Duane Sivanish, CDP

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

CP61128453 Issued in WA

Practice address

5600 E 8TH Ave
Spokane Valley, WA 99212-0220

Phone

(509) 533-6910

Fax

(509) 535-2863

NPI assigned

Apr 15, 2019

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Spokane Regional Health District

  • Public Health or Welfare Agency
  • Spokane, WA
  • NPI 1811954373
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1555286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624406400000",
    "number": "1407419575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 W COLLEGE AVE",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992012010",
            "telephone_number": "509-324-1477",
            "fax_number": "509-327-0163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5600 E 8TH AVE",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992120220",
            "telephone_number": "509-533-6910",
            "fax_number": "509-535-2863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIVANISH",
        "first_name": "DUANE",
        "credential": "CDP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-04-15",
        "last_updated": "2021-06-23",
        "certification_date": "2021-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WA",
            "license": "CO60670638",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WA",
            "license": "CP61128453",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE",
            "identifier": "CO60670638",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Renu Sinha, M.D.
• Lily Sinner
• Nadee M Siriwardana, APRN, PMHNP-BC
• Dana Sitts, RD
• Carson Cole Sivanish
• Carrie Six, MA CCC SLP
• Jessica Lynn Skelton, LMSW, LICSWA
• Allen R Skidmore, MD
• Skillquest Games LLC
• Daniel W Skinner, DDS, MS

• Addiction (Substance Use Disorder) Counselor in Spokane Valley, WA
• Providers in Spokane Valley, WA by specialty
• Addiction (Substance Use Disorder) Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.