ANDREA BULLOCK (NPI# 1881029692) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881029692 |
| Entity Type | Individual |
| Full Name | ANDREA BULLOCK |
| Credential | LMP |
| Practice Address |
402 W Washington Ave Apt E Yakima WA 98903-1400 |
| Mailing Address |
418 S 50th Ave Yakima WA 98908-3417 |
| Practice Telephone | 5094537368 |
| Mailing Telephone | 5099018227 |
| Enumeration Date | 2013-09-11 |
| Last Update Date | 2013-09-11 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | MA60400375 | WA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114406584 | Andrea Bullock | Licensed Vocational Nurse | 4441 E Kings Canyon Rd, Fresno, CA 93702-3604 | 2018-08-07 |
| 1861876476 | Andrea Bullock | Speech-Language Pathologist | 3903 Harrison Blvd Ste 400, Ogden, UT 84403-2382 | 2015-07-14 |
| 1063841435 | Andrea Bullock | Emergency Medical Technician, Intermediate | 2670 Durham Chapel Hill Blvd, Durham, NC 27707-2829 | 2013-11-06 |
| 1598924516 | Andrea Shantz Bullock | Counselor | 417 N Main St, Suite B, Salisbury, NC 28144-4376 | 2008-06-04 |
| 1154494466 | Andrea J Bullock | Internal Medicine | 330 Brookline Ave, Shapiro 9, Boston, MA 02215-5400 | 2006-11-16 |
| Street Address |
402 W WASHINGTON AVE APT E |
| City | YAKIMA |
| State | WA |
| Zip Code | 98903-1400 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790023323 | Ashley Rochelle Borders | Massage Therapist | 402 W Washington Ave Apt E, Yakima, WA 98903-1400 | 2013-01-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811504277 | Inland Northwest Renal Care Group, LLC | Clinic/Center | 2405 West Washinton Ave, Yakima, WA 98903 | 2020-09-29 |
| 1538704325 | Maria D. Valenzuela | Technician | 3908 1st St, Union Gap, WA 98903 | 2019-11-15 |
| 1730667668 | Patty Nygaard | Counselor | 4109 Holiday Ave, Union Gap, WA 98903 | 2018-08-02 |
| 1760994842 | Sonia Perez | Registered Nurse | 2000 S. 18th St., Union Gap, WA 98903 | 2017-10-30 |
| 1437502820 | Ismerai Benitez | Counselor | 918 E. Mead Ave., Yakima, WA 98903 | 2016-07-20 |
| 1568857845 | Rebecca Marie Berghoff | Registered Nurse | 55 West Washington Avenue, Unit #54, Yakima, WA 98903 | 2015-04-02 |
| 1811249519 | Steven G Schiewe | Pharmacist | 2310 Longfibre Rd, Union Gap, WA 98903 | 2012-10-05 |
| 1891070850 | Rick Kenneth Melcher | Pharmacist | 2310 Longfibre Road, Union Gap, WA 98903 | 2011-10-20 |
| 1386882678 | Emily Mcphee | Counselor | 910 E Mead Ave, Yakima, WA 98903 | 2009-01-26 |
| 1427185826 | Ronald Spencer Senn | Dentist | 2100 14th St, Union Gap, WA 98903 | 2007-02-27 |
| Find all providers in zip 98903 | ||||
| Taxonomy Code | 225700000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Massage Therapist |
| An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447857941 | Hillary Leigh Frank | Massage Therapist | 607 S 48th Ave Suite A, Yakima, WA 98908 | 2020-10-07 |
| 1518573179 | Dragonfly Medical Massage Studio LLC | Massage Therapist | 3405 W Nob Hill Blvd Ste A, Yakima, WA 98902-4732 | 2020-09-18 |
| 1326672700 | Sabrina Dawn Caraway | Massage Therapist | 1702 W Prasch Ave Apt A, Yakima, WA 98902-5266 | 2020-02-25 |
| 1245875608 | Jerica Lennartz Mortimer | Massage Therapist | 3003 W Viola Ave, Yakima, WA 98902-4939 | 2019-11-08 |
| 1992367403 | Tiffani Ann Briskey | Massage Therapist | 5110 Tieton Dr Ste 250, Yakima, WA 98908-3426 | 2019-07-04 |
| 1487140513 | Jacob Cody Wangler | Massage Therapist | 1111 W Spruce St Ste 25, Yakima, WA 98902-3260 | 2018-07-01 |
| 1376030197 | Kathy Solie | Massage Therapist | 609 W Yakima Ave, Yakima, WA 98902-3364 | 2018-04-17 |
| 1356859540 | Glisten Tanning Spa & Salon, LLC | Massage Therapist | 5603 Summitview Ave Ste 100, Yakima, WA 98908-3018 | 2018-01-22 |
| 1619490737 | Christine M Armijo | Massage Therapist | 1001 University Parkway, Yakima, WA 98901 | 2017-07-20 |
| 1144754714 | Lucia Espinosa | Massage Therapist | 2405 W Washingtion Ave, Suite 140, Yakima, WA 98903-2510 | 2017-04-20 |
| Find all providers in YAKIMA | ||||
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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.