CLYDE STONE (NPI# 1891262911) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891262911 |
| Entity Type | Individual |
| Full Name | CLYDE STONE |
| Practice Address |
3624 Auburn Way N Auburn WA 98002-1801 |
| Practice Telephone | 2535087571 |
| Enumeration Date | 2018-10-26 |
| Last Update Date | 2018-10-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | LP00058014 | WA | Nursing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | DOH | LP00058014 | 01 |
| WA | LP00058014 | 05 |
| Street Address |
3624 AUBURN WAY N |
| City | AUBURN |
| State | WA |
| Zip Code | 98002-1801 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336756451 | Natalia Marquez Avalos | Interpreter | 1001 37th St Se, Apt 2, Auburn, WA 98002 | 2020-09-24 |
| 1871065607 | Carrie Ann Sasser | Registered Nurse | 1005 37th Street Se, Auburn, WA 98002 | 2018-12-18 |
| 1730658881 | Nataliya Guga | Physical Therapy Assistant | 1323 17th St Se Apt A, Auburn, WA 98002 | 2018-11-19 |
| 1952876294 | Modeline Jules | Nurse Practitioner | 125 3rd St Ne Ste 403, Auburn, WA 98002 | 2018-10-12 |
| 1679055941 | Stephanie Storm Lariccia | Social Worker | 1000 Auburn Way S., Auburn, WA 98002 | 2018-09-04 |
| 1104330349 | North Auburn Health, LLC | Skilled Nursing Facility | 2830 I Street Ne, Auburn, WA 98002 | 2017-11-27 |
| 1265950554 | Allison Ortwein | Occupational Therapist | 2830 I St. Ne, Auburn, WA 98002 | 2017-09-06 |
| 1184171167 | Emily Faber | Counselor | 505 29th St, Auburn, WA 98002 | 2016-09-07 |
| 1255887907 | Elaine Priscilla Lucas | Counselor | 29th St Se Chartley House, 505, Auburn, WA 98002 | 2016-08-31 |
| 1871955823 | Melissa Mae Gustafson | Massage Therapist | 4220 A. St. Se, Suite 103, Auburn, WA 98002 | 2016-03-28 |
| Find all providers in zip 98002 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245842350 | Christine Lynn Deforest | Licensed Practical Nurse | 6644 Pine Ridge Rd, Auburn, NY 13021-8789 | 2020-08-19 |
| 1992314231 | Kendra Ann Gottula | Licensed Practical Nurse | 1829 Central Ave, Auburn, NE 68305-1713 | 2020-07-22 |
| 1497304141 | Lisa Richards | Licensed Practical Nurse | 29205 132nd Ave Se, Auburn, WA 98092-2142 | 2019-09-05 |
| 1497319651 | Pooja Kc | Licensed Practical Nurse | 31518 120th Ct Se, Auburn, WA 98092-5102 | 2019-04-23 |
| 1538629167 | Carole Anne Haynes | Licensed Practical Nurse | 26 Florence St, Auburn, NY 13021-4902 | 2019-03-20 |
| 1851850051 | Maria Liusea Colopelnic | Licensed Practical Nurse | 136 Washington St, Auburn, NY 13021-2446 | 2019-03-18 |
| 1912464991 | Karen Dzuba | Licensed Practical Nurse | 200 Plainview Dr, Auburn, MI 48611-9354 | 2019-02-26 |
| 1245721315 | Bonnie L Colella | Licensed Practical Nurse | 128 Melrose Rd, Auburn, NY 13021-9212 | 2018-05-24 |
| 1982115630 | Bethany Brantner | Licensed Practical Nurse | 250 Mcintosh Dr, Auburn, NY 13021-1364 | 2017-10-21 |
| 1083125991 | Jasmine Nicole Hammar | Licensed Practical Nurse | 402 21st St Se Apt 14, Auburn, WA 98002-6877 | 2017-10-18 |
| Find all providers in AUBURN | ||||
Please comment or provide details below to improve the information on CLYDE STONE.
| 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.