JANNA LAM KEENAN


Address: 4420 76th St Ne, Marysville, WA 98270
Phone: 3606517492

JANNA LAM KEENAN (NPI# 1235591058) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1235591058
Entity Type Individual
Full Name JANNA LAM KEENAN
Practice Address 4420 76th St Ne
Marysville
WA 98270
Mailing Address Po Box 5127
Everett
WA 98206-5127
Practice Telephone 3606517492
Practice Fax Number 4253971750
Mailing Telephone 4256517492
Mailing Fax Number 4253971750
Enumeration Date 2016-03-22
Last Update Date 2020-02-27
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208000000X Pediatrics MD60929530 WA Allopathic & Osteopathic Physicians
N 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Provider Secondary Practice Location

Address Telephone Number Fax Number
240 E Huron St, Mcgaw Pavillion, Suite 1-200, Chicago, IL 606112909 3125037975

Office Location

Street Address 4420 76TH ST NE
City MARYSVILLE
State WA
Zip Code 98270

Providers in the same location

NPI Name Taxonomy Address Enumeration
1184613846 Diane L Cashman Nurse Practitioner 4420 76th St Ne, Marysville, WA 98270-3726 2005-10-17
1972112506 Ana Elisa Colmenero Gargari Family Medicine 4420 76th St Ne, Marysville, WA 98270-3726 2020-07-29
1952969701 Patrick Schmees Pharmacist 4420 76th St Ne, Marysville, WA 98270-3726 2019-06-05
1083134944 Si Jung Suh Internal Medicine 4420 76th St Ne, Marysville, WA 98270-3726 2017-06-22
1346772563 Kylanne Berry Physician Assistant 4420 76th St Ne, Marysville, WA 98270-3726 2017-03-28
1467862581 Jonathon Hodges Family Medicine 4420 76th St Ne, Marysville, WA 98270-3726 2014-04-28
1346675527 Theressa Marie Hecht Pharmacist 4420 76th St Ne, Marysville, WA 98270-3726 2013-09-06
1285079822 The Bartell Drug Co Pharmacy 4420 76th St Ne, Marysville, WA 98270-3726 2013-05-09
1265778849 Brett Alan Schweizer Internal Medicine 4420 76th St Ne, Marysville, WA 98270-3726 2012-12-30
1205120805 Wand Y Gan Family Medicine 4420 76th St Ne, Marysville, WA 98270-3726 2011-06-01
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1730706631 Amy Jean Tuengel Massage Therapist 4731 61st Ne, Marysville, WA 98270 2020-06-26
1821569534 Andrew M Reid Physical Therapist Marysville Physical Therapy, 919 State Avenue Suite 101, Marysville, WA 98270 2018-12-07
1861989162 Jenna Celine Schmidt Student in an Organized Health Care Education/Training Program Seamar Marysville Family Medicine Residency Program, 9710 State Ave, Marysville, WA 98270 2018-04-23
1497103162 Kyoung Craddock Registered Nurse 5722 65th St Ne, Marysville, WA 98270 2016-06-02
1235553348 Marysville School District Speech-Language Pathologist 4220 80th Street Ne, Marysville School District, Marysville, WA 98270 2014-02-10
1386085694 Malgorzata Cassidy Counselor 4308 76th. St. Ne, Marysville, WA 98270 2013-07-15
1972852374 Suzanne Leboeuf Counselor 1227 2nd St., Marysville, WA 98270 2012-08-31
1508121161 Tricia Nicole Davis Pharmacy Technician 6602 74th St Ne, Marysville, WA 98270 2012-07-10
1962774216 Lynae Marie Swinheart Community/Behavioral Health 6418 66th Pl Ne, Marysville, WA 98270 2012-02-02
1598042459 Jamie Rae Isaacson Speech-Language Pathologist 1820 Grove St., Marysville, WA 98270 2011-11-07
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Taxonomy Information

Taxonomy Code 208000000X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics

Taxonomy Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio
- Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1477735009 North State Health Clinic, Inc. Pediatrics 314 H St, Ste-a, Marysville, CA 95901-5832 2007-12-05
1174718985 Mill Valley Pediatrics, Inc. Pediatrics 1140 Charles Ln, Marysville, OH 43040-9797 2007-09-14
1497947782 Chukwuemeka Ndulue Pediatrics 825 9th St, Ste C, Marysville, CA 95901-5265 2007-08-10
1154367084 Cheryl Kaye Kirkby Pediatrics 17853 State Route 31, Suite C, Marysville, OH 43040-9609 2006-06-21
1437159241 Nikola T Alain Pediatrics 610 S Plum St, Marysville, OH 43040-1630 2005-07-22
1942694476 Kelley Jean Kadunc Pediatrics 2901 174th St Ne, Marysville, WA 98271-4743 2015-03-23
1265839476 Yuba Health Clinic, Inc Pediatrics 527 E St, Marysville, CA 95901-5529 2014-12-03
1699192658 Wei-jen Hsieh Pediatrics 2901 174th St Ne, Marysville, WA 98271-4743 2014-03-27
1508204009 Thiyagu Ganesan Pediatrics 5730 Packard Avenue, Suite No: 500, Marysville, CA 95993 2013-06-06
1912344367 Elaine Mae Peterson Pediatrics 2335 172nd St Ne, Marysville, WA 98271-4753 2013-05-24
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Competitor

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City MARYSVILLE
Zip Code 98270

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Dataset Information

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.

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