MS. SANDRA ELLEN NEEDHAM (NPI# 1780899492) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780899492 |
| Entity Type | Individual |
| Full Name | MS. SANDRA ELLEN NEEDHAM |
| Credential | NP |
| Practice Address |
3025 Oakes Ave Everett WA 98201-3657 |
| Mailing Address |
5396 Langley Rd Langley WA 98260-9558 |
| Practice Telephone | 4253883609 |
| Practice Fax Number | 4253883526 |
| Mailing Telephone | 3602215041 |
| Mailing Fax Number | 4253883526 |
| Enumeration Date | 2007-05-14 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
AP30003007 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 9608829 | 05 |
| Street Address |
3025 OAKES AVE |
| City | EVERETT |
| State | WA |
| Zip Code | 98201-3657 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306471867 | Shannon Michelle Dewald | Registered Nurse | D8s 1700 13th St, Everett, WA 98201 | 2020-03-05 |
| 1578123113 | Precious Medicial Spa, LLC | Registered Nurse | 1728 W. Marine View Dr Suite 212, Everett, WA 98201 | 2019-06-17 |
| 1508429796 | Alix Deschain | Counselor | 2801 Broadway, Everett, WA 98201 | 2019-04-15 |
| 1811457534 | Khushboo Patel | Pharmacist | 1330 Rockefeller Ave Ste 150, Everett, WA 98201 | 2019-03-20 |
| 1164991188 | Grace Talbot Davis | Registered Nurse | 2601 Summit Avenue, Bldg. C, Everett, WA 98201 | 2018-11-20 |
| 1063924603 | Tracy Sisk | Counselor | 3120 Colby Ave, 502, Everett, WA 98201 | 2017-11-03 |
| 1710403126 | Michelle Durham | Counselor | 3322 Boadway Fl 2, Everett, WA 98201 | 2017-08-17 |
| 1861927949 | Melanie Schmidt | Counselor | 2610 Westmore Ave, Everett, WA 98201 | 2017-04-26 |
| 1518413327 | Joseph Madson Dmd Pllc | Clinic/Center | 3802 Colby Ave, 4th Floor, Everett, WA 98201 | 2016-08-31 |
| 1043683162 | Jennifer Adams | Counselor | 1511 26th St, Everett, WA 98201 | 2015-11-11 |
| Find all providers in zip 98201 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659657260 | Lam Yoo | Nurse Practitioner | 930 North Broadway, Everett, WA 98201 | 2011-10-26 |
| 1558350074 | Ling Harris | Nurse Practitioner | 4824 Alger Ave, Everett, WA 98203-3226 | 2005-10-18 |
| 1467440693 | Jessie H. Ahroni | Nurse Practitioner | 125 130th St Se, Everett, WA 98208-6400 | 2005-10-12 |
| 1588140073 | Naa Afadua Annoh | Nurse Practitioner | 1321 Colby Ave, Everett, WA 98201-1665 | 2018-07-17 |
| 1710318837 | Kenneth Evangelista | Nurse Practitioner | 1321 Colby Ave, Everett, WA 98201-1665 | 2013-11-30 |
| 1255547170 | Eileen Marie Newton | Nurse Practitioner | 1330 Rockefeller Ave, Suite 200, Everett, WA 98201-1684 | 2007-05-15 |
| 1184797011 | Kari Ann Howry | Nurse Practitioner | 1321 Colby Ave, Everett, WA 98201 | 2006-11-16 |
| 1861586927 | Joy A. Varady | Nurse Practitioner | 900 Pacific Ave, Suite 200, Everett, WA 98201-4168 | 2006-10-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861008716 | Matthew M. Hesse | Nurse Practitioner | 202 62nd Ave Ne, Tacoma, WA 98422-4018 | 2020-09-16 |
| 1770198400 | Irene Wambui Kamau | Nurse Practitioner | 36244 23rd Pl S, Federal Way, WA 98003-8369 | 2020-09-10 |
| 1841835782 | Toni M Keel | Nurse Practitioner | 11120 Ne 33rd Pl Ste 202, Bellevue, WA 98004-1444 | 2019-11-14 |
| 1821642026 | Elizabeth Nicole Firmin | Nurse Practitioner | 317 Ne Thornton Pl, Seattle, WA 98125-8020 | 2019-07-26 |
| 1841852043 | Mariana S Neeway | Nurse Practitioner | 112 Columbia Point Dr Ste 101, Richland, WA 99352-4390 | 2019-07-08 |
| 1023575172 | Amber Elexis Marsh | Nurse Practitioner | 1100 Goethals Dr Ste E2nd, Richland, WA 99352-3300 | 2019-02-25 |
| 1235696568 | Premier Diabetes Care, Pllc | Nurse Practitioner | 6101 123rd Ave Se Unit B, Snohomish, WA 98290-5694 | 2019-02-22 |
| 1679041404 | Cara Ann Lundin | Nurse Practitioner | 11926 43rd St Crt E, Edgewood, WA 98372 | 2018-11-09 |
| 1518434158 | Deborah Christine Tillman | Nurse Practitioner | 1064 Sommerville Rd., Chimacum, WA 98325 | 2018-11-01 |
| 1376038281 | Sharon Renay Christor | Nurse Practitioner | 19160 Front St. Ne, Poulsbo, WA 98370 | 2018-06-25 |
| 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.