PROSSY NAGERI BALOME (NPI# 1851917991) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1851917991 |
Entity Type | Individual |
Full Name | PROSSY NAGERI BALOME |
Practice Address |
721 Fawcett Ave Ste 100 Tacoma WA 98402-5502 |
Practice Telephone | 2532304351 |
Mailing Telephone | 2532304351 |
Enumeration Date | 2020-06-24 |
Last Update Date | 2020-06-24 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 175T00000X | Peer Specialist | Other Service Providers |
Street Address |
721 FAWCETT AVE STE 100 |
City | TACOMA |
State | WA |
Zip Code | 98402-5502 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720470057 | Metropolitan Development Council | Community Based Residential Treatment Facility, Mental Illness | 721 Fawcett Ave Ste 100, Tacoma, WA 98402-5502 | 2015-02-24 |
1982220067 | Raymond Lewis | Licensed Practical Nurse | 721 Fawcett Ave Ste 100, Tacoma, WA 98402-5502 | 2020-06-24 |
1659993764 | Shayne Immen | Social Worker | 721 Fawcett Ave Ste 100, Tacoma, WA 98402-5502 | 2020-05-12 |
1720600901 | Roland Benson | Social Worker | 721 Fawcett Ave Ste 100, Tacoma, WA 98402-5502 | 2020-05-11 |
1043831555 | Leath Alexander Dunford | Peer Specialist | 721 Fawcett Ave Ste 100, Tacoma, WA 98402-5502 | 2020-05-06 |
1154970119 | Ambie Nona Brownson | Registered Nurse | 721 Fawcett Ave Ste 100, Tacoma, WA 98402-5502 | 2019-09-11 |
1437702685 | Tetyana Hafurova | Registered Nurse | 721 Fawcett Ave Ste 100, Tacoma, WA 98402-5502 | 2019-07-17 |
1053973990 | Sarah Nyambura | Licensed Practical Nurse | 721 Fawcett Ave Ste 100, Tacoma, WA 98402-5502 | 2019-07-01 |
1306404892 | Robin Mikealson | Registered Nurse | 721 Fawcett Ave Ste 100, Tacoma, WA 98402-5502 | 2019-05-30 |
1881257624 | Tanissia D Alexander | Licensed Practical Nurse | 721 Fawcett Ave Ste 100, Tacoma, WA 98402-5502 | 2019-04-17 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548898638 | Cimberleigh Mclean | Social Worker | 2367 Tacoma Ave S Ofc 211, Tacoma, WA 98402 | 2020-04-01 |
1831735802 | Nickolas Justin Wise | Case Manager/Care Coordinator | 1159 Market St, Tacoma, WA 98402 | 2019-11-25 |
1841835436 | Michael Roy Bolden | Counselor | 1205 Tacoma Ave S., Suite 1205, Tacoma, WA 98402 | 2019-11-07 |
1073024980 | Megan Elizabeth Charron Mourfield | Denturist | 725 St Helens Ave S, Tacoma, WA 98402 | 2017-10-18 |
1104367937 | Janelle Santiago | Counselor | Mcdonald Smith Building 110, Uw Autism Center Tacoma, Tacoma, WA 98402 | 2017-03-13 |
1891167862 | Tanya Larson Therapy | Community/Behavioral Health | 1102 A. St., Suite 109, (suite 109), Tacoma, WA 98402 | 2015-10-29 |
1609242148 | Ashley Lorraine Dahlgren | Peer Specialist | 702 S 14th St., Tacoma, WA 98402 | 2015-08-19 |
1821416470 | Nicole Villarreal Mccormick | Acupuncturist | 711 A Ct #100, Tacoma, WA 98402 | 2014-04-01 |
1184055824 | Robyn Marie Callahan | Social Worker | 1102 A Street, Suite 202 B, Tacoma, WA 98402 | 2013-12-05 |
1679909410 | Kristin Sweet Fischer | Counselor | 708 Market St Unit 411, Tacoma, WA 98402 | 2013-09-25 |
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Taxonomy Code | 175T00000X |
Grouping | Other Service Providers |
Classification | Peer Specialist |
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. |
Notes: Source: National Uniform Claim Committee [7/1/2014: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558982058 | Edward Thomas Gollihugh | Peer Specialist | 721 Fawcett Ave Ste 204, Tacoma, WA 98402-5502 | 2020-05-06 |
1689225625 | Belinda Lyndon Montgomery | Peer Specialist | 1602 N Orchard St, Tacoma, WA 98406-3346 | 2019-09-20 |
1609242148 | Ashley Lorraine Dahlgren | Peer Specialist | 702 S 14th St., Tacoma, WA 98402 | 2015-08-19 |
1134727092 | Francena Taylor | Peer Specialist | 5410 N 44th St, Tacoma, WA 98407-3799 | 2020-10-13 |
1710584313 | Crystal Lee | Peer Specialist | 5410 N 44th St, Tacoma, WA 98407-3799 | 2020-10-06 |
1275146896 | Jamaica Myers | Peer Specialist | 5410 N 44th St, Tacoma, WA 98407-3799 | 2020-08-24 |
1003434812 | Maryann Hartman | Peer Specialist | 1305 Tacoma Ave S Ste 201, Tacoma, WA 98402-1903 | 2020-07-08 |
1659997427 | Michaele Renee Trujillo | Peer Specialist | 5410 N 44th St, Tacoma, WA 98407-3799 | 2020-06-17 |
1083238307 | Juliana Desiree Darlene Amesquita | Peer Specialist | 5410 N 44th St, Tacoma, WA 98407-3799 | 2020-06-02 |
1518589985 | Doris Jean Tucker | Peer Specialist | 721 Fawcett Ave, Tacoma, WA 98402-5502 | 2020-05-08 |
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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.