LEA JACKSON (NPI# 1093282063) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093282063 |
| Entity Type | Individual |
| Full Name | LEA JACKSON |
| Practice Address |
808 N 39th Ave Yakima WA 98902-6388 |
| Mailing Address |
Po Box 9787 Yakima WA 98909-0787 |
| Practice Telephone | 5095743400 |
| Mailing Telephone | 5095758255 |
| Mailing Fax Number | 5095775056 |
| Enumeration Date | 2018-10-29 |
| Last Update Date | 2019-09-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
AP60914149 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
N360922794 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
808 N 39TH AVE |
| City | YAKIMA |
| State | WA |
| Zip Code | 98902-6388 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326094061 | Patricia Irene Era | Nurse Practitioner | 808 N 39th Ave, Yakima, WA 98902-6388 | 2006-05-25 |
| 1376011965 | Alicia Marie Wright | Nurse Practitioner | 808 N 39th Ave, Yakima, WA 98902-6388 | 2018-11-13 |
| 1891292348 | Melissa Winona | Social Worker | 808 N 39th Ave, Yakima, WA 98902-6388 | 2018-04-11 |
| 1003360314 | Teresa Kennedy | Physical Therapist | 808 N 39th Ave, Yakima, WA 98902-6388 | 2016-08-04 |
| 1740633163 | Christine M Rice | Occupational Therapist | 808 N 39th Ave, Yakima, WA 98902-6388 | 2016-07-20 |
| 1962886655 | Sara Wisner | Nurse Practitioner | 808 N 39th Ave, Yakima, WA 98902-6388 | 2015-07-13 |
| 1336531870 | Frances Hull | Registered Nurse | 808 N 39th Ave, Yakima, WA 98902-6388 | 2015-02-20 |
| 1891059457 | Mary A Rotondo | Pharmacist | 808 N 39th Ave, Yakima, WA 98902-6388 | 2012-06-28 |
| 1629332440 | Margaret M Mcgee-boyle | Pharmacist | 808 N 39th Ave, Yakima, WA 98902-6388 | 2012-06-26 |
| 1760779979 | Sri J Obulareddy | Internal Medicine | 808 N 39th Ave, Yakima, WA 98902-6388 | 2011-07-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922653203 | Laboratory Corporation of America | Clinical Medical Laboratory | 314 S 11th Ave Suite A, Yakima, WA 98902 | 2019-08-05 |
| 1669967865 | Rebecca Schrader | Speech-Language Pathologist | Children's Village 3801 Kern Road, Yakima, WA 98902 | 2018-06-29 |
| 1720572928 | Hyperbaric Centers of Washington | Preventive Medicine | 302 S. 12th Ave., Yakima, WA 98902 | 2018-06-20 |
| 1487155503 | Courtney Lombardi | Nurse Practitioner | 1515 W Yakima Ave, Yakima, WA 98902 | 2018-02-23 |
| 1003329665 | Maria-elena Mendoza | Case Manager/Care Coordinator | 918 E Mead Avenue, Yakima, WA 98902 | 2017-11-06 |
| 1679017610 | Claudia Zepeda | Massage Therapist | 3908 Creekside Loop Ste # 110, Yakima, WA 98902 | 2016-12-09 |
| 1093194425 | Silas Klaver | Podiatrist | 1607 Creekside Loop Ste 140, Yakima, WA 98902 | 2015-05-18 |
| 1821490905 | Jen Lynn Silver | Massage Therapist | 3512 Tieton Dr, Yakima, WA 98902 | 2014-09-20 |
| 1194131383 | Brenna Claire Hayes | Genetic Counselor, MS | 2903 W Walnut, Yakima, WA 98902 | 2014-07-08 |
| 1720400435 | Agnes Nadine Jeske | Speech-Language Pathologist | 621 S. 13th Ave., Mckinley Elementary School, Yakima, WA 98902 | 2014-01-15 |
| Find all providers in zip 98902 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952868713 | Tesa Linstad | Nurse Practitioner | 421 S 47th Ave, Yakima, WA 98908-3204 | 2019-02-27 |
| 1619418365 | Eze A Nwaubani | Nurse Practitioner | 811 W Yakima Ave Ste 104, Yakima, WA 98902-3088 | 2017-03-14 |
| 1417205063 | Amelia Ariel Rutter | Nurse Practitioner | 12 South 8th Street, Yakima, WA 98901 | 2012-08-29 |
| 1578858114 | Laura Marie Stewart | Nurse Practitioner | 3904 Terrace Heights Dr Ste D, Yakima, WA 98901-1568 | 2011-06-11 |
| 1609048560 | Stacie R Olson | Nurse Practitioner | 120 S. 72nd Ave, Suite 102, Healthnow Wv, Yakima, WA 98908-4200 | 2008-03-31 |
| 1700929304 | Jeana M Johnson | Nurse Practitioner | 1117 Tieton Drive, Yakima, WA 98902 | 2007-02-14 |
| 1598851784 | Erica Garza | Nurse Practitioner | 1112 Tieton Dr, Yakima, WA 98902-3836 | 2006-10-05 |
| 1912973181 | Anne M. Reed | Nurse Practitioner | 53 W Nob Hill Blvd, Yakima, WA 98902-4672 | 2006-02-27 |
| 1285604298 | Kimberlee Michelle Tuning | Nurse Practitioner | 311 S. 72nd Avenue, Pacific Crest Family Medicine, Yakima, WA 98908 | 2006-01-23 |
| 1033710207 | Helena Laubach | Nurse Practitioner | 12 S 8th St, Yakima, WA 98901-3020 | 2020-11-04 |
| Find all providers in YAKIMA | ||||
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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.