PATTI RENFRO (NPI# 1801298203) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801298203 |
| Entity Type | Individual |
| Full Name | PATTI RENFRO |
| Practice Address |
9300 Ne Oak View Dr Ste B Vancouver WA 98662-6157 |
| Practice Telephone | 3605672211 |
| Practice Fax Number | 3605672212 |
| Mailing Telephone | 3605672211 |
| Mailing Fax Number | 3605672212 |
| Enumeration Date | 2014-09-17 |
| Last Update Date | 2018-11-14 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 175T00000X | Peer Specialist | Other Service Providers |
| Street Address |
9300 NE OAK VIEW DR STE B |
| City | VANCOUVER |
| State | WA |
| Zip Code | 98662-6157 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952472649 | Aaron Douglas Mcnabb | Counselor | 9300 Ne Oak View Dr Ste B, Vancouver, WA 98662-6157 | 2006-11-13 |
| 1073084646 | Danielle Hokanson | Social Worker | 9300 Ne Oak View Dr Ste B, Vancouver, WA 98662-6157 | 2018-12-07 |
| 1568931475 | Maya Patricia Kuschner | Case Manager/Care Coordinator | 9300 Ne Oak View Dr Ste B, Vancouver, WA 98662-6157 | 2018-11-20 |
| 1962982868 | Jennifer L Hauser | Social Worker | 9300 Ne Oak View Dr Ste B, Vancouver, WA 98662-6157 | 2018-08-20 |
| 1588011886 | Erin Mcconaghy | Case Manager/Care Coordinator | 9300 Ne Oak View Dr Ste B, Vancouver, WA 98662-6157 | 2016-05-17 |
| 1497117360 | Katelyn Favela | Social Worker | 9300 Ne Oak View Dr Ste B, Vancouver, WA 98662-6157 | 2016-03-22 |
| 1851756795 | Marcella Shook | Counselor | 9300 Ne Oak View Dr Ste B, Vancouver, WA 98662-6157 | 2015-12-18 |
| 1962884478 | Kelly Brachman | Social Worker | 9300 Ne Oak View Dr Ste B, Vancouver, WA 98662-6157 | 2015-06-19 |
| 1861833725 | Mark Anthony Medina | Social Worker | 9300 Ne Oak View Dr Ste B, Vancouver, WA 98662-6157 | 2013-07-08 |
| 1114367125 | Rebecca Ann Huntington | Counselor | 9300 Ne Oak View Dr Ste B, Vancouver, WA 98662-6157 | 2013-07-05 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861024911 | Hillary Ann Devore | Behavior Technician | 9414 Ne Fouth Plain Road, Vancouver, WA 98662 | 2020-02-06 |
| 1073091781 | Jessica Edit Villasenor | Social Worker | 9800 Ne Oakview Dr, Vancouver, WA 98662 | 2018-08-03 |
| 1568991123 | Preferred Rx Pharmacy Inc | Pharmacy | 10303 Ne Fourth Plain Blvd Ste 109, Vancouver, WA 98662 | 2017-06-07 |
| 1982058814 | Nw Interventional Medicine and Orthopedic Rehab Pllc | Physician Assistant | 11802 Ne 65th St., Vancouver, WA 98662 | 2016-04-18 |
| 1942685664 | Silpa Nekkalapudi | Dentist | 11504 Ne 119th St, Suite 100, Vancouver, WA 98662 | 2015-07-23 |
| 1528468261 | Lidiya Chepa | Pharmacist | 14505 Ne Fourth Plain Boulevard, Vancouver, WA 98662 | 2014-08-29 |
| 1962827030 | Vanessa Wulff | Chiropractor | 6405 Ne 116th Ave Ste 106, Vancouver, WA 98662 | 2014-02-26 |
| 1326484080 | Precious Jewel Adult Family Home | Custodial Care Facility | 9707 Ne 115th Ct, Vancouver, WA 98662 | 2013-05-21 |
| 1457698466 | Elise C Jones | Counselor | 4400 Ne 77th Ave., Suite 275, Vancouver, WA 98662 | 2013-01-10 |
| 1396096103 | At Home Sleep Solutions | Clinic/Center | 9330 Ne Vancouver Mall Dr., Suite 202, Vancouver, WA 98662 | 2012-09-20 |
| Find all providers in zip 98662 | ||||
| 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 |
|---|---|---|---|---|
| 1720554256 | Kay Marie Roberson | Peer Specialist | 1601 E Fourth Plain Blvd Ste A-152, Vancouver, WA 98661-3713 | 2018-10-23 |
| 1497241657 | Chelsey Nicole Parker | Peer Specialist | 9815 Ne 3rd St, Vancouver, WA 98664 | 2018-07-10 |
| 1043713449 | Claudia Gutierrez | Peer Specialist | 4601 E 18th St, Vancouver, WA 98661-6270 | 2018-03-12 |
| 1679082598 | Christopher Lewis Schwab | Peer Specialist | 5197 Nw Lower River Rd, Vancouver, WA 98660 | 2017-09-22 |
| 1225547151 | Dionne Marie Clark | Peer Specialist | 9105 Ne Highway 99 Ste 201a, Vancouver, WA 98665-8974 | 2017-09-22 |
| 1265974620 | Amanda Ewing | Peer Specialist | 16417 Ne 73rd St, Vancouver, WA 98682-1918 | 2016-11-15 |
| 1104438282 | Aydree Lee Stuart | Peer Specialist | 1601 E Fourth Plain Blvd, Vancouver, WA 98661-3713 | 2020-08-19 |
| 1548887870 | Oscar Daniel Beltran Leyva | Peer Specialist | 9300 Ne Oak View Dr, Vancouver, WA 98662-6157 | 2020-07-02 |
| 1336760917 | Lindsey Sinks | Peer Specialist | 9300 Ne Oak View Dr, Vancouver, WA 98662-6157 | 2020-05-05 |
| 1295356236 | Susan Mordick | Peer Specialist | 6926 Ne Fourth Plain Blvd, Vancouver, WA 98661-7254 | 2020-04-30 |
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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.