MR. BRYAN R DAHLBERG (NPI# 1992227672) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992227672 |
| Entity Type | Individual |
| Full Name | MR. BRYAN R DAHLBERG |
| Practice Address |
14016 A St S Tacoma WA 98444-4662 |
| Mailing Address |
20910 74th Avenue Ct E # Cte Spanaway WA 98387-5260 |
| Practice Telephone | 2533023675 |
| Enumeration Date | 2017-07-13 |
| Last Update Date | 2017-07-13 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 156F00000X | Technician/Technologist | Eye and Vision Services Providers |
| Street Address |
14016 A ST S |
| City | TACOMA |
| State | WA |
| Zip Code | 98444-4662 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649464629 | Linda Sue Clements | Counselor | 14016 A St S, Tacoma, WA 98444-4662 | 2007-08-31 |
| 1003417346 | Philicia Mills | Counselor | 14016 A St S, Tacoma, WA 98444-4662 | 2020-11-03 |
| 1356950695 | Tierra Young | Counselor | 14016 A St S, Tacoma, WA 98444-4662 | 2020-07-22 |
| 1588133060 | Janoviea Jackson | Counselor | 14016 A St S, Tacoma, WA 98444-4662 | 2018-11-14 |
| 1467951335 | Janet Lynne Nelson | Registered Nurse | 14016 A St S, Tacoma, WA 98444-4662 | 2018-02-06 |
| 1144742982 | Heidi Ebner Just | Registered Nurse | 14016 A St S, Tacoma, WA 98444-4662 | 2017-07-13 |
| 1285046789 | Patricia Barron | Counselor | 14016 A St S, Tacoma, WA 98444-4662 | 2014-06-02 |
| 1841536299 | Jessica Nicole Peterson | Counselor | 14016 A St S, Tacoma, WA 98444-4662 | 2012-12-12 |
| 1841577301 | Kerry Lynn Gardner | Licensed Practical Nurse | 14016 A St S, Tacoma, WA 98444-4662 | 2011-11-12 |
| 1730464645 | Aboubacar Sidibe | Licensed Practical Nurse | 14016 A St S, Tacoma, WA 98444-4662 | 2011-10-12 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356820039 | Reuben Edward Robinson | Massage Therapist | 10603 16th Avenue Ct S Apt 8, Tacoma, WA 98444 | 2018-08-13 |
| 1720507601 | Jayna Marie Owens | Counselor | 14016 A Street South, Tacoma, WA 98444 | 2017-09-12 |
| 1578011425 | Kyleigh Harlow | Dietitian, Registered | 11011 Park Ave S, C212, Tacoma, WA 98444 | 2016-09-20 |
| 1104220565 | Kehau Tester | Specialist | 9020 A Street, Tacoma, WA 98444 | 2014-10-14 |
| 1669874061 | Andrea Dawn Mckamey | Massage Therapist | 101 138th St. E., 28, Tacoma, WA 98444 | 2014-09-17 |
| 1841609666 | Marci Oswald | Dental Hygienist | 130 131st Street South, Tacoma, WA 98444 | 2014-08-06 |
| 1841611829 | Lucas Victor Briggs | Physical Therapist | 223 140th St. South Suite # 700, Elite Physical Therapy, Tawma, WA 98444 | 2013-12-18 |
| 1457798092 | Dent Korsmo & Henry D.d.s., P.s. | Dentist | 12165 Pacific Ave, Suite A, Tacoma, WA 98444 | 2013-05-22 |
| 1740521566 | Kristine-cassandra B. Papa | Massage Therapist | 10202 Pacific Ave. S, Suite 215, Tacoma, WA 98444 | 2013-03-04 |
| 1356687941 | Matthew Hockin | Dentist | 223 140th Street South, Suite 800, Tacoma, WA 98444 | 2012-12-31 |
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| Taxonomy Code | 156F00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| A broad category grouping different kinds of technologists and technicians. See individual definitions. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891204939 | Stacy Clirehugh | Technician/Technologist | 5402 Orca Pl Ne, Tacoma, WA 98422-4502 | 2017-09-20 |
| 1134729155 | Kristy Nicole Dalrymple | Technician/Technologist | 9040 Jackson Ave Attn: Mchj-clq-c, Tacoma, WA 98431-0001 | 2020-10-28 |
| 1760098693 | Ione Marie Dorris | Technician/Technologist | 1305 Tacoma Ave S Ste 305, Tacoma, WA 98402-1903 | 2020-09-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700432671 | Jamie Lynn Hardy | Technician/Technologist | 750 Watson St N Apt D5, Enumclaw, WA 98022-7317 | 2019-08-15 |
| 1982250700 | Xaynalin Soulisack | Technician/Technologist | 1412 140th Pl Ne, Bellevue, WA 98007-3915 | 2019-08-16 |
| 1710449814 | Autumn Elisabeth Rose Arends | Technician/Technologist | 1116 Summit Ave, Seattle, WA 98101-2831 | 2019-04-05 |
| 1598234973 | Lawless Hilletheo Tolliver-warren | Technician/Technologist | 118 E 8th St, Port Angeles, WA 98362-6129 | 2018-11-15 |
| 1265900674 | Dawn Yvette Norbisrath | Technician/Technologist | 118 E 8th St, Port Angeles, WA 98362-6129 | 2018-11-05 |
| 1982171732 | Michael Anthony Jones Jr. | Technician/Technologist | 10710 Mukilteo Speedway, Mukilteo, WA 98275-5021 | 2018-10-30 |
| 1790252815 | Marva Denice Mcmillan | Technician/Technologist | 617 Benton St, Omak, WA 98841-9636 | 2018-10-26 |
| 1730662354 | Cherrissa Marie Tugade | Technician/Technologist | 1116 Summit Ave, Seattle, WA 98101-2831 | 2018-09-10 |
| 1679068852 | Issachar Nistrian | Technician/Technologist | 3626 Factoria Blvd Se, Bellevue, WA 98006-6128 | 2018-06-28 |
| 1467955245 | Patrick Boyd | Technician/Technologist | 615 2nd Ave Ste 150, Seattle, WA 98104-2243 | 2018-03-17 |
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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.