MR. JOHNNY LE MCCREE (NPI# 1902186935) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902186935 |
| Entity Type | Individual |
| Full Name | MR. JOHNNY LE MCCREE |
| Credential | LMP |
| Practice Address |
4915 25th Ave Ne Ste 104 Seattle WA 98105-8667 |
| Practice Telephone | 2063315799 |
| Practice Fax Number | 2063162308 |
| Mailing Telephone | 2063315799 |
| Mailing Fax Number | 2063162308 |
| Enumeration Date | 2011-08-22 |
| Last Update Date | 2011-08-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | MA00023397 | WA | Other Service Providers |
| Street Address |
4915 25TH AVE NE STE 104 |
| City | SEATTLE |
| State | WA |
| Zip Code | 98105-8667 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386808889 | Jason P Godfrey | Physical Therapist | 4915 25th Ave Ne Ste 104, Seattle, WA 98105 | 2008-07-14 |
| 1417563669 | Alexis Taylor Gonzales | Naturopath | 4915 25th Ave Ne Ste 104, Seattle, WA 98105-8667 | 2020-09-22 |
| 1538645288 | Functional Health Consulting, LLC | Chiropractor | 4915 25th Ave Ne Ste 104, Seattle, WA 98105-8667 | 2018-07-16 |
| 1982092730 | Carrie Belleson | Chiropractor | 4915 25th Ave Ne Ste 104, Seattle, WA 98105-8667 | 2015-01-02 |
| 1770888588 | Nicholas David Petrini | Chiropractor | 4915 25th Ave Ne Ste 104, Seattle, WA 98105-8667 | 2011-01-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326662396 | Dale Justin Podolsky | Student in an Organized Health Care Education/Training Program | 4800 Sand Point Way Ne, Ob.9.520, Seattle Children's, Seattle, WA 98105 | 2020-06-04 |
| 1376170878 | Andrew Crompton Yazman | Pediatrics | 4800 Sand Point Way, Ne Oc.7.830, Seattle, WA 98105 | 2020-03-25 |
| 1427688845 | Daniela Michell Zepeda | Behavioral Analyst | 4616 25th Ave Ne Pmb 437, Seattle, WA 98105 | 2020-01-24 |
| 1255981189 | Emily King | Student in an Organized Health Care Education/Training Program | Mark Hawkins, Pa-c, Mpas, 4311 11th Ave Ne Suite 200, WA 98105 | 2019-09-12 |
| 1821659327 | Sara Katherine Horne | Student in an Organized Health Care Education/Training Program | 4800 Sand Point Way Ne, Mb.11.500, Department of Anesthesiology and Pain Medicine, Seattle, Seattle, WA 98105 | 2019-06-25 |
| 1881252575 | Darryl Lee Wright | Peer Specialist | Gossett Place, 4719 12th Ave Ne, Seattle, WA 98105 | 2019-05-29 |
| 1487117891 | Nirupama Madhavan | Behavioral Analyst | 5001 25th Ave Ne, Seattle, WA 98105 | 2019-04-11 |
| 1780155648 | Eryn R Mcentee | Naturopath | 2216 Ne46th St, Seattle, WA 98105 | 2018-12-17 |
| 1356811921 | Kyle Leland Bernbach | Massage Therapist | 5224 Ravenna Ave Ne, Seattle, WA 98105 | 2018-11-27 |
| 1548742380 | Janal Kim | Physician Assistant | 4726 11th Ave Ne, Apt 511, Seattle, WA 98105 | 2018-08-29 |
| Find all providers in zip 98105 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477172963 | Gary W Bangs | Specialist | 325 9th Ave # Ms 359860, Seattle, WA 98104-2420 | 2020-04-14 |
| 1073153748 | Eric Vincent Currier | Specialist | 7218 Linden Ave. N., Seattle, WA 98103 | 2020-01-10 |
| 1447794391 | Ruth Aaronson | Specialist | 4636 E. Marginal Way, Seattle, WA 98134 | 2016-12-12 |
| 1386186807 | Kristin Jeanine Travis | Specialist | 8405 12th Ave S, Seattle, WA 98108-4418 | 2016-11-15 |
| 1700332186 | Dustin Eugene Taylor | Specialist | 9849 17th Ave Sw # 127, Seattle, WA 98106-2714 | 2016-08-26 |
| 1053865006 | Lifespan Biosciences | Specialist | 2401 4th Ave, Suite 900, Seattle, WA 98121-3419 | 2016-08-08 |
| 1699140426 | Trent L Tredway Md | Specialist | 901 Boren Ave Ste 600, Seattle, WA 98104-3596 | 2015-12-04 |
| 1467829226 | Elizabeth Terry | Specialist | 1601 N 52nd St, Seattle, WA 98103-6109 | 2015-08-27 |
| 1376929919 | Matthew Kory Grey | Specialist | 3001 Beacon Ave S, Seattle, WA 98144-5853 | 2015-08-05 |
| 1497130207 | Jaqulyn Nikole Carrell | Specialist | 3910 Montlake Blvd Ne, Seattle, WA 98195-0001 | 2015-07-22 |
| Find all providers in SEATTLE | ||||
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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.