MICHELLE L DODGE (NPI# 1851953640) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851953640 |
| Entity Type | Individual |
| Full Name | MICHELLE L DODGE |
| Practice Address |
1230 Monitor St Wenatchee WA 98801-3534 |
| Practice Telephone | 5093001221 |
| Mailing Telephone | 5093001221 |
| Enumeration Date | 2019-07-02 |
| Last Update Date | 2019-07-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 167G00000X | Licensed Psychiatric Technician | WA | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831524503 | Michelle Gaebel Dodge | Chiropractor | 8479 Ridge Rd, Sodus, NY 14551-9569 | 2013-09-12 |
| 1760573257 | Michelle Anne Dodge | Social Worker | Da Wamc Stop A 2817 Reilly Rd, Mcxc Dsw, Fort Bragg, NC 28310-7301 | 2006-09-27 |
| 1841727732 | Michelle Lynea Dodge | Speech-Language Pathologist | 1851 Golden Eagle Way Ste 43, Fleming Island, FL 32003-4334 | 2017-05-22 |
| Street Address |
1230 MONITOR ST |
| City | WENATCHEE |
| State | WA |
| Zip Code | 98801-3534 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457346512 | Parkside Healthcare LLC | Skilled Nursing Facility | 1230 Monitor St, Wenatchee, WA 98801-3534 | 2005-09-14 |
| 1114524576 | Neddy Leppanen-armijo | Counselor | 1230 Monitor St, Wenatchee, WA 98801-3534 | 2020-10-07 |
| 1962017863 | Erin A Robards | Nurse's Aide | 1230 Monitor St, Wenatchee, WA 98801-3534 | 2020-09-09 |
| 1083228068 | Tohnya P Shuffield | Nurse's Aide | 1230 Monitor St, Wenatchee, WA 98801-3534 | 2020-09-07 |
| 1003420084 | Kayla M Houck | Nurse's Aide | 1230 Monitor St, Wenatchee, WA 98801-3534 | 2020-09-07 |
| 1700400967 | Matea R Flores | Counselor | 1230 Monitor St, Wenatchee, WA 98801-3534 | 2020-06-03 |
| 1588209902 | American Behavioral Health Systems, Inc. | Substance Abuse Rehabilitation Facility | 1230 Monitor St, Wenatchee, WA 98801-3534 | 2019-11-08 |
| 1346883063 | Sam Lynn Shearman | Counselor | 1230 Monitor St, Wenatchee, WA 98801-3534 | 2019-10-25 |
| 1346899655 | Ethan Henry Wall | Licensed Practical Nurse | 1230 Monitor St, Wenatchee, WA 98801-3534 | 2019-09-09 |
| 1679121651 | Amanda Jane Blalock | Registered Nurse | 1230 Monitor St, Wenatchee, WA 98801-3534 | 2019-09-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033728365 | Jeannie Jones | Massage Therapist | 15 2nd St, Hallway 15, Wenatchee, WA 98801 | 2020-07-22 |
| 1184246688 | Mireya Ann Bahena | Case Manager/Care Coordinator | Catholic Charities of The Diocese of 145 S. Worthen St., Wenatchee, WA 98801 | 2020-05-07 |
| 1871067843 | Bfg Wenatchee Propco Iv, LLC | Assisted Living Facility | 817 Red Apple Rd, Wenatchee, WA 98801 | 2019-01-14 |
| 1982177283 | Michael Lee Miller | Behavioral Analyst | 264 N. Mission, Wenatchee, WA 98801 | 2019-01-09 |
| 1972073526 | Daniel Jentges | Family Medicine | 413 N Mission St., Wenatchee, WA 98801 | 2018-11-27 |
| 1972010437 | Daniel Nickel | Occupational Therapy Assistant | 217 Wetherald St, Wenatchee, WA 98801 | 2018-01-05 |
| 1962916379 | The Professional Denture Center | Denturist | 533 South Mission St, Wenatchee, WA 98801 | 2017-11-21 |
| 1467978155 | Matthew Jerauld Laws | Massage Therapist | 416 Ninth Street, Wenatchee, WA 98801 | 2017-08-15 |
| 1073051363 | Kimberley Rae Chambers | Massage Therapist | 25 N Wenatchee Ave Suite 104, Wenatchee, WA 98801 | 2017-02-07 |
| 1841746187 | Valentina Alvarez | Counselor | 145 S Worthern, Wenatchee, WA 98801 | 2016-08-28 |
| Find all providers in zip 98801 | ||||
| Taxonomy Code | 167G00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Psychiatric Technician |
| An individual licensed by the state board as a Psychiatric Technician based upon completion of a prescribed course of theory and clinical practice, with two thirds of the clinical practice time focused on mental and developmental disorders. The psychiatric technician practices under the direct supervision of a physician, psychologist, registered nurse or other professional to provide care to patients with mental disorders and developmental disabilities. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467014258 | Hector Samuel Avila | Licensed Psychiatric Technician | 145 S Worthen St, Wenatchee, WA 98801-3081 | 2019-07-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457858821 | Karamo Bojang | Licensed Psychiatric Technician | 12909 Mukilteo Speedway Apt F203, Lynnwood, WA 98087-5279 | 2018-04-11 |
| 1760095160 | Stacia Kay Rapp | Licensed Psychiatric Technician | 10710 Mukilteo Speedway, Mukilteo, WA 98275-5021 | 2020-08-25 |
| 1851858740 | Emily M Davis | Licensed Psychiatric Technician | 10710 Mukilteo Speedway, Mukilteo, WA 98275-5021 | 2019-02-27 |
| 1821566084 | Lauren Allison | Licensed Psychiatric Technician | 10710 Mukilteo Speedway, Mukilteo, WA 98275-5021 | 2018-11-06 |
| 1982183430 | Shahrum Ali | Licensed Psychiatric Technician | 10710 Mukilteo Speedway, Mukilteo, WA 98275-5021 | 2018-08-07 |
| 1013425990 | Jarred Darren Grant | Licensed Psychiatric Technician | 10710 Mukilteo Speedway, Mukilteo, WA 98275-5021 | 2018-01-13 |
| 1417468943 | Kelli Stretch | Licensed Psychiatric Technician | 4526 Federal Ave, Everett, WA 98203 | 2017-10-24 |
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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.