SHIRLA UNDERWOOD (NPI# 1831641570) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1831641570 |
Entity Type | Individual |
Full Name | SHIRLA UNDERWOOD |
Other Name | SHIRLA UNDERWOOD |
Credential | RVT/RDCS |
Practice Address |
3705 S Molter Rd Liberty Lake WA 99019 |
Mailing Address |
P.o. Box 385 3705 S Molter Rd Liberty Lake WA 99019 |
Practice Telephone | 5094356363 |
Mailing Telephone | 5094356363 |
Enumeration Date | 2016-10-28 |
Last Update Date | 2016-10-28 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 246XS1301X |
Spec/Tech, Cardiovascular Specialization: Sonography |
54153 | WA | Technologists, Technicians & Other Technical Service Providers |
Street Address |
3705 S MOLTER RD |
City | LIBERTY LAKE |
State | WA |
Zip Code | 99019 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194201533 | Lorena Margaret De La Rosa | Nurse Practitioner | 22820 E Appleway Ave Ste A, Liberty Lake, WA 99019 | 2018-07-18 |
1215393079 | Samuel Lionel Nelson | Chiropractor | 23801 East Appleway Ave, #110, Liberty Lake, WA 99019 | 2016-01-11 |
1841627601 | Noland Peterdy | Pharmacist | 1423 N Molter 727, Liberty Lake, WA 99019 | 2013-10-10 |
1043559446 | Phillip Wayne Harris | Reflexologist | E 23505 Appleway, Liberty Lake, WA 99019 | 2013-02-05 |
1710231766 | Mark Autrey | Pharmacist | 23010 E Settler Drive, Spokane, WA 99019 | 2012-10-30 |
1982971107 | Michele Ladd | Dental Hygienist | 22826 East Clearwater Lane, Liberty Lake, WA 99019 | 2011-11-17 |
1467689166 | Drostan Gregg Baker | Family Medicine | 2207 N Molter Rd Ste 203, Liberty Lake, WA 99019 | 2009-06-19 |
1619117959 | Joline Marie Messina | Behavioral Analyst | 1324 N Liberty Lake Rd # 193, Liberty Lake, WA 99019 | 2009-02-26 |
1144427964 | J. Evans, Dmd, P.s. | Dentist | 1327 N Stanford Lane, Suite B, Liberty Lake, WA 99019 | 2007-06-27 |
1700908803 | Shenae' M Dolan | Massage Therapist | 23801 E. Appleway, Liberty Lake, WA 99019 | 2007-04-06 |
Find all providers in zip 99019 |
Taxonomy Code | 246XS1301X |
Grouping | Technologists, Technicians & Other Technical Service Providers |
Classification | Spec/Tech, Cardiovascular |
Specialization | Sonography |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265053300 | Ahmad Siyar | Spec/Tech, Cardiovascular | 1600 E Jefferson St Ste 500, Seattle, WA 98122-5647 | 2020-04-29 |
1235671587 | Third Eye Imaging LLC | Spec/Tech, Cardiovascular | 3405 W Nob Hill Blvd, Yakima, WA 98902-4732 | 2016-11-17 |
1174820328 | Hibo Issa | Spec/Tech, Cardiovascular | 42 151st Pl Se, Bellevue, WA 98007-5222 | 2011-02-24 |
1366648388 | Michelle L Fox | Spec/Tech, Cardiovascular | University of Wa M C, 1959 Ne Pacific St., Seattle, WA 98195-0001 | 2007-06-26 |
1073131488 | Gwendolyn Starr Curfman | Spec/Tech, Cardiovascular | 5300 Tallman Ave Nw, Seattle, WA 98107-3932 | 2020-07-12 |
1033550579 | Ajay Zachariah | Spec/Tech, Cardiovascular | 11714 N Creek Pkwy N Ste 100, Bothell, WA 98011-8250 | 2013-07-12 |
1932396447 | Angelina Lorain Summers | Spec/Tech, Cardiovascular | 1615 Delaware St, Longview, WA 98632-2310 | 2007-09-28 |
1093771289 | Advanced Peripheral Vascular Diagnostics Inc | Spec/Tech, Cardiovascular | 14701 179th Ave Se, Monroe, WA 98272-1108 | 2006-04-25 |
City | LIBERTY LAKE |
Zip Code | 99019 |
Please comment or provide details below to improve the information on SHIRLA UNDERWOOD.
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.