, Tumwater, WA 98512-6192 | 2016-07-20 |
| 1790383800 | Megan N Davis | Counselor | 3285 Ferguson St Sw, Tumwater, WA 98512 | 2020-10-12 |
| 1033716451 | Nicole Alexandria Nomic | Counselor | 3285 Ferguson St Sw, Tumwater, WA 98512 | 2020-10-08 |
| 1962019711 | Jessica Ege | Counselor | 3285 Ferguson St Sw, Tumwater, WA 98512 | 2020-09-25 |
| 1366057127 | Ernesto J Cabrera | Counselor | 3285 Ferguson St Sw, Tumwater, VA 98512 | 2020-09-09 |
| 1649882697 | David Allen Kessel | Counselor | 3285 Ferguson St Sw, Tumwater, WA 98512 | 2020-08-20 |
| 1922617851 | Melissa K Rowe | Social Worker | 3285 Ferguson St Sw, Tumwater, WA 98512 | 2020-07-27 |
| 1265040497 | Amber Lee Boehm | Counselor | 3285 Ferguson St Sw, Tumwater, WA 98512 | 2020-07-14 |
| 1023636024 | Nicholas Ryder | Music Therapist | 3285 Ferguson St Sw, Tumwater, WA 98512 | 2020-07-07 |
| 1932726262 | Jakai Shakoor Cavness | Counselor | 3285 Ferguson St Sw, Tumwater, WA 98512 | 2020-07-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578161402 | Yavonnie Leslie Griggs | Peer Specialist | 3285 Ferguson Ln Sw, Tumwater, Wa 98512, Tumwater, WA 98512 | 2020-10-13 |
| 1205465622 | Falina Marie Luce | Counselor | 3285 Ferguson St, Olympia, WA 98512 | 2020-04-07 |
| 1881234912 | Andres Enrique Velazquez | Counselor | 3285 Ferguson St Sw Wa 98512, Tumwater, WA 98512 | 2020-01-07 |
| 1700432507 | Maria E Zavala Negrete | Behavior Technician | 3285 Ferguson Street Southwest, Tumwater, WA 98512 | 2019-08-16 |
| 1669026951 | Bradley Allen Labrador | Social Worker | 3285 Ferguson St, Sw, Tumwater, WA 98512 | 2019-07-25 |
| 1033762893 | Janice Lapreal Swanzey | Licensed Practical Nurse | 3285 Ferguson Lane St Sw, Olympia, WA 98512 | 2019-07-22 |
| 1821569195 | Linda Marie Moffitt | Registered Nurse | 7741 Littlerock Rd. Sw, Tumwater, WA 98512 | 2018-12-16 |
| 1427534577 | Matthew Hart | Occupational Therapist | 2620 Rw Johnson Boulevard Southwest Suite 112, Tumwater, WA 98512 | 2018-07-12 |
| 1558858019 | Amy Louise Cline | Counselor | 6005 Tyee Drive Sw, Tumwater, WA 98512 | 2018-04-19 |
| 1669998183 | Bradley Ross Bishop | Registered Nurse | 3285 Ferguson Street Sw, Tumwater, WA 98512 | 2017-08-16 |
| Find all providers in zip 98512 | ||||
| Taxonomy Code | 175T00000X |
| Grouping | Other Service Providers |
| Classification | Peer Specialist |
| Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. |
| Notes: Source: National Uniform Claim Committee [7/1/2014: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578161402 | Yavonnie Leslie Griggs | Peer Specialist | 3285 Ferguson Ln Sw, Tumwater, Wa 98512, Tumwater, WA 98512 | 2020-10-13 |
| 1558915850 | Hana Jazz Klimek | Peer Specialist | 3285 Ferguson St Sw, Tumwater, WA 98512 | 2019-07-25 |
| 1639722366 | Jennifer Rose Ivey | Peer Specialist | 3285 Ferguson Street Sw, Tumwater, WA 98512 | 2019-07-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992304703 | Corina Thornton | Peer Specialist | Arrow Lakes Street, Nespelem, WA 99155-0304 | 2020-10-22 |
| 1306454061 | Ashley D Vinson-harris | Peer Specialist | 116 S 339th Cir, Federal Way, WA 98003-4537 | 2020-07-20 |
| 1184240301 | Aleric Hughes | Peer Specialist | 1200 Sw Holden St, Seattle, WA 98106-2054 | 2020-06-23 |
| 1013533876 | Alyssa Camille Meaker | Peer Specialist | 4350 Cordata Pkwy Ste 220, Bellingham, WA 98226-8278 | 2020-06-17 |
| 1134741424 | Tara Lin Garcia | Peer Specialist | 4256 Federal Avenue, Everett, WA 98203 | 2020-05-11 |
| 1558982058 | Edward Thomas Gollihugh | Peer Specialist | 721 Fawcett Ave Ste 204, Tacoma, WA 98402-5502 | 2020-05-06 |
| 1295356483 | Yvette Marie Sampson | Peer Specialist | Josephinum C/o Crew, 1902 2nd Ave., Seattle, WA 98101 | 2020-04-29 |
| 1043856123 | Jayde Wailani Albright | Peer Specialist | 5920 N Calispel St, Spokane, WA 99205-6214 | 2019-11-23 |
| 1033755244 | Willapa Behavioral Health | Peer Specialist | 2204 Pacific Ave. N., Long Beach, WA 98631 | 2019-11-22 |
| 1104468362 | Lyric G Sisterhen | Peer Specialist | 7823 Box Elder Dr Sw, Olympia, WA 98512-2326 | 2019-10-09 |
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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.