MR. CLARENCE JEP EDWARDS (NPI# 1053307710) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053307710 |
| Entity Type | Individual |
| Full Name | MR. CLARENCE JEP EDWARDS |
| Credential | ARNP |
| Practice Address |
916 Koala Dr Omak WA 98841-9759 |
| Mailing Address |
820 N Chelan Ave Wenatchee WA 98801-2028 |
| Practice Telephone | 5096638711 |
| Mailing Telephone | 5096638711 |
| Enumeration Date | 2005-09-27 |
| Last Update Date | 2019-07-31 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | N31979 | ID | Nursing Service Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
NURRNLIC38969 | MT | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
AP30006781 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
NP667A | ID | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
916 KOALA DR |
| City | OMAK |
| State | WA |
| Zip Code | 98841-9759 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396745626 | Shellie Ann Rabidou | Physician Assistant | 916 Koala Dr, Omak, WA 98841-9759 | 2005-07-28 |
| 1255860086 | Caleb Gillham | Family Medicine | 916 Koala Dr, Omak, WA 98841-9759 | 2017-06-06 |
| 1407382930 | Lisa M Yusi | Physician Assistant | 916 Koala Dr, Omak, WA 98841-9759 | 2017-05-03 |
| 1003347550 | Alana Jean Jackson | Family Medicine | 916 Koala Dr, Omak, WA 98841-9759 | 2017-03-27 |
| 1033560701 | Sarah Marie Campbell | Family Medicine | 916 Koala Dr, Omak, WA 98841-9759 | 2016-06-23 |
| 1003263617 | Dominique Nguyen | Family Medicine | 916 Koala Dr, Omak, WA 98841-9759 | 2016-05-24 |
| 1699120246 | Gabriel Kane Williams | Family Medicine | 916 Koala Dr, Omak, WA 98841-9759 | 2016-05-02 |
| 1558738666 | Dianna Collins | Nurse Practitioner | 916 Koala Dr, Omak, WA 98841-9759 | 2015-08-24 |
| 1932514429 | Guila M Hall | Family Medicine | 916 Koala Dr, Omak, WA 98841-9759 | 2014-06-24 |
| 1124431127 | Franco Lopez IIi | Dietitian, Registered | 916 Koala Dr, Omak, WA 98841-9759 | 2014-06-06 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093210908 | Kellie Davies | Registered Nurse | 34 Valley View Dr, Omak, WA 98841 | 2018-03-24 |
| 1356860399 | In-home Care of Central Washington | In Home Supportive Care | 130 N. Main St, Ste 2, Omak, WA 98841 | 2017-09-11 |
| 1538615158 | J.r. Craig Webster D.d.s. | Preferred Provider Organization | 204 West 1st. Street, Omak, WA 98841 | 2016-09-01 |
| 1346638855 | Katie Mae Sommers | Counselor | 1007 Koala Dr, Omak, WA 98841 | 2015-01-06 |
| 1659702157 | Omak Audiology Center, LLC | Audiologist-Hearing Aid Fitter | 506 Riverside Drive, # B, Omak, WA 98841 | 2013-12-09 |
| 1265878417 | Stephen Cavender | Counselor | 1007 Koala Dr., Omak, WA 98841 | 2013-05-15 |
| 1467793497 | Kenari Breshem | Massage Therapist | 25 Ash St, Omak, WA 98841 | 2013-03-15 |
| 1710282645 | Jodie Dawn Field | Counselor | 17 N. Ash, Omak, WA 98841 | 2011-01-25 |
| 1720391659 | Providence Health & Services | Internal Medicine | 629 Jasmine St, Omak, WA 98841 | 2010-07-20 |
| 1871826453 | Stephanie Dawn Swezey | Specialist | 670 Riverside Drive, Omak, WA 98841 | 2009-09-14 |
| Find all providers in zip 98841 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740842053 | Micheal Scott Feuerborn | Nurse Practitioner | 617 Benton St, Omak, WA 98841-9636 | 2019-07-08 |
| 1356890206 | Michael Lee Turnington | Nurse Practitioner | 617 Benton St, Omak, WA 98841-9636 | 2016-10-03 |
| 1588117592 | Brei Pyper | Nurse Practitioner | 1003 Koala Ave, Omak, WA 98841-9247 | 2016-07-26 |
| 1558738666 | Dianna Collins | Nurse Practitioner | 916 Koala Dr, Omak, WA 98841-9759 | 2015-08-24 |
| 1134366156 | Debra M Waddell | Nurse Practitioner | 916 Koala Dr, Omak, WA 98841-9759 | 2009-01-13 |
| 1558532382 | William Dean Pease Jr. | Nurse Practitioner | 916 Koala Dr, Omak, WA 98841 | 2008-03-19 |
| 1598850786 | Shelly M Waldern | Nurse Practitioner | 916 Koala Dr, Omak, WA 98841 | 2006-10-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740889369 | Abigail E Mercure | Nurse Practitioner | 7618 Ne Champagne Point Pl, Kirkland, WA 98034-3448 | 2020-10-24 |
| 1043819907 | Matthew Sean Krabbendam | Nurse Practitioner | 7315 212th St Sw Ste 207, Edmonds, WA 98026-7610 | 2020-10-21 |
| 1700485919 | Yanique Ricie Nana Yakam Azah | Nurse Practitioner | 22829 Se 239th Ct, Maple Valley, WA 98038-5052 | 2020-10-19 |
| 1164029484 | Chelsea Lauren Bresnahan | Nurse Practitioner | 7928 S Parway Ln, Cheney, WA 99004-8619 | 2020-10-08 |
| 1023615549 | Brian D Ottesen | Nurse Practitioner | 2315 Crestwood Pl Nw, Olympia, WA 98502-4095 | 2020-10-07 |
| 1881291003 | Allison Walzer | Nurse Practitioner | 526 Yale Ave N Apt 402, Seattle, WA 98109-5544 | 2020-10-01 |
| 1740896927 | Maia Zink | Nurse Practitioner | 10837 E Riverside Dr Apt C, Bothell, WA 98011-6123 | 2020-09-22 |
| 1760098339 | Yunyun Lu | Nurse Practitioner | 4922 51st Avenue Ct W, University Place, WA 98467-4828 | 2020-09-19 |
| 1255944278 | Alexis Leanne Snyder | Nurse Practitioner | 717 S 51st St, Tacoma, WA 98408-5710 | 2020-08-28 |
| 1841800521 | Lauren Levesque | Nurse Practitioner | 2744 Ne 54th St Unit B, Seattle, WA 98105-3146 | 2020-08-06 |
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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.