MARK HENNECKEN (NPI# 1811536717) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811536717 |
| Entity Type | Individual |
| Full Name | MARK HENNECKEN |
| Credential | LPN |
| Practice Address |
7224 Pacific Hwy E. Milton WA 98354 |
| Mailing Address |
8117 70th Ave Sw Lakewood WA 98499-2009 |
| Practice Telephone | 2532206183 |
| Mailing Telephone | 7203393306 |
| Enumeration Date | 2019-12-26 |
| Last Update Date | 2019-12-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | 60984646 | WA | Nursing Service Providers |
| Street Address |
7224 PACIFIC HWY E. |
| City | MILTON |
| State | WA |
| Zip Code | 98354 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700425881 | Roksolana Zapotichna | Nurse's Aide | 7224 Pacific Hwy E., Milton, WA 98354 | 2020-01-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427682616 | Heather Church | Massage Therapist | 724 Meridian Ave #1, Milton, WA 98354 | 2020-02-26 |
| 1134769839 | Chidimma Okoye | Registered Nurse | 7224 Pacific High Way E, Milton, WA 98354 | 2020-01-10 |
| 1609418672 | Erin Kim Lorentzen | Counselor | 7224 Pacific Hwy E, Milton, WA 98354 | 2019-10-11 |
| 1598306243 | Kelly Jean Murray | Counselor | 7224 Pacific Hwy East, Milton, WA 98354 | 2019-10-03 |
| 1578025359 | Kiet Do | Counselor | 7224 Pacific Hwy. E, Milton, WA 98354 | 2019-04-02 |
| 1568936557 | Telecare Mental Health Services of Washington, Inc. | Psychiatric Residential Treatment Facility | 7224 Pacific Highway East, Milton, WA 98354 | 2019-01-14 |
| 1194178418 | Bryan Vaught | Occupational Therapy Assistant | 2830 Queens Way, Apt E1, Milton, WA 98354 | 2016-07-21 |
| 1730485459 | Barbara Lyn Bishop | Mechanotherapist | 2411 14th Avenue, Milton, WA 98354 | 2011-01-27 |
| 1669774865 | Ha T Hoang | Pharmacist | 900 East Meridian, Milton, WA 98354 | 2010-11-22 |
| 1306010020 | Sharon L Sigala | Pediatrics | 902 B 15th Ave, Milton, WA 98354 | 2008-04-14 |
| Find all providers in zip 98354 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053808998 | Kathleen Jones | Licensed Practical Nurse | 12 Walnut Park Ln, Milton, NY 12547-5266 | 2018-04-17 |
| 1245603646 | Cassie Amanda Monday | Licensed Practical Nurse | 4537 Parkwood Dr, Milton, WI 53563-8975 | 2015-11-06 |
| 1992102008 | Donna Baran | Licensed Practical Nurse | 611 Federal St Ste 2, Milton, DE 19968-1157 | 2014-12-04 |
| 1053634006 | Lunie Maxi | Licensed Practical Nurse | 300 Blue Hills Pkwy Apt 3, Milton, MA 02186-2703 | 2010-03-04 |
| 1316274418 | Meagan Elizabeth Rutledge | Licensed Practical Nurse | 4687 Thousand Oaks Blvd, Milton, FL 32571-6283 | 2009-11-10 |
| 1659537116 | Lauren Renee Loofboro | Licensed Practical Nurse | 216 E Madison Ave, Milton, WI 53563-1315 | 2008-08-04 |
| 1649470824 | Wendy Wolyniec Crebs | Licensed Practical Nurse | 81 Old Orchard Rd, Milton, PA 17847-9593 | 2007-07-25 |
| 1609097435 | Susan Marie Gokey | Licensed Practical Nurse | 25 Shore Road, Milton, VT 05468 | 2007-05-01 |
| 1407814221 | Judy Rae Fladhammer | Licensed Practical Nurse | 14 E Cottonwood Ln, Milton, WI 53563 | 2006-05-02 |
| 1982227278 | David Yearwood | Licensed Practical Nurse | 7224 Pacific Hwy E, Milton, WA 98354 | 2020-05-21 |
| Find all providers in MILTON | ||||
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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.