LOREN P KNEBL (NPI# 1821608647) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821608647 |
| Entity Type | Individual |
| Full Name | LOREN P KNEBL |
| Credential | ARNP |
| Practice Address |
1515 E Columbia St Othello WA 99344-1846 |
| Practice Telephone | 5094885256 |
| Practice Fax Number | 5094889939 |
| Mailing Telephone | 5094885256 |
| Mailing Fax Number | 5094889939 |
| Enumeration Date | 2020-08-06 |
| Last Update Date | 2020-10-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | RN61063322 | WA | Nursing Service Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
AP61085401 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | DOH | AP61085401 | 01 |
| WA | DOH LICENSE | RN61063322 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1051 Columbia Ave, Connell, WA 993268702 | 5094885256 | 5094889939 |
| 601 Government Way, Mattawa, WA 993499934 | 5094885256 | 5094889939 |
| Street Address |
1515 E COLUMBIA ST |
| City | OTHELLO |
| State | WA |
| Zip Code | 99344-1846 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477507093 | Gabriel W Barrio | Pediatrics | 1515 E Columbia St, Othello, WA 99344-1846 | 2006-05-19 |
| 1124646260 | Flower Star | Dietitian, Registered | 1515 E Columbia St, Othello, WA 99344-1846 | 2020-07-06 |
| 1114548914 | Jessica Hu | Student in an Organized Health Care Education/Training Program | 1515 E Columbia St, Othello, WA 99344-1846 | 2020-05-03 |
| 1699302471 | Vickie Tamdoan Bui | Student in an Organized Health Care Education/Training Program | 1515 E Columbia St, Othello, WA 99344-1846 | 2020-03-24 |
| 1073162152 | Lisa Braudrick | Speech-Language Pathologist | 1515 E Columbia St, Othello, WA 99344-1846 | 2019-09-10 |
| 1033768957 | Steven Pitcher | Dentist | 1515 E Columbia St, Othello, WA 99344-1846 | 2019-09-04 |
| 1265091490 | Kristen A. Mcculloch-stevens | Registered Nurse | 1515 E Columbia St, Othello, WA 99344-1846 | 2019-06-11 |
| 1144889353 | Manuel Jimenez | Dentist | 1515 E Columbia St, Othello, WA 99344-1846 | 2019-06-11 |
| 1598236838 | Myrna Valerie Gomez | Dental Hygienist | 1515 E Columbia St, Othello, WA 99344-1846 | 2018-12-16 |
| 1508337841 | Sidney Puentes | Dental Hygienist | 1515 E Columbia St, Othello, WA 99344-1846 | 2018-12-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073031613 | Robert Lee Mccrorie | Physician Assistant | Cbha 1515 East Columbia Street, Othello, WA 99344 | 2017-09-04 |
| 1134504145 | Body Kneads Massage Therapy | Preferred Provider Organization | 445 Cedar Blvd., Suite C, Othello, WA 99344 | 2015-07-21 |
| 1457756421 | Weeping Ridge Estate Adult Family Home Inc | Custodial Care Facility | 2455 W. Bench Rd, Othello, WA 99344 | 2014-11-03 |
| 1275938243 | Weeping Ridge West, Inc. | Custodial Care Facility | 2455 West Bench Rd, Othello, WA 99344 | 2014-11-03 |
| 1437572617 | Sterling Gerber | Physical Therapist | 315 Nth 14th Ave., Othello, WA 99344 | 2014-01-24 |
| 1346688330 | Amaris Suarez | Counselor | 425 E. Main Street, Suite 600, Othello, WA 99344 | 2013-06-12 |
| 1669679387 | Jessica Brooks Smith | Pharmacist | 140 E. Main St, Othello, WA 99344 | 2007-06-27 |
| 1174688030 | Percy N Erdmann | General Practice | 1207 E Main, Othello, WA 99344 | 2006-12-22 |
| 1962581405 | Ian Fuger | Dentist | 140 E Main Street, Othello, WA 99344 | 2006-11-03 |
| 1194819540 | Richard A Maywald | Counselor | 425 E Main Suite 600, Othello, WA 99344 | 2006-10-02 |
| Find all providers in zip 99344 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316493752 | Kathleen Trussell | Nurse Practitioner | 1932 W Cemetery Rd, Othello, WA 99344-9607 | 2016-08-26 |
| 1225503311 | Amber J Madani | Nurse Practitioner | 1515 E Columbia St, Othello, WA 99344-1846 | 2018-10-04 |
| 1831524008 | Joeun Gilland | Nurse Practitioner | 1515 E Columbia St, Othello, WA 99344-1846 | 2013-09-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740889369 | Abigail E Mercure | Nurse Practitioner | 7618 Ne Champagne Point Pl, Kirkland, WA 98034-3448 | 2020-10-24 |
| 1043819907 | Matthew Sean Krabbendam | Nurse Practitioner | 7315 212th St Sw Ste 207, Edmonds, WA 98026-7610 | 2020-10-21 |
| 1700485919 | Yanique Ricie Nana Yakam Azah | Nurse Practitioner | 22829 Se 239th Ct, Maple Valley, WA 98038-5052 | 2020-10-19 |
| 1164029484 | Chelsea Lauren Bresnahan | Nurse Practitioner | 7928 S Parway Ln, Cheney, WA 99004-8619 | 2020-10-08 |
| 1023615549 | Brian D Ottesen | Nurse Practitioner | 2315 Crestwood Pl Nw, Olympia, WA 98502-4095 | 2020-10-07 |
| 1881291003 | Allison Walzer | Nurse Practitioner | 526 Yale Ave N Apt 402, Seattle, WA 98109-5544 | 2020-10-01 |
| 1740896927 | Maia Zink | Nurse Practitioner | 10837 E Riverside Dr Apt C, Bothell, WA 98011-6123 | 2020-09-22 |
| 1760098339 | Yunyun Lu | Nurse Practitioner | 4922 51st Avenue Ct W, University Place, WA 98467-4828 | 2020-09-19 |
| 1255944278 | Alexis Leanne Snyder | Nurse Practitioner | 717 S 51st St, Tacoma, WA 98408-5710 | 2020-08-28 |
| 1841800521 | Lauren Levesque | Nurse Practitioner | 2744 Ne 54th St Unit B, Seattle, WA 98105-3146 | 2020-08-06 |
| 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.