JOHNNY MICHAEL JONES (NPI# 1174692198) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174692198 |
| Entity Type | Individual |
| Full Name | JOHNNY MICHAEL JONES |
| Credential | PA-C |
| Practice Address |
715 Seafarers Way Ste 201 B Anacortes WA 98221-2257 |
| Mailing Address |
Po Box 1048 Anacortes WA 98221-1048 |
| Practice Telephone | 3605881460 |
| Practice Fax Number | 3605881473 |
| Mailing Telephone | 3605881460 |
| Mailing Fax Number | 3605881473 |
| Enumeration Date | 2006-11-06 |
| Last Update Date | 2011-09-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | PA10004470 | WA | Other Service Providers |
| N | 363A00000X | Physician Assistant | 10004470 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 1174692198 | 05 | |
| WA | STATE OF WA L & I | 277551 | 01 |
| WA | 1174822159 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760994875 | Johnny Michael Jones | Registered Nurse | 3210 56th St, Lubbock, TX 79413-4811 | 2017-10-30 |
| 1841663465 | Johnny Jones | Counselor | 800 Victory Blvd, Staten Island, NY 10301-3702 | 2015-11-04 |
| 1174990618 | Johnny Jones | Counselor | 1410 S Gin Rd, Atoka, OK 74525-7348 | 2015-09-01 |
| 1265810246 | Johnny Jones | Counselor | 599 W 9th St, San Pedro, CA 90731-3105 | 2015-05-11 |
| 1235397308 | Johnny Jones IIi | Internal Medicine | 4865 Bill Gardner Pkwy, Locust Grove, GA 30248-3644 | 2008-05-27 |
| 1275739476 | Johnny Jones | Social Worker | 602 Sw 38th St, Lawton, OK 73505-6912 | 2007-06-25 |
| 1558459057 | Johnny H Jones | Specialist | 5600 N Portland Ave, Oklahoma City, OK 73112-2023 | 2006-10-10 |
| 1417958042 | Johnny W Jones | Obstetrics & Gynecology | 2604 Saint Michael Dr Ste 410, Texarkana, TX 75503-2378 | 2005-08-04 |
| Street Address |
715 SEAFARERS WAY STE 201 B |
| City | ANACORTES |
| State | WA |
| Zip Code | 98221-2257 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174822159 | Pacific Rim Headache Center | Counselor | 715 Seafarers Way, Ste 201 B, Anacortes, WA 98221-2257 | 2011-03-16 |
| 1689733412 | Janet E Tivel | Nurse Practitioner | 715 Seafarers Way, Ste 201b, Anacortes, WA 98221-2257 | 2006-12-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760035703 | Amber Upchurch | Behavioral Analyst | 2405 28thst, Anacortes, WA 98221 | 2019-07-18 |
| 1508329475 | Sean Elby Kasperbauer-mccool | Massage Therapist | 1010 6th St., Suite A, Anacortes, WA 98221 | 2019-04-09 |
| 1558843524 | Caitlyn Kimble Crowder | Physical Therapist | 1610 Commercial Ave Ste 1-a, Anacortes, WA 98221 | 2018-09-05 |
| 1740731819 | Stanojka Norma Stuart | Speech-Language Pathologist | 6837 Deer Lane, Anacortes, WA 98221 | 2016-10-24 |
| 1447638853 | Island Behavioral Medicine, Ps | Counselor | 3208 K Ave, Anacortes, WA 98221 | 2015-05-18 |
| 1972903615 | Clarence Hugh Jonson | Specialist | 6818 Gibralter Place, Anacortes, WA 98221 | 2014-08-29 |
| 1073939062 | Puget Sound Kidney Centers | Clinic/Center | 809 31st St, Anacortes, WA 98221 | 2014-03-14 |
| 1104161066 | Nancy J. Schafer | Speech-Language Pathologist | 2200 M Avenue, Anacortes, WA 98221 | 2012-12-04 |
| 1063766053 | Ingrid K. Larson Thieman | Pharmacist | 9080 S March Pt Road B4, Anacortes, WA 98221 | 2012-10-30 |
| 1265793723 | Elga Kinnear | Psychologist | 1019 21st Street, Anacortes, WA 98221 | 2012-05-31 |
| Find all providers in zip 98221 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972903615 | Clarence Hugh Jonson | Specialist | 6818 Gibralter Place, Anacortes, WA 98221 | 2014-08-29 |
| 1386908200 | John M Alexander | Specialist | 3888 Seabreeze Ln, Anacortes, WA 98221-6012 | 2012-06-25 |
| 1134404015 | Tara Janell Milas | Specialist | 3110 Commercial Ave., Suite 103, Anacortes, WA 98221 | 2011-10-11 |
| 1265711469 | Sarah Danielle Simms | Specialist | 1917 Orchard Pl, Anacortes, WA 98221-4426 | 2011-08-05 |
| 1679733638 | Dana Marie Fischer | Specialist | 2216 Commercial Ave., Anacortes, WA 98221 | 2008-06-12 |
| 1629283106 | Tanya Marie Bigge | Specialist | 2701 Commercial Ave, Anacortes, WA 98221-2733 | 2007-05-10 |
| 1295706679 | Greg G. Monaghan | Specialist | 2908 17th St., Anacortes, WA 98221 | 2006-02-01 |
| 1427332428 | Restorix Medical Group Pllc | Specialist | 1015 25th St, Anacortes, WA 98221-2703 | 2011-10-09 |
| 1932302700 | Daniel Thomas Grignon | Specialist | 1015 6th St, Anacortes, WA 98221-1795 | 2007-06-07 |
| 1619198488 | Rachael C Whittall | Specialist | 601 O Ave, Anacortes, WA 98221-1753 | 2007-05-01 |
| Find all providers in ANACORTES | ||||
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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.