JAY RUSSELL JEFFRIES (NPI# 1134521016) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134521016 |
| Entity Type | Individual |
| Full Name | JAY RUSSELL JEFFRIES |
| Credential | LMP |
| Practice Address |
2229 Evergreen Point Rd Medina WA 98039-2342 |
| Practice Telephone | 8085611710 |
| Practice Fax Number | 2062993436 |
| Mailing Telephone | 8085611710 |
| Mailing Fax Number | 2062993436 |
| Enumeration Date | 2014-09-22 |
| Last Update Date | 2014-09-22 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | MA0008469 | WA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
2229 EVERGREEN POINT RD |
| City | MEDINA |
| State | WA |
| Zip Code | 98039-2342 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568965341 | Informational Media Brands LLC | Home Health | 924 88th Ave Ne, Medina, WA 98039 | 2018-03-17 |
| 1972940336 | Dhanvant J Madhani | Orthopaedic Surgery | 2614 Evergreen Point Rd, Medina, WA 98039-1527 | 2013-05-25 |
| 1467803023 | Kristen Newell | Behavioral Analyst | 2623 Evergreen Point Rd, Medina, WA 98039-1528 | 2016-06-24 |
| 1588790422 | Shelly Erford | Surgery | 8049 Ne 28th St, Medina, WA 98039-1557 | 2007-02-26 |
| 1982841425 | David Au-yeung | Dentist | 2205 78th Ave Ne, Medina, WA 98039-2316 | 2009-01-20 |
| 1912393083 | Rugvedita Parakh | Student in an Organized Health Care Education/Training Program | 1031 Lake Washington Blvd Ne, Medina, WA 98039-3925 | 2015-04-15 |
| 1366871402 | Integrity Pathology LLC | Pathology | 7620 Overlake Dr W, Medina, WA 98039-4733 | 2013-11-08 |
| 1326112426 | Douglas Dicharry | Psychiatry & Neurology | 851 80th Ave Ne, Medina, WA 98039-4743 | 2006-11-20 |
| 1184969289 | Robert John Kropp | Plastic Surgery | 760 Overlake Dr E, Medina, WA 98039-4817 | 2012-11-30 |
| 1215415336 | Jaclyn A Zubiena | Health Educator | 924 88th Ave Ne, Medina, WA 98039-4831 | 2018-07-31 |
| Find all providers in zip 98039 | ||||
| Taxonomy Code | 225700000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Massage Therapist |
| An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174154835 | Robyn Norman | Massage Therapist | 1392 Medina Rd Apt B, Medina, OH 44256-5332 | 2020-01-31 |
| 1699232199 | Carin Marks | Massage Therapist | 5550 Carriage Ln, Medina, OH 44256-6541 | 2019-02-21 |
| 1699132217 | Katie Crooks | Massage Therapist | 447-449 Main St, Suite 2, Medina, NY 14103-1416 | 2016-01-27 |
| 1316364979 | Roger W Buttrick | Massage Therapist | 7533 Stone Rd, Medina, OH 44256-8996 | 2014-03-20 |
| 1669618443 | Yvonne Marie Fey | Massage Therapist | 1075 S Court St Ste 200, Medina, OH 44256-3836 | 2008-12-26 |
| 1720253883 | Gary L Condoluci | Massage Therapist | 11020 West Center St Ext, Medina, NY 14103 | 2008-04-29 |
| 1104232628 | Deanne Pennell | Massage Therapist | 445 W Liberty St, Suite 100, Medina, OH 44256-2273 | 2014-07-03 |
| 1528491271 | Melissa Janine Trombley | Massage Therapist | 750 E Washington St, Suite A1, Medina, OH 44256-2196 | 2013-08-16 |
| 1679820708 | Jennifer Lynn Wigal | Massage Therapist | 155 Northland Dr, Medina, OH 44256-1534 | 2012-08-08 |
| 1184971350 | Rachel Joy Osterland | Massage Therapist | 155 Northland Dr, Medina, OH 44256-1534 | 2012-08-07 |
| Find all providers in MEDINA | ||||
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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.