SHANNA JEANE REA (NPI# 1912539081) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1912539081 |
Entity Type | Individual |
Full Name | SHANNA JEANE REA |
Credential | CTRS |
Practice Address |
9600 Veterans Dr Sw Tacoma WA 98493-0003 |
Mailing Address |
3414 79th Ave Nw Gig Harbor WA 98335-6032 |
Practice Telephone | 2064022444 |
Mailing Telephone | 4053143649 |
Enumeration Date | 2020-02-06 |
Last Update Date | 2020-02-06 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 225800000X | Recreation Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Street Address |
9600 VETERANS DR SW |
City | TACOMA |
State | WA |
Zip Code | 98493-0003 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063418739 | Lyndel Cubberley | Nurse Practitioner | 9600 Veterans Dr Sw, Tacoma, WA 98493-0003 | 2005-06-27 |
1770182453 | Karri Vierra | Social Worker | 9600 Veterans Dr Sw, Tacoma, WA 98493-0003 | 2020-10-22 |
1083223788 | Brianna Bryant | Social Worker | 9600 Veterans Dr Sw, Tacoma, WA 98493-0003 | 2020-07-28 |
1760007066 | Kristy Mildon | Social Worker | 9600 Veterans Dr Sw, Tacoma, WA 98493-0003 | 2020-06-11 |
1184245789 | Malcolm Reed | Occupational Therapist | 9600 Veterans Dr Sw, Tacoma, WA 98493-0003 | 2020-05-05 |
1396365060 | Jordan Cannon | Audiologist | 9600 Veterans Dr Sw, Tacoma, WA 98493-0003 | 2020-04-22 |
1831725258 | Ashley Brown | Student in an Organized Health Care Education/Training Program | 9600 Veterans Dr Sw, Tacoma, WA 98493-0003 | 2020-03-17 |
1942833645 | Ashley Kristine Satter | Occupational Therapist | 9600 Veterans Dr Sw, Tacoma, WA 98493-0003 | 2020-02-20 |
1104465251 | Tyler Ritsema | Specialist/Technologist | 9600 Veterans Dr Sw, Tacoma, WA 98493-0003 | 2020-01-06 |
1437701232 | Sharon D Hamlin | Social Worker | 9600 Veterans Dr Sw, Tacoma, WA 98493-0003 | 2019-07-11 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1508389032 | Alina Pechko | Optometrist | 9600 Veterans Dr Sw Bldg 6, Tacoma, WA 98493 | 2017-07-17 |
1720372121 | Va Hospital American Lake | Rehabilitation Hospital | 9600 Veterans Dr., Lakewood, WA 98493 | 2011-06-02 |
1326290305 | Margaret Elizabeth Johnston-grysho | Social Worker | 9600 Veterans Dr Sw Bldg 148, Tacoma, WA 98493 | 2008-10-21 |
1811195126 | Jerry J Thomas | Psychiatry & Neurology | Va Puget Sound Health Care System, American Lake Divisi, 9600 Veterans Drive Southwest, Buidling 61, Tacoma, WA 98493 | 2007-07-08 |
1043372873 | Tomi Thompson Dominguez | Social Worker | 9600 Veteran's Drive Sw Bldg 61 Room 136, Puget Sound Va- American Lake Division, Tacoma, WA 98493 | 2006-12-15 |
1669555397 | Amor G Carethers | Registered Nurse | Va Puget Sound Anerican Lake Division, 9600 Veterans Drive, Lake Wood, WA 98493 | 2006-10-24 |
1295818144 | Kimha Thi Vu | Registered Nurse | 9600 Veteran Dr., Lakewood, WA 98493 | 2006-10-23 |
1952496226 | Cathy Ann Sorem | Registered Nurse | 9600 Veterans Drive A116-r, Bldg. 61a, Room 123, Tacoma, WA 98493 | 2006-10-04 |
1831285527 | Ann Christine Uppenberg-liedtke | Nurse Practitioner | Puget Sound Health Care Systems, American Lake, 9600 Veterans Drive, Tacoma, WA 98493 | 2006-10-04 |
1972695948 | Charlene Howard | Social Worker | 9600 Veteran Drive, Tacoma, WA 98493 | 2006-09-28 |
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Taxonomy Code | 225800000X |
Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Classification | Recreation Therapist |
A recreation therapist uses recreational activities for intervention in some physical, social or emotional behavior to bring about a desired change in that behavior and promote the growth and development of the patient. |
Notes: Source: Joel A. DeLisa and Bruce M. Gans, Rehabilitation Medicine: Principles and Practice Second Edition, J.B. Lippincott Company, Philadelphia: 1993, p. 7 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1871600478 | Vicki M Booth | Recreation Therapist | 9900 Veterans Dr, A-116-dom, Tacoma, WA 98493 | 2006-08-23 |
1225504772 | Chad Hines | Recreation Therapist | 815 S Pearl St, Tacoma, WA 98465-2117 | 2018-10-22 |
1982101994 | Margot Bangs | Recreation Therapist | 815 S Pearl St, Tacoma, WA 98465-2117 | 2018-04-07 |
1316453822 | Michael Stover | Recreation Therapist | 9600 Veterans Dr Sw, Tacoma, WA 98493-0003 | 2017-12-19 |
1699296582 | Kayla Marie Rohlfing | Recreation Therapist | 1201 S Proctor St, Tacoma, WA 98405-2047 | 2017-06-29 |
1104194984 | Jeanne Elizabeth Hopkins | Recreation Therapist | 9600 Veterans Dr, Tacoma, WA 98493-0001 | 2011-12-07 |
1124358411 | Nannette Stimson Gile | Recreation Therapist | 9600 Veterans Dr, Tacoma, WA 98493-0001 | 2010-01-08 |
1487820130 | Erin Kathleen Casey | Recreation Therapist | 815 S Pearl St, Tacoma, WA 98465-2117 | 2008-05-02 |
1881872562 | Susan Gustafson | Recreation Therapist | 9600 Veterans Drive, Tacoma, WA 98493-0001 | 2008-02-05 |
1306026620 | Caroline Kinnear Philbrick | Recreation Therapist | 9600 Veterans Dr, Rcs-117-a, Tacoma, WA 98493-0001 | 2007-11-05 |
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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.