MICHELLE BROWNLEE (NPI# 1821510462) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821510462 |
| Entity Type | Individual |
| Full Name | MICHELLE BROWNLEE |
| Credential | PEER RECOVERY COACH |
| Practice Address |
2000 Lakeridge Dr Sw Olympia WA 98502-6001 |
| Mailing Address |
612 Woodland Square Loop Se Ste 401 Lacey WA 98503-1070 |
| Practice Telephone | 3607018580 |
| Practice Fax Number | 3604891435 |
| Mailing Telephone | 3607018580 |
| Mailing Fax Number | 3604891435 |
| Enumeration Date | 2017-07-14 |
| Last Update Date | 2019-01-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 175T00000X | Peer Specialist | WA | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 1821510462 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 908 5th Ave Se, Olympia, WA 985011507 | 3607542423 | 3603572819 |
| Street Address |
2000 LAKERIDGE DR SW |
| City | OLYMPIA |
| State | WA |
| Zip Code | 98502-6001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447476346 | Thurston County Sheriff's Office | Family Medicine | 2000 Lakeridge Dr Sw, Bldg. 3, Olympia, WA 98502-6001 | 2007-04-18 |
| 1093251423 | Staci Ann Coleman | Social Worker | 2000 Lakeridge Dr Sw, Bldg 3, Olympia, WA 98502-6001 | 2017-01-09 |
| 1790161222 | Shannon Slack | Nurse Practitioner | 2000 Lakeridge Dr Sw, Olympia, WA 98502-6001 | 2015-08-06 |
| 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 | 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 |
|---|---|---|---|---|
| 1104468362 | Lyric G Sisterhen | Peer Specialist | 7823 Box Elder Dr Sw, Olympia, WA 98512-2326 | 2019-10-09 |
| 1952881161 | Paige Gautreaux | Peer Specialist | 908 5th Avenue Se, Olympia, WA 98501 | 2018-08-16 |
| 1629682893 | Charli Warren | Peer Specialist | 1202 Black Lake Blvd Sw Ste B, Olympia, WA 98502-7208 | 2020-09-03 |
| 1184271918 | James Morris | Peer Specialist | 1000 Cherry St Se, Olympia, WA 98501-1433 | 2019-08-26 |
| 1881248169 | Carol Varble | Peer Specialist | 1000 Cherry St Se, Olympia, WA 98501-1433 | 2019-07-25 |
| 1255985537 | David Michael Richardson | Peer Specialist | 1000 Cherry St Se, Olympia, WA 98501-1433 | 2019-07-25 |
| 1609420033 | Terry Curtis Graham | Peer Specialist | 1000 Cherry St Se, Olympia, WA 98501-1433 | 2019-07-24 |
| 1114571551 | Heather Sturdevant | Peer Specialist | 1000 Cherry St Se, Olympia, WA 98501-1433 | 2019-07-24 |
| 1992364137 | Carrie Lee Moisey | Peer Specialist | 1011 10th Ave Se, Olympia, WA 98501-1566 | 2019-06-11 |
| 1982161824 | Cassandra Cleo Rhoades | Peer Specialist | 1011 10th Ave Se, Olympia, WA 98501-1566 | 2019-02-27 |
| 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.