LOREN P KNEBL


Address: 1515 E Columbia St, Othello, WA 99344-1846
Phone: 5094885256

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).

Provider Overview

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

Taxonomy

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

Other Provider Identifier

State Issuer Identifier Type Code
WA DOH AP61085401 01
WA DOH LICENSE RN61063322 01

Provider Secondary Practice Location

Address Telephone Number Fax Number
1051 Columbia Ave, Connell, WA 993268702 5094885256 5094889939
601 Government Way, Mattawa, WA 993499934 5094885256 5094889939

Office Location

Street Address 1515 E COLUMBIA ST
City OTHELLO
State WA
Zip Code 99344-1846

Providers in the same location

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
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

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
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Competitor

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City OTHELLO
Zip Code 99344

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Dataset Information

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.

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