SHANE RIRIE (NPI# 1780066639) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780066639 |
| Entity Type | Individual |
| Full Name | SHANE RIRIE |
| Credential | PA-C |
| Practice Address |
1301 N Ephrata Ave Connell WA 99326-9601 |
| Practice Telephone | 5095435800 |
| Mailing Telephone | 5095435800 |
| Enumeration Date | 2015-06-26 |
| Last Update Date | 2015-06-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 60566156 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1301 N EPHRATA AVE |
| City | CONNELL |
| State | WA |
| Zip Code | 99326-9601 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871895987 | Jonathan Neau | Physician Assistant | 1301 N Ephrata Ave, Connell, WA 99326 | 2010-11-22 |
| 1013530625 | Tony A Harrington | Counselor | 1301 N Ephrata Ave, Connell, WA 99326-9601 | 2020-05-19 |
| 1518435429 | Jessica Pearl | Family Medicine | 1301 N Ephrata Ave, Connell, WA 99326-9601 | 2018-11-08 |
| 1144733676 | Sarah Elizabeth Landis | Physician Assistant | 1301 N Ephrata Ave, Connell, WA 99326-9601 | 2017-11-07 |
| 1124576129 | Carol Stockhausen | Dentist | 1301 N Ephrata Ave, Connell, WA 99326-9601 | 2016-09-19 |
| 1265890131 | Cassidy Ryan Blount | Dentist | 1301 N Ephrata Ave, Connell, WA 99326-9601 | 2016-02-05 |
| 1629369095 | Coyote Ridge Corrections Center | Clinic/Center | 1301 N Ephrata Ave, Connell, WA 99326-9601 | 2011-04-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104392935 | Lois Eileen Smith | Counselor | Coyote Ridge Correction Center, 1301 North Ephrata Ave., Connell, WA 99326 | 2018-10-19 |
| 1538589478 | George Francis Quiggle | Counselor | 1100 W. Grant St., Connell, WA 99326 | 2014-04-18 |
| 1528316379 | Columbia Basin Health Association | Clinic/Center | 1051 S. Columbia Avenue, Connell, WA 99326 | 2012-08-28 |
| 1295011617 | Gary Byron Fletcher | Physician Assistant | 111 N Columbia Avenue, Connell, WA 99326 | 2011-10-31 |
| 1417116385 | Columbia Basin Health Association | Clinic/Center | 1051 S Columbia Avenue, Connell, WA 99326 | 2008-06-05 |
| 1952355448 | Catherine Sue Bilyard | Nurse Practitioner | 650 S Columbia Ave, Connell, WA 99326 | 2006-05-20 |
| 1598749590 | Jaeniffer Ang Kaiser | Nurse Practitioner | 661 South Columbia Avenue, Connell, WA 99326 | 2005-12-02 |
| 1124025721 | Dale T Fetroe | Family Medicine | 1301 Ephrata, C/o Coyote Ridge Correction Center, Connell, WA 99326 | 2005-06-28 |
| 1912185588 | Jon Marcus Raymond Mundall | General Practice | 111 North Columbia Ave, Connell, WA 99326 | 2008-02-06 |
| 1538213616 | Our Lady of Lourdes Health Center | Clinic/Center | 650 S Columbia Ave, Connell, WA 99326 | 2007-01-23 |
| Find all providers in zip 99326 | ||||
| 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 |
|---|---|---|---|---|
| 1871895987 | Jonathan Neau | Physician Assistant | 1301 N Ephrata Ave, Connell, WA 99326 | 2010-11-22 |
| 1144733676 | Sarah Elizabeth Landis | Physician Assistant | 1301 N Ephrata Ave, Connell, WA 99326-9601 | 2017-11-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831790591 | Bailey Mantha-nagrant | Physician Assistant | 7912 170th Ave Ne Unit 301, Redmond, WA 98052-0907 | 2020-11-07 |
| 1518567791 | Addison Christine Richert | Physician Assistant | 121 Kingfisher Pl, Port Hadlock, WA 98339-8733 | 2020-10-28 |
| 1992312177 | Robert Monsees | Physician Assistant | 490 Packwood Ln, Ellensburg, WA 98926-8027 | 2020-09-30 |
| 1649887548 | Jesse E Davis | Physician Assistant | 3512 Serene Way, Lynnwood, WA 98087-5202 | 2020-09-25 |
| 1558977066 | Kimberly Ho | Physician Assistant | 23004 88th Ave W, Edmonds, WA 98026-8616 | 2020-09-20 |
| 1770198954 | Ashish Chaudhary | Physician Assistant | 1215 Dexter Ave N Apt 704, Seattle, WA 98109-3567 | 2020-09-14 |
| 1144835422 | Juleeann Stocking | Physician Assistant | 1517 17th Ave S, Seattle, WA 98144-3522 | 2020-09-13 |
| 1891309555 | Andrew Allyn Bloom | Physician Assistant | 5889 Bow St, Bow, WA 98232-8620 | 2020-09-01 |
| 1558973909 | Margaret Webster | Physician Assistant | 6501 36th Ave Nw, Seattle, WA 98117-6010 | 2020-08-18 |
| 1033720495 | Riley Richardson | Physician Assistant | 1008 E Windemere Ct, Spokane, WA 99223-6228 | 2020-08-11 |
| Find all providers with the same taxonomy | ||||
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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.