BADGER CANYON FAMILY HEALTH AND WELLNESS, PLLC (NPI# 1851538219) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851538219 |
| Entity Type | Organization |
| Organization Name | BADGER CANYON FAMILY HEALTH AND WELLNESS, PLLC |
| Practice Address |
10121 W Clearwater Ave Ste 102 Kennewick WA 99336 |
| Practice Telephone | 5097834949 |
| Practice Fax Number | 5097836827 |
| Mailing Telephone | 5097834949 |
| Mailing Fax Number | 5097836827 |
| Enumeration Date | 2009-01-07 |
| Last Update Date | 2009-02-04 |
| Authorized Official Name | SHANNON PHIPPS DRAMIS (DOCTOR) |
| Authorized Official Telephone | 5097834949 |
| Authorized Official Credential | DO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | OP60036526 | WA | Ambulatory Health Care Facilities |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | BADGER CANYON FAMILY HEALTH AND WELLNESS, PLLC | 10121 W Clearwater Ave, Suites 102 104, Kennewick, WA 99336 |
| Street Address |
10121 W CLEARWATER AVE STE 102 |
| City | KENNEWICK |
| State | WA |
| Zip Code | 99336 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386693414 | Shannon L Phipps | Family Medicine | 10121 W Clearwater Ave, Kennewick, WA 99336-3500 | 2006-05-08 |
| 1164975751 | Sean Cahalin | Chiropractor | 10121 W Clearwater Ave, Kennewick, WA 99336-3500 | 2016-07-29 |
| 1639529761 | Molly Anne Clemenson | Chiropractor | 10121 W Clearwater Ave, #112, Kennewick, WA 99336-3500 | 2016-06-20 |
| 1588010532 | Jessica Almaguer | Nurse Practitioner | 10121 W Clearwater Ave, Kennewick, WA 99336-3500 | 2016-05-09 |
| 1629320106 | Tehea Kae Elsethagen | Clinical Nurse Specialist | 10121 W Clearwater Ave, Suite 102, Kennewick, WA 99336-3500 | 2012-10-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497393888 | Kelsie D Parvinen | Massage Therapist | 8350 W. Grandridge Blvd, Suite 100, Kennewick, WA 99336 | 2019-12-16 |
| 1508403858 | New U Women's Clinic & Aesthetics Pllc | Nurse Practitioner | 35 S Louisiana St, Suite A120, Kennewick, WA 99336 | 2019-12-05 |
| 1457901944 | Solar Mobility LLC | Durable Medical Equipment & Medical Supplies | 949 S Keller St, Kennewick, WA 99336 | 2019-09-17 |
| 1023662590 | Shane Arthur Gulley | Counselor | 500 N. Morain St Suite 1250, Kennewick, WA 99336 | 2019-08-01 |
| 1063973873 | Farah Saleem | Student in an Organized Health Care Education/Training Program | 212 W. 10th Avenue,suite 202, Kennewick, WA 99336 | 2019-03-26 |
| 1255897690 | Thomas Stanley Mcgowan | Student in an Organized Health Care Education/Training Program | Tri-cities Cancer Center, 7350 W. Deschutes Ave, Building A, Kennewick, WA 99336 | 2019-02-11 |
| 1770068280 | Remedy Urgent Mobile Medicine Pllc | Nurse Practitioner | 3311 West Clearwater Avenue, Suite D210, Kennewick, WA 99336 | 2018-10-01 |
| 1740767011 | Zachary Wilber Fournier | Specialist/Technologist | Toyota Center - 7000 West Grandridge Blvd, Kennewick, WA 99336 | 2018-07-19 |
| 1649780693 | Alan Arnold Hanson | Chiropractor | 8350 W. Grandridge Blvd #100, Kennewick, WA 99336 | 2017-10-04 |
| 1922528827 | Sarah Nicole Childress | Counselor | 415 North Morain St, Kennewick, WA 99336 | 2017-06-21 |
| Find all providers in zip 99336 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922621721 | Riaz Pllc | Clinic/Center | 8378 W Grandridge Blvd Ste 110, Kennewick, WA 99336-5401 | 2020-05-27 |
| 1255389698 | Sunderland Family Treatment Services | Clinic/Center | 8656 W Gage Blvd, Bldg C, Kennewick, WA 99336-7145 | 2006-05-05 |
| 1275020596 | Ideal Telemedicine Services, LLC | Clinic/Center | 8508 W Gage Blvd Ste A101, Kennewick, WA 99336-8106 | 2018-04-23 |
| 1285148684 | Ideal Telemedicine Services, LLC | Clinic/Center | 8514 W Gage Blvd Ste G, Kennewick, WA 99336-8108 | 2017-11-21 |
| 1912456278 | Nickolas Allen Dc | Clinic/Center | 4206 W 24th Ave, Suite A102, Kennewick, WA 99338-2321 | 2016-09-28 |
| 1134429889 | Child Enrichment Center | Clinic/Center | 552 N Colorado St Ste 210, Kennewick, WA 99336-7781 | 2010-10-28 |
| 1285966994 | Columbia Chiropractic LLC | Clinic/Center | 8530 W Gage Blvd, Suite B, Kennewick, WA 99336-7162 | 2010-02-04 |
| 1073740486 | Tri-cities Vision Center | Clinic/Center | 2720 S Quillan St, Vision Center, Kennewick, WA 99337-2404 | 2009-06-12 |
| 1891931424 | Bunch Chiropractic Offices, Pllc | Clinic/Center | 8131 W. Klamath Ct, Ste H, Kennewick, WA 99336 | 2009-01-03 |
| 1063666964 | Larry W Loveridge, Dmd, Pllc | Clinic/Center | 1921 S Arthur St, Kennewick, WA 99338-1856 | 2008-11-05 |
| Find all providers in KENNEWICK | ||||
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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.