Provider Demographics
NPI:1871369843
Name:AIKENS-ANDERSON, DONNA SHALAINE (CPC)
Entity type:Individual
Prefix:
First Name:DONNA
Middle Name:SHALAINE
Last Name:AIKENS-ANDERSON
Suffix:
Gender:F
Credentials:CPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15 S. GRADY WAY
Mailing Address - Street 2:SUITE LL-24
Mailing Address - City:RENTON
Mailing Address - State:WA
Mailing Address - Zip Code:98057-3218
Mailing Address - Country:US
Mailing Address - Phone:425-528-2059
Mailing Address - Fax:
Practice Address - Street 1:15 S. GRADY WAY
Practice Address - Street 2:SUITE LL-24
Practice Address - City:RENTON
Practice Address - State:WA
Practice Address - Zip Code:98057-3218
Practice Address - Country:US
Practice Address - Phone:425-528-2059
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-11-30
Last Update Date:2023-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes175T00000XOther Service ProvidersPeer SpecialistGroup - Multi-Specialty
No374U00000XNursing Service Related ProvidersHome Health Aide
No101Y00000XBehavioral Health & Social Service ProvidersCounselor
No251B00000XAgenciesCase Management
No372600000XNursing Service Related ProvidersAdult Companion
No374K00000XNursing Service Related ProvidersReligious Nonmedical Practitioner