JILL T. JESURUM (NPI# 1194809806) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194809806 |
| Entity Type | Individual |
| Full Name | JILL T. JESURUM |
| Credential | ARNP, PHD |
| Practice Address |
550 17th Ave 6th Floor Seattle WA 98122-5788 |
| Mailing Address |
Po Box 84026 Seattle WA 98124-8426 |
| Practice Telephone | 2068618550 |
| Practice Fax Number | 2068618551 |
| Mailing Telephone | 2068618550 |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2020-10-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
AP30005750 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
550 17TH AVE 6TH FLOOR |
| City | SEATTLE |
| State | WA |
| Zip Code | 98122-5788 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164420428 | Morris B Chang | Psychiatry & Neurology | 550 17th Ave, Seattle, WA 98122-5788 | 2005-07-11 |
| 1982144010 | Swedish Medical Center | General Acute Care Hospital | 550 17th Ave, Seattle, WA 98122-5788 | 2017-03-08 |
| 1558757757 | Michael Meng Chen | Psychiatry & Neurology | 550 17th Ave, Seattle, WA 98122-5788 | 2015-04-14 |
| 1023402914 | Lien B Nguyen | Psychiatry & Neurology | 550 17th Ave, Seattle, WA 98122-5788 | 2015-03-27 |
| 1407246028 | Sara Wade | Physician Assistant | 550 17th Ave, Suite 500, Seattle, WA 98122-5788 | 2015-02-03 |
| 1164812798 | Paul Niemi | Nurse Practitioner | 550 17th Ave, Suite 500, Seattle, WA 98122-5788 | 2015-02-03 |
| 1114336393 | Elizabeth Emma Elkins | Audiologist | 550 17th Ave, Suite 520, Seattle, WA 98122-5788 | 2014-08-12 |
| 1194148700 | Subhekchya Sharma | Nurse Practitioner | 550 17th Ave, Seattle, WA 98122-5788 | 2014-02-03 |
| 1982026472 | Alexandra Parbery-clark | Audiologist | 550 17th Ave, Suite 520, Seattle, WA 98122-5788 | 2014-01-17 |
| 1376884395 | Mary Judith Kuzmick | Registered Nurse | 550 17th Ave, Seattle, WA 98122 | 2013-03-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053938506 | Quality Counseling and Consultation Service LLC | Counselor | 1525 Harvard Ave #509, Seattle, WA 98122 | 2020-07-01 |
| 1912535626 | Cesar Andrade | Student in an Organized Health Care Education/Training Program | 550 16th Avenue #400, Seattle, WA 98122 | 2020-03-29 |
| 1366089666 | Peter Nguyen | Pharmacy Technician | 914 East Jefferson Street, Campion Hall, Seattle, WA 98122 | 2019-12-05 |
| 1356903140 | Jason Dandino | Specialist/Technologist | 550 14th Avenue, Seattle, WA 98122 | 2019-07-02 |
| 1962066415 | Seattle Colleges | Local Education Agency (LEA) | Mainstay At Seattle Central College, 1701 Broadway Ms Be3210, Seattle, WA 98122 | 2019-04-30 |
| 1538621412 | Mitchell R Ornelas | Student in an Organized Health Care Education/Training Program | Swedish Family Medicine Residency Cherry Hill; 550 16th, Avenue #400, Seattle, WA 98122 | 2019-04-01 |
| 1003374265 | Michael Russell | Surgery | 747 Broadway Heath Building 10th Floor, Seattle, WA 98122 | 2019-03-06 |
| 1639646821 | Maritza E Cajiao | Doula | 747 Broadway, Seattle, Seattle, WA 98122 | 2018-10-25 |
| 1336616762 | Suzanna M Lovin | Social Worker | 401 Broadway, 1st Floor, Seattle, WA 98122 | 2018-10-24 |
| 1184137770 | Walter Franklin Krengel Jr. | Orthopaedic Surgery | 2000 1st Ave Suite 2201, Seattle, WA 98122 | 2017-11-06 |
| Find all providers in zip 98122 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881291003 | Allison Walzer | Nurse Practitioner | 526 Yale Ave N Apt 402, Seattle, WA 98109-5544 | 2020-10-01 |
| 1841800521 | Lauren Levesque | Nurse Practitioner | 2744 Ne 54th St Unit B, Seattle, WA 98105-3146 | 2020-08-06 |
| 1225647381 | Donica Liwanag Badua | Nurse Practitioner | 819 Virginia St Unit 2605, Seattle, WA 98101-4430 | 2020-07-24 |
| 1326664145 | William Silas Nichols | Nurse Practitioner | 1760 Nw 56th St Apt 211, Seattle, WA 98107-5299 | 2020-06-17 |
| 1306485370 | Samuelle Genevievre Inevil | Nurse Practitioner | 4455 Interlake Ave N Unit 524, Seattle, WA 98103-7592 | 2019-12-23 |
| 1841838422 | Rachel Sasinowski Herrmann | Nurse Practitioner | 1505 Westlake Ave N Ste 400, Seattle, WA 98109-6211 | 2019-12-14 |
| 1265085542 | Hyunjoo Hannah Bae | Nurse Practitioner | 1818 Harvard Ave Apt 104, Seattle, WA 98122-2289 | 2019-07-16 |
| 1699247874 | Brien Claes Barrett | Nurse Practitioner | 10315 Stone Ave N, Seattle, WA 98133-9419 | 2018-12-28 |
| 1730662057 | Heather Renee Grods | Nurse Practitioner | 4409 California Ave Sw Ste 100, Seattle, WA 98116-4916 | 2018-09-12 |
| 1639651086 | Amanda Matthews | Nurse Practitioner | 9000 Holman Rd Nw Ste A1, Seattle, WA 98117-3418 | 2018-09-02 |
| Find all providers in SEATTLE | ||||
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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.