MS. EDNA IRIS CRUZ (NPI# 1992211536) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992211536 |
| Entity Type | Individual |
| Full Name | MS. EDNA IRIS CRUZ |
| Credential | AA, CPC |
| Practice Address |
3322 Broadway # Ms 04 Everett WA 98201-4425 |
| Mailing Address |
9430 48th Pl W Apt 3d Mukilteo WA 98275-3752 |
| Practice Telephone | 4253496800 |
| Mailing Telephone | 8016517817 |
| Enumeration Date | 2017-12-19 |
| Last Update Date | 2017-12-19 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 175T00000X | Peer Specialist | WA | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184035941 | Edna Torres Cruz | Licensed Practical Nurse | 500 Ala Moana Blvd, Bldg. 7 Suite 400, Honolulu, HI 96813-4920 | 2014-05-14 |
| Street Address |
3322 BROADWAY # MS 04 |
| City | EVERETT |
| State | WA |
| Zip Code | 98201-4425 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306471867 | Shannon Michelle Dewald | Registered Nurse | D8s 1700 13th St, Everett, WA 98201 | 2020-03-05 |
| 1578123113 | Precious Medicial Spa, LLC | Registered Nurse | 1728 W. Marine View Dr Suite 212, Everett, WA 98201 | 2019-06-17 |
| 1508429796 | Alix Deschain | Counselor | 2801 Broadway, Everett, WA 98201 | 2019-04-15 |
| 1811457534 | Khushboo Patel | Pharmacist | 1330 Rockefeller Ave Ste 150, Everett, WA 98201 | 2019-03-20 |
| 1164991188 | Grace Talbot Davis | Registered Nurse | 2601 Summit Avenue, Bldg. C, Everett, WA 98201 | 2018-11-20 |
| 1063924603 | Tracy Sisk | Counselor | 3120 Colby Ave, 502, Everett, WA 98201 | 2017-11-03 |
| 1710403126 | Michelle Durham | Counselor | 3322 Boadway Fl 2, Everett, WA 98201 | 2017-08-17 |
| 1861927949 | Melanie Schmidt | Counselor | 2610 Westmore Ave, Everett, WA 98201 | 2017-04-26 |
| 1518413327 | Joseph Madson Dmd Pllc | Clinic/Center | 3802 Colby Ave, 4th Floor, Everett, WA 98201 | 2016-08-31 |
| 1043683162 | Jennifer Adams | Counselor | 1511 26th St, Everett, WA 98201 | 2015-11-11 |
| Find all providers in zip 98201 | ||||
| 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 |
|---|---|---|---|---|
| 1134741424 | Tara Lin Garcia | Peer Specialist | 4256 Federal Avenue, Everett, WA 98203 | 2020-05-11 |
| 1912419995 | Stacey Lynn Mcvay | Peer Specialist | 3322 Broadway Fl 1, Everett, WA 98201-4425 | 2017-10-30 |
| 1023625886 | Judith Effenberger | Peer Specialist | 4526 Federal Ave, Everett, WA 98203-2132 | 2020-09-25 |
| 1225640808 | Linda Schaefer | Peer Specialist | 4526 Federal Ave, Everett, WA 98203-2132 | 2020-08-17 |
| 1487264271 | Joshua Lane Jacobs | Peer Specialist | 4526 Federal Ave, Everett, WA 98203-2132 | 2020-08-05 |
| 1083224323 | Hannah Lee Gay | Peer Specialist | 4526 Federal Ave # 40, Everett, WA 98203-2132 | 2020-08-02 |
| 1497365738 | Alexandria D Carrigg | Peer Specialist | 4526 Federal Ave, Everett, WA 98203-2132 | 2020-08-02 |
| 1629688031 | Emily Elizabeth Miller | Peer Specialist | 4526 Federal Ave, Everett, WA 98203-2132 | 2020-07-31 |
| 1518583541 | Alexandria Noelle Bain | Peer Specialist | 4526 Federal Ave, Everett, WA 98203-2132 | 2020-06-25 |
| 1184246852 | Garry Allen Larson | Peer Specialist | 4526 Federal Ave, Everett, WA 98203-2132 | 2020-05-15 |
| Find all providers in EVERETT | ||||
Please comment or provide details below to improve the information on MS. EDNA IRIS CRUZ.
| 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.