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Active NPI 1447890512 Individual Practitioner Female Practitioner

Leticia Jo Burrell

Peer Specialist • Spokane, WA

Professional Overview & Biography Verified Profile Summary

Leticia Burrell is a registered healthcare professional specializing in Peer Specialist in Spokane, WA. Practice services are available at 124 E SHORT AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

124 E Short Ave

Spokane, WA 992021555

Telephone 5098384651
Associated Practice Facility / Clinic
🏢 Frontier Behavioral Health Facility NPI 1861495327

Specialty Benchmarks & Practice Insights

Comparative analytics for Peer Specialist in Spokane, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
335 Specialists

Practicing in Spokane, WA (2660 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2020-02-03
Peer Specialist Primary Specialty

NUCC Taxonomy Code: 175T00000X

State License WA CG61031957

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.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Jamie Wagley , BSN, RN

Registered Nurse

NPI 1003283896

Bachelor of Science in Nursing, Registered Nurse

NPI 1003288796

Master of Social Work

NPI 1003385568

AA, Registered Nurse

NPI 1003386236

Bachelor of Arts

Cheryl Brown

Peer Specialist

NPI 1003423138
Kimberly Mitchell , MN

Registered Nurse

NPI 1003451246

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active January 07, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location January 07, 2020

Registered at 124 E SHORT AVE, SPOKANE, WA 992021555 (Tel: 5098384651)

📍
Updated Business Mailing Address January 07, 2020

Registered at 107 S DIVISION ST, SPOKANE, WA 992021510 (Tel: 5098384651)

👤
Provider Name / Credentials Updated January 07, 2020

Recorded as LETICIA BURRELL

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 07, 2020

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration January 07, 2020

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1447890512
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 07, 2020
Last Update: February 03, 2020
Sole Proprietor: Yes

Mailing Address

107 S Division St

Spokane, WA 992021510

Phone: 5098384651

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.