THOMAS LEE ETHERTON (NPI# 1912547365) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1912547365 |
Entity Type | Individual |
Full Name | THOMAS LEE ETHERTON |
Credential | NP-C |
Practice Address |
4425 Cole Ct Se Olympia WA 98501-4474 |
Practice Telephone | 3608702011 |
Mailing Telephone | 3608702011 |
Enumeration Date | 2020-01-14 |
Last Update Date | 2020-01-14 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
AP61034795 | WA | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
4425 COLE CT SE |
City | OLYMPIA |
State | WA |
Zip Code | 98501-4474 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124651880 | Marie T Bendig | Counselor | 900 Fairview St Se, #b5, Olympia, WA 98501 | 2020-02-20 |
1205469970 | Thurston County Fire Protection Dist 6 | Ambulance | 8047 Normandy St. Se, Olympia, WA 98501 | 2020-02-20 |
1134768799 | Living Sound Therapeutic Services, Pllc | Counselor | 729 Devoe St Se, Olympia, WA 98501 | 2019-12-31 |
1336797273 | Sea-mar Community Health Center | Dentist | 6004 Capitol Ave Sw, Tumwater, WA 98501 | 2019-09-03 |
1093272841 | Eye Love Pllc | Optometrist | 3409 Capitol Blvd Se, Tumwater, WA 98501 | 2019-02-28 |
1356815062 | Kerri Wright | Marriage & Family Therapist | 208 Lee St Sw Ste 108, Tumwater, WA 98501 | 2019-01-15 |
1952881161 | Paige Gautreaux | Peer Specialist | 908 5th Avenue Se, Olympia, WA 98501 | 2018-08-16 |
1548773997 | Carla Van Dam | Psychologist | 2620 Rw Johnson Blvd Sw Suite 204, Tumwater, WA 98501 | 2017-11-08 |
1528577202 | Ronald John San Nicolas | Counselor | 1011 10th Ave, Olympia, WA 98501 | 2017-09-25 |
1063964187 | Emily Rapesak | Pharmacist | 500 Cleveland Ave Se, Tumwater, WA 98501 | 2016-10-25 |
Find all providers in zip 98501 |
Taxonomy Code | 363LP2300X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Primary Care |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841802675 | Michelle Ann Rorie | Nurse Practitioner | 1100 Villanova St Ne, Olympia, WA 98516-5454 | 2020-08-22 |
1033133566 | Kimberly E Riano | Nurse Practitioner | 2236 29th Ct Nw, Olympia, WA 98502-3868 | 2006-07-27 |
1679124648 | Healing Hands Family Health Clinic, Pllc | Nurse Practitioner | 1408 State Ave Ne Ste 111, Olympia, WA 98506-4481 | 2019-09-21 |
1962516377 | Dianna L Kaiser | Nurse Practitioner | 3240 14th Ave Nw, Olympia, WA 98502-8509 | 2006-08-19 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174132294 | Heather Catherine Pounds | Nurse Practitioner | 4222 Robin Rd W, University Place, WA 98466-1536 | 2020-07-24 |
1801410675 | Mi Thi Trieu Tran | Nurse Practitioner | 24611 116th Ave Se, Kent, WA 98030-4939 | 2020-06-08 |
1609409085 | Kris Dee Chatman | Nurse Practitioner | 1628 S Mildred St Ste 105, Tacoma, WA 98465-1628 | 2020-02-13 |
1306489760 | Nikolaus V Voswinkel | Nurse Practitioner | 1420 Terry Ave Unit 202, Seattle, WA 98101-1981 | 2019-10-17 |
1518509520 | Sasha Rose Jensen | Nurse Practitioner | 460 West G Street, Forks, WA 98331 | 2019-10-10 |
1306487772 | Harmony Kroll | Nurse Practitioner | 23475 225th Way Se, Ste 201, Maple Valley, WA 98038-5294 | 2019-10-07 |
1932751658 | Lesly Marie Dosono Barcena | Nurse Practitioner | 6700 Roosevelt Way Ne Apt A211, Seattle, WA 98115-6642 | 2019-07-12 |
1912568205 | Andrea Lyn Fellman | Nurse Practitioner | Ideal Option Clinic 328 South Stillaguamish Ave, Arlington, WA 98223-1660 | 2019-06-26 |
1215416326 | Jonathan Lapham | Nurse Practitioner | 9230 Sky Island Dr E Fl 1, Bonney Lake, WA 98391-7385 | 2018-08-09 |
1003328485 | Noah Burton Dassel | Nurse Practitioner | 115 32nd Ave S, Seattle, WA 98144-2518 | 2017-10-25 |
Find all providers with the same taxonomy |
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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.