DEBORAH L KIRBY (NPI# 1912402850) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912402850 |
| Entity Type | Individual |
| Full Name | DEBORAH L KIRBY |
| Credential | CPC |
| Practice Address |
612 Woodland Square Loop Se Ste 401 Lacey WA 98503-1070 |
| Practice Telephone | 3609720461 |
| Practice Fax Number | 3604891435 |
| Mailing Telephone | 3609720461 |
| Mailing Fax Number | 3603572819 |
| Enumeration Date | 2018-03-23 |
| Last Update Date | 2019-03-01 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 175T00000X | Peer Specialist | CG60815969 | WA | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 1912402850 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 908 5th Ave Se, Olympia, WA 985011507 | 3607542423 | 3603572819 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700424124 | Deborah Lynn Kirby | Social Worker | 1547 Napoli Dr W, Sarasota, FL 34232-6928 | 2019-12-16 |
| 1760698146 | Deborah Lynette Kirby | Psychiatry & Neurology | 1814 Westchester Drive, Suite 401, High Point, NC 27262-7369 | 2007-05-15 |
| 1235260431 | Deborah K Kirby | Counselor | 125 Central Ave, Ste. 290, Coos Bay, OR 97420-2316 | 2007-03-08 |
| 1013982958 | Deborah P Kirby | Registered Nurse | 400 W Airport Blvd, Sanford, FL 32773-5496 | 2006-02-22 |
| Street Address |
612 WOODLAND SQUARE LOOP SE STE 401 |
| City | LACEY |
| State | WA |
| Zip Code | 98503-1070 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982976197 | Adelina Georgieva Dana | Counselor | 612 Woodland Square Loop Se Ste 401, Lacey, WA 98503-1070 | 2012-02-02 |
| 1306445820 | Seth Opp-beckman | Peer Specialist | 612 Woodland Square Loop Se Ste 401, Lacey, WA 98503-1070 | 2020-10-26 |
| 1588262596 | Anastasia Webster | Peer Specialist | 612 Woodland Square Loop Se Ste 401, Lacey, WA 98503-1070 | 2020-10-12 |
| 1316563364 | Athena M Ayres | Peer Specialist | 612 Woodland Square Loop Se Ste 401, Lacey, WA 98503-1070 | 2020-06-24 |
| 1760007504 | Olympic Health and Recovery Services | Community/Behavioral Health | 612 Woodland Square Loop Se Ste 401, Lacey, WA 98503-1070 | 2020-06-08 |
| 1063062503 | Michelle Kim Soto | Counselor | 612 Woodland Square Loop Se Ste 401, Lacey, WA 98503-1070 | 2019-09-17 |
| 1558913145 | Molly K Mciver | Case Manager/Care Coordinator | 612 Woodland Square Loop Se Ste 401, Lacey, WA 98503-1070 | 2019-07-12 |
| 1619535887 | Kimberly Wash | Case Manager/Care Coordinator | 612 Woodland Square Loop Se Ste 401, Lacey, WA 98503-1070 | 2019-06-03 |
| 1376006783 | Teresa Ann Nisbet | Peer Specialist | 612 Woodland Square Loop Se Ste 401, Lacey, WA 98503-1070 | 2019-04-11 |
| 1871050526 | Herschel Bernard Mcfarland | Peer Specialist | 612 Woodland Square Loop Se Ste 401, Lacey, WA 98503-1070 | 2019-02-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457838989 | Michele Nordgren Bourque | Psychologist | 4329 Concordia Lane Se, Lacey, WA 98503 | 2018-07-26 |
| 1831638675 | Trevor John Marum | Chiropractor | 3945 8th Ave Se, Lacey, WA 98503 | 2017-02-13 |
| 1366993362 | Vanessa Julie Iglesias Mehta | Physician Assistant | 5128 Yelm Hwy Se, Suite E, Lacey, WA 98503 | 2016-10-14 |
