FERNANDO IRIZARRY (NPI# 1851456081) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851456081 |
| Entity Type | Individual |
| Full Name | FERNANDO IRIZARRY |
| Credential | M.D. |
| Practice Address |
700 Lilly Rd Ne Olympia WA 98506-5115 |
| Mailing Address |
Po Box 34584 Seattle WA 98124-1584 |
| Practice Telephone | 3609237000 |
| Practice Fax Number | 3609237199 |
| Mailing Telephone | 5092417349 |
| Mailing Fax Number | 5092417628 |
| Enumeration Date | 2006-12-27 |
| Last Update Date | 2020-10-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | MD00044534 | WA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 8440810 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2211 Queen Anne Ave N, Seattle, WA 981092367 | 2068618500 | 2068618501 |
| Street Address |
700 LILLY RD NE |
| City | OLYMPIA |
| State | WA |
| Zip Code | 98506-5115 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447253596 | Sarah Hulsey | Family Medicine | 700 Lilly Rd Ne, Olympia, WA 98506-5115 | 2005-05-23 |
| 1720600141 | Kaiser Foundation Health Plan of Washington | Clinic/Center | 700 Lilly Rd Ne, Olympia, WA 98506-5115 | 2020-05-07 |
| 1780214809 | Mary Mallette | Dietitian, Registered | 700 Lilly Rd Ne, Olympia, WA 98506-5115 | 2020-01-16 |
| 1588207534 | Phillip Inouye | Audiologist | 700 Lilly Rd Ne, Olympia, WA 98506-5115 | 2019-10-22 |
| 1083263289 | Michael Allen Foster | Physical Therapist | 700 Lilly Rd Ne, Olympia, WA 98506-5115 | 2019-09-10 |
| 1003478207 | Rhena Valentine | Midwife | 700 Lilly Rd Ne, Olympia, WA 98506-5115 | 2019-07-08 |
| 1215495866 | Vinh Hoang Nguyen | Pharmacist | 700 Lilly Rd Ne, Olympia, WA 98506-5115 | 2019-03-02 |
| 1588147185 | Haley Mae Fuchs | Physician Assistant | 700 Lilly Rd Ne, Olympia, WA 98506-5115 | 2018-09-10 |
| 1922588722 | Linnea Christine Robinson | Physician Assistant | 700 Lilly Rd Ne, Olympia, WA 98506-5115 | 2018-08-21 |
| 1891272506 | Cassie Ann Icenogle | Counselor | 700 Lilly Rd Ne, Olympia, WA 98506-5115 | 2018-07-25 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477185460 | Chloe Harper | Technician, Other | 3443 Lilly Rd Se, Ste B, Olympia, WA 98506 | 2020-02-07 |
| 1912543539 | Jessica Marie Radakovich | Licensed Practical Nurse | 3426 Mary Elder Rd, Olympia, WA 98506 | 2019-11-19 |
| 1669014973 | Arlene Josephine Adams | Registered Nurse | 413 Lily Rd Ne, Olympia, WA 98506 | 2019-10-09 |
| 1861999120 | Debra Delores Barker | Licensed Practical Nurse | 3710 South Bay Rd Ne, Olympia, WA 98506 | 2018-04-12 |
| 1801304431 | Michelle Warner | Nurse Practitioner | 205 Lilly Rd Ne Ste A1, Olympia, WA 98506 | 2018-01-17 |
| 1396258364 | Institute for Family Development | Community/Behavioral Health | 204 Quince St. Ne, Suite 200, Olympia, WA 98506 | 2017-11-13 |
| 1083137715 | Cameron Kunkel | Specialist/Technologist | 2512 20th Ave Ne, Olympia, WA 98506 | 2017-07-25 |
| 1184144768 | Trevor Shane Kwan | Family Medicine | 525 Lilly Road Ne, Olympia, WA 98506 | 2017-06-23 |
| 1073043212 | Michael H Harburg | Behavior Technician | 3857 Martin Way Ne, Olympia, WA 98506 | 2017-06-19 |
| 1780114371 | Priscilla Kangyang Jadu | Counselor | 3857 Martin Way E., Olympia, WA 98506 | 2017-06-15 |
| Find all providers in zip 98506 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790843290 | Dich Quoc Vu | General Practice | 146 Milroy Street, Olympia, WA 98502 | 2006-12-05 |
| 1639188824 | Patricia Ruth Sylwester | General Practice | 1801 W Bay Dr Nw, Suite 208a, Olympia, WA 98502-4310 | 2006-08-05 |
| 1619099843 | Diana T Yu | General Practice | 412 Lilly Rd Ne, Olympia, WA 98506-5132 | 2007-04-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063971703 | Source Northwest Integrative Medicine | General Practice | 7206 267th St Nw Ste 102, Stanwood, WA 98292-6269 | 2019-03-12 |
| 1255896601 | Emily Christine Buck | General Practice | 940 Fitzsimmons Dr, Tacoma, WA 98431-0001 | 2019-02-08 |
| 1740755651 | Alyssa Ann Yruegas | General Practice | 2108 W Spruce St, Moses Lake, WA 98837-2853 | 2018-10-06 |
| 1306321237 | Rainier Springs Physician Group, LLC | General Practice | 2805 Ne 129th Street, Vancouver, WA 98686 | 2018-09-26 |
| 1962916437 | Parkview Medical Group Inc | General Practice | 615 S Division St Ste A, Moses Lake, WA 98837-3800 | 2017-11-20 |
| 1790212496 | Thien Thanh Ho | General Practice | 12307 Douglas Rd, Yakima, WA 98908-9129 | 2017-05-12 |
| 1285173625 | Regenerative Medicine Institute, Pllc | General Practice | 731 N Stanley St, Medical Lake, WA 99022-8940 | 2017-02-17 |
| 1457708430 | James Bailey | General Practice | 9040 Jackson Ave Tripler Army Medical Center, Tacoma, WA 98431-5001 | 2016-05-19 |
| 1740635887 | Peter Chulhi Kang | General Practice | 1425 Spring St Apt 802, Seattle, WA 98104-1635 | 2016-04-26 |
| 1831551084 | Anna Hackenmiller | General Practice | 1657 S Nettleton Ln, Spokane, WA 99224-6108 | 2016-03-27 |
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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.