MR. KENNETH D SAUCKE (NPI# 1770621245) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770621245 |
| Entity Type | Individual |
| Full Name | MR. KENNETH D SAUCKE |
| Other Name | MR. KEN D SAUCKE |
| Credential | LMP |
| Practice Address |
3333 Harrison Ave Nw Suite 102 Olympia WA 98502-5049 |
| Mailing Address |
Po Box 11009 Olympia WA 98508-1009 |
| Practice Telephone | 3602927245 |
| Practice Fax Number | 3602927247 |
| Mailing Telephone | 3603522037 |
| Mailing Fax Number | 3602927247 |
| Enumeration Date | 2007-02-04 |
| Last Update Date | 2008-01-11 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171W00000X | Contractor | MA00017335 | WA | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | MASSAGE PRACTICIONER | MA00017335 | 01 |
| Street Address |
3333 HARRISON AVE NW SUITE 102 |
| City | OLYMPIA |
| State | WA |
| Zip Code | 98502-5049 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437112737 | Patricia A Davis | Nurse Practitioner | 3333 Harrison Ave Nw, Olympia, WA 98502-5049 | 2006-04-08 |
| 1235273426 | Jeremiah M Shelton | Physical Therapist | 3333 Harrison Ave Nw, Suite 102, Olympia, WA 98502-5049 | 2007-02-19 |
| 1891743472 | Farrell W Allen | Physical Therapist | 3333 Harrison Ave Nw, Ste 102, Olympia, WA 98502-5049 | 2006-05-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801409172 | Fanny Cordero | Interpreter | 1415 4th Ave W, Olympia, WA 98502 | 2020-08-26 |
| 1235762832 | Accessible Living Physical Therapy | Clinic/Center | 3524 7th Ave Se, Olympia, WA 98502 | 2020-02-21 |
| 1548807738 | Kaiser Foundation Health Plan of Washington | Pharmacy | 1200 Cooper Point Road Sw, Suite 100, Olympia, WA 98502 | 2019-12-06 |
| 1851946388 | Katherine Ann Vitela | Registered Nurse | 4909 Green Wood Dr Sw, Olympia, WA 98502 | 2019-08-01 |
| 1538632658 | Carmen Rae Breding | Massage Therapist | 2627 Capital Mall Dr Se, Olympia, WA 98502 | 2019-01-11 |
| 1285129155 | Fook Yee Cheung | Genetic Counselor, MS | 2010 Caton Way Sw Ste 102, Olympia, WA 98502 | 2018-06-24 |
| 1942724158 | William Coburn | Specialist/Technologist | 703 Lilly Road Ne, Suite 104, Olympia, WA 98502 | 2017-07-29 |
| 1225567415 | Thierry Buckner | Counselor | 2400 Bristol Court Sw, Olympia, WA 98502 | 2017-06-09 |
| 1619406048 | Trenton Reid | Massage Therapist | 2103 Harrison Ave Nw #2642, Olympia, WA 98502 | 2017-06-08 |
| 1962807305 | Richa Mehta | Dentist | 1530 Black Lake Boulevard, Suite A103, Olympia, WA 98502 | 2014-10-28 |
| Find all providers in zip 98502 | ||||
| Taxonomy Code | 171W00000X |
| Grouping | Other Service Providers |
| Classification | Contractor |
| A person who contracts to supply certain materials or do certain work for a stipulated sum; esp., one whose business is contracting work in any of the building trades. For purposes of the taxonomy, a person who contracts to complete home repairs or modifications to accommodate a health condition (e.g. wheelchair ramp, kitchen counter lowering). |
| Notes: Source: Websters New World Dictionary of the American Language, Second College Edition, William Collins + World Publishing Co., Inc., New York: 1974, p. 308 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760017495 | Estefani Perete Gomez | Contractor | 606 Lilly Rd Ne Apt 324, Olympia, WA 98506-5169 | 2020-03-03 |
| 1912309311 | Ruth Mary Ryser | Contractor | 2920 Quince St Se, Olympia, WA 98501-3583 | 2014-09-17 |
| 1093121444 | Carolyn M Green | Contractor | 1247 Fitz Hugh Dr Se, Olympia, WA 98513-7736 | 2014-07-07 |
| 1568899524 | Nicolaj Peter Keckes-palmer | Contractor | 1144 Milbanke Dr Se, Olympia, WA 98513-7723 | 2013-10-03 |
| 1477987444 | Mercedes M Carbonel | Contractor | 3212 Libby Rd Ne, Olympia, WA 98506-2985 | 2013-08-27 |
| 1891131983 | Michael Helm Jr. | Contractor | 7914 Martin Way E Ste 8, Olympia, WA 98516-5728 | 2013-05-15 |
| 1053693093 | Amanda Mae Crossen | Contractor | 6811 Hawks Prairie Rd Ne, Olympia, WA 98516-6206 | 2011-09-15 |
| 1699898015 | Tina L. Bartlett | Contractor | 507 Devoe St Se, Olympia, WA 98501-2016 | 2007-04-09 |
| 1215050620 | James L. Bartlett | Contractor | 1804 Black Lake Blvd Sw, Olympia, WA 98512 | 2007-04-09 |
| 1326250218 | Marles Blackbird | Contractor | 1001 Eastside St Se, Suite C, Olympia, WA 98501-1608 | 2007-05-04 |
| Find all providers in OLYMPIA | ||||
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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.