Rose Ann Mead, CDP

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

License

CP60076419 Issued in WA

Practice address

934 S Garfield Rd
Airway Heights, WA 99001-9030

Phone

(509) 789-7630

Fax

(509) 445-0646

NPI assigned

Jan 29, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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 and National Provider Directory roles.

• Beyond Behavioral Health LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Spokane, WA
  • NPI 1033728415

  Rehabilitation, Substance Use Disorder

  NPD (past)
• Kalispel Indian Community of the Kalispel Reservation Washington

  • Land Ambulance
  • Usk, WA
  • NPI 1053800417
  NPD (past)
• Kalispel Tribe-Camas Institute

  • Community/Behavioral Health Agency
  • Airway Heights, WA
  • NPI 1518019272

  Rehabilitation, Substance Use Disorder

  NPD (past)

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

{
    "created_epoch": "1359417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1359417600000",
    "number": "1508104308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 67",
            "city": "USK",
            "state": "WA",
            "postal_code": "991800067",
            "telephone_number": "509-789-7630",
            "fax_number": "509-445-0646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "934 S GARFIELD RD",
            "city": "AIRWAY HEIGHTS",
            "state": "WA",
            "postal_code": "990019030",
            "telephone_number": "509-789-7630",
            "fax_number": "509-445-0646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEAD",
        "first_name": "ROSE",
        "middle_name": "ANN",
        "credential": "CDP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-01-29",
        "last_updated": "2013-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "WA",
            "license": "CP60076419",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fearecia Maddox, LMP
• Erica Inez Marin
• Steven Edward McCray II
• Braelyn Yvonne McManus
• Lisa Dawn McNew
• Rex Allen Menke, DDS
• Robert A Miller, CDP
• Stephen Daniel Moore, R.PH.
• Morgan Medical Supply and Transport
• Nora Myrick

• Substance Use Disorder Rehabilitation Clinic/Center in Airway Heights, WA
• Providers in Airway Heights, WA by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2013; 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.