| 1144683616 | Millenda Thomas | Registered Nurse | 1233 Firpark Dr. S.e., Lacey, WA 98503 | 2016-04-01 |
| 1609257245 | Erika Charlotte Vonkotzebue | Counselor | 4401 37th Ave. Se #25, Lacey, WA 98503 | 2015-06-09 |
| 1437576196 | Candy Nelson | Registered Nurse | 4410 6th Ave Se, Apt# 115, Lacy, WA 98503 | 2014-03-19 |
| 1134563919 | Alvin Fitzgerald | Pharmacist | 665 Sleater Kinney Rd., S.e, Target Pharmacy #1355, Lacey, WA 98503 | 2013-04-23 |
| 1518200724 | Katherine Mary Marsh | Psychologist | 5191 Corporate Center Court Se, Lacey, WA 98503 | 2013-04-05 |
| 1740530906 | Leanna Marie Mcbroom | Massage Therapist | 1608 Diamond Loop Se, Lacey, WA 98503 | 2012-09-14 |
| 1831445196 | Joyce Emily Christensen Coniff | Counselor | 5706 39th Ave Se., Lacey, WA 98503 | 2012-07-24 |
| Find all providers in zip 98503 | ||||
| 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 |
|---|---|---|---|---|
| 1306445820 | Seth Opp-beckman | Peer Specialist | 612 Woodland Square Loop Se Ste 401, Lacey, WA 98503-1070 | 2020-10-26 |
| 1588262596 | Anastasia Webster | Peer Specialist | 612 Woodland Square Loop Se Ste 401, Lacey, WA 98503-1070 | 2020-10-12 |
| 1316563364 | Athena M Ayres | Peer Specialist | 612 Woodland Square Loop Se Ste 401, Lacey, WA 98503-1070 | 2020-06-24 |
| 1376006783 | Teresa Ann Nisbet | Peer Specialist | 612 Woodland Square Loop Se Ste 401, Lacey, WA 98503-1070 | 2019-04-11 |
| 1871050526 | Herschel Bernard Mcfarland | Peer Specialist | 612 Woodland Square Loop Se Ste 401, Lacey, WA 98503-1070 | 2019-02-28 |
| 1235693185 | Redonda Kaye Gibbons | Peer Specialist | 612 Woodland Square Loop Se Ste 401, Lacey, WA 98503-1070 | 2019-01-24 |
| 1033631668 | Kenna Marie Brooks | Peer Specialist | 612 Woodland Square Loop Se Ste 401, Lacey, WA 98503-1070 | 2017-07-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992304703 | Corina Thornton | Peer Specialist | Arrow Lakes Street, Nespelem, WA 99155-0304 | 2020-10-22 |
| 1578161402 | Yavonnie Leslie Griggs | Peer Specialist | 3285 Ferguson Ln Sw, Tumwater, Wa 98512, Tumwater, WA 98512 | 2020-10-13 |
| 1306454061 | Ashley D Vinson-harris | Peer Specialist | 116 S 339th Cir, Federal Way, WA 98003-4537 | 2020-07-20 |
| 1184240301 | Aleric Hughes | Peer Specialist | 1200 Sw Holden St, Seattle, WA 98106-2054 | 2020-06-23 |
| 1013533876 | Alyssa Camille Meaker | Peer Specialist | 4350 Cordata Pkwy Ste 220, Bellingham, WA 98226-8278 | 2020-06-17 |
| 1134741424 | Tara Lin Garcia | Peer Specialist | 4256 Federal Avenue, Everett, WA 98203 | 2020-05-11 |
| 1558982058 | Edward Thomas Gollihugh | Peer Specialist | 721 Fawcett Ave Ste 204, Tacoma, WA 98402-5502 | 2020-05-06 |
| 1295356483 | Yvette Marie Sampson | Peer Specialist | Josephinum C/o Crew, 1902 2nd Ave., Seattle, WA 98101 | 2020-04-29 |
| 1043856123 | Jayde Wailani Albright | Peer Specialist | 5920 N Calispel St, Spokane, WA 99205-6214 | 2019-11-23 |
| 1033755244 | Willapa Behavioral Health | Peer Specialist | 2204 Pacific Ave. N., Long Beach, WA 98631 | 2019-11-22 |
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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.