JESSICA ELDER (NPI# 1245542778) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245542778 |
| Entity Type | Individual |
| Full Name | JESSICA ELDER |
| Credential | ATC |
| Practice Address |
1900 Cooks Hill Rd Centralia WA 98531-9073 |
| Practice Telephone | 3607362889 |
| Practice Fax Number | 3603301899 |
| Mailing Telephone | 3607362889 |
| Mailing Fax Number | 3603301899 |
| Enumeration Date | 2010-07-13 |
| Last Update Date | 2010-07-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
A160047702 | WA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063931301 | Jessica Elder | Specialist/Technologist | 2212 E Grantview Dr, Coralville, IA 52241-1396 | 2017-09-19 |
| 1992345383 | Jessica Leigh Elder | Licensed Practical Nurse | 160 Manley St, Holland, MI 49424-2110 | 2020-01-14 |
| Street Address |
1900 COOKS HILL RD |
| City | CENTRALIA |
| State | WA |
| Zip Code | 98531-9073 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710937305 | Heather Cushing | Physician Assistant | 1900 Cooks Hill Rd, Centralia, WA 98531-9073 | 2006-05-12 |
| 1285143933 | Lukas Wesley Steffan | Physician Assistant | 1900 Cooks Hill Rd, Centralia, WA 98531-9073 | 2017-09-26 |
| 1417496183 | Jessica Kathleen Hannigan | Physician Assistant | 1900 Cooks Hill Rd, Centralia, WA 98531-9073 | 2017-02-14 |
| 1417378621 | Christopher Huntley | Physician Assistant | 1900 Cooks Hill Rd, Centralia, WA 98531 | 2013-12-16 |
| 1992059323 | Jessica Morss | Physical Therapist | 1900 Cooks Hill Rd, Centralia, WA 98531-9073 | 2012-11-07 |
| 1649534751 | Lacey Elizabeth Ross | Physical Therapist | 1900 Cooks Hill Rd, Centralia, WA 98531-9073 | 2012-07-03 |
| 1336424092 | Christine Michele Caple | Physical Therapy Assistant | 1900 Cooks Hill Rd, Centralia, WA 98531-9073 | 2011-10-13 |
| 1083911895 | Nancy Marie Emerick | Physical Therapist | 1900 Cooks Hill Rd, Centralia, WA 98531 | 2011-02-15 |
| 1295056455 | Daniel J Albershardt | Anesthesiology | 1900 Cooks Hill Rd, Centralia, WA 98531-9073 | 2010-06-22 |
| 1619291259 | Jami Rice | Physician Assistant | 1900 Cooks Hill Rd, Centralia, WA 98531-9073 | 2010-03-25 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306462205 | Jelisa Renae Thomas | Counselor | 3510 Steelhammer Ln, Centralia, WA 98531 | 2020-06-17 |
| 1205498607 | Jennifer Kristine Mcglynn Paterno | Counselor | 2428 W. Reynods Ave, Centralia, WA 98531 | 2019-07-05 |
| 1538646328 | Adam Jeffrey Moore | Counselor | 3510 Steelhammer Lane, Centralia, WA 98531 | 2018-07-24 |
| 1144706698 | Euijeong Kim | Occupational Therapist | Rehabilitation Therapies, 914 S. Scheuber Rd, Centralia, WA 98531 | 2018-07-18 |
| 1104315266 | Margaret Fowler Floyd | Registered Nurse | Centralia High School, 813 Eshom Road, Centralia, WA 98531 | 2018-05-04 |
| 1124545777 | Samantha Michelle Moody | Speech-Language Pathologist | Centralia School District, 2320 Borst Ave, Centralia, WA 98531 | 2017-08-24 |
| 1821520289 | Alexa Franks | Behavior Technician | 2428 West Reynolds Ave., Centralia, WA 98531 | 2017-04-03 |
| 1023559861 | Brandy Michelle Peterson | Counselor | 135 W. Main Steet, Centralia, WA 98531 | 2017-03-13 |
| 1841738812 | Graceful Healing Naturopathic | Naturopath | 219 N Tower Ave, Suite 304, Centralia, WA 98531 | 2017-02-09 |
| 1043681513 | Angela Naillon | Counselor | 2428 West Reynolds, Centralia, WA 98531 | 2015-10-09 |
| Find all providers in zip 98531 | ||||
| Taxonomy Code | 2255A2300X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Athletic Trainer |
| Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration. |
| Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578068110 | Jodee M Roberts | Specialist/Technologist | 813 Eshom Rd, Centralia, WA 98531-1515 | 2018-03-27 |
| 1619393543 | Kerry Hammond | Specialist/Technologist | 1963 Bell Club Rd, Centralia, IL 62801-9507 | 2014-03-17 |
| 1942578299 | Charles Morris Lauder IIi | Specialist/Technologist | 1441 W Broadway, Centralia, IL 62801-5613 | 2011-12-01 |
| 1235220310 | Todd Michael Hoyt | Specialist/Technologist | 400 N Pleasant Ave, Centralia, IL 62801-3056 | 2006-09-27 |
| 1427022250 | Melissa Kristine Vangiesen | Specialist/Technologist | 400 N Pleasant Ave, Centralia, IL 62801-3056 | 2006-02-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851990329 | Tina Daniels | Specialist/Technologist | 5104 W Nob Hill Blvd Apt 8, Yakima, WA 98908-5814 | 2020-10-25 |
| 1902405079 | Sara Danielle Holey | Specialist/Technologist | 24048 Se 111th St, Issaquah, WA 98027-8320 | 2020-10-20 |
| 1265049902 | Erin L Rose | Specialist/Technologist | 510 Nw Larry St, Pullman, WA 99163-3584 | 2020-09-27 |
| 1790392629 | William Bratton | Specialist/Technologist | 26222 119th Dr Se, Kent, WA 98030-7882 | 2020-09-24 |
| 1790392611 | Carli Grace Robins | Specialist/Technologist | 3654 Nw Cascade Ave, East Wenatchee, WA 98802-9570 | 2020-09-24 |
| 1164039079 | Jalyn Rutledge | Specialist/Technologist | Bohler Athletic Complex Cougar Way - Wsu, Pullman, WA 99164-0001 | 2020-09-24 |
| 1356957054 | Alex Vincent Pham | Specialist/Technologist | 3523 Se 176th Ave, Vancouver, WA 98683-3591 | 2020-09-17 |
| 1063030583 | Elizabeth Kakos | Specialist/Technologist | 528 Pontius Ave N Unit 431, Seattle, WA 98109-5821 | 2020-07-10 |
| 1396369708 | Kristin Marie Mikolajewski | Specialist/Technologist | 116 247th Ave Se, Sammamish, WA 98074-3444 | 2020-06-01 |
| 1437773033 | Mckaleb Pool | Specialist/Technologist | 10777 Grafton Pl Nw, Silverdale, WA 98383-8941 | 2020-05-31 |
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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.