JEANNIE MOORE STUBBLEFIELD (NPI# 1285160754) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285160754 |
| Entity Type | Individual |
| Full Name | JEANNIE MOORE STUBBLEFIELD |
| Credential | PH.D. |
| Practice Address |
Uw Laboratory Medicine Nw120 1959 Pacific Street, Box 357110 Seattle WA 98195-7110 |
| Practice Telephone | 6155793042 |
| Mailing Telephone | 6155793042 |
| Enumeration Date | 2017-05-03 |
| Last Update Date | 2017-05-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 247ZC0005X |
Pathology Specialization: Clinical Laboratory Director, Non-physician |
Technologists, Technicians & Other Technical Service Providers |
| Street Address |
UW LABORATORY MEDICINE NW120 1959 PACIFIC STREET, BOX 357110 |
| City | SEATTLE |
| State | WA |
| Zip Code | 98195-7110 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730700741 | Christian Van Rooyen | Student in an Organized Health Care Education/Training Program | 1951 Pacific Street, Seattle, WA 98195 | 2020-04-30 |
| 1720608235 | Alexander John Arnold | Psychiatry & Neurology | 1959 Ne Pacific St, Rr650, Seattle, WA 98195 | 2020-04-24 |
| 1588127138 | Scott Boop | Student in an Organized Health Care Education/Training Program | Department of Neurological Surgery, 1959 Ne Pacific St, Box Number 356470, Seattle, WA 98195 | 2019-04-10 |
| 1275093973 | Elizabeth Grace Knoff Floodeen | Oral & Maxillofacial Surgery | University of Washington Department of Surgery, 1959 Ne Pacific Street, Seattle, WA 98195 | 2019-03-20 |
| 1780174722 | Matias Eduardo Czerwonko Pupi | Student in an Organized Health Care Education/Training Program | 1959 Ne Pacific Street (university of Washington Depart, Seattle, WA 98195 | 2018-05-15 |
| 1235636143 | Caitlin Aiko Harrington | Student in an Organized Health Care Education/Training Program | University of Washington Internal Medicine Residency, Seattle, WA 98195 | 2018-04-07 |
| 1851897243 | Natalie Miller | Student in an Organized Health Care Education/Training Program | University of Washington Medical Center 1959 Ne Pacific, Seattle, WA 98195 | 2018-04-04 |
| 1386140978 | Elena Luisa Pellicer | Student in an Organized Health Care Education/Training Program | Univ of Washington Dept of Obgyn, 1959 Ne Pacific St., Seattle, WA 98195 | 2018-04-02 |
| 1407386824 | Sherry S Wang | Radiology | Uw Radiology, 1959 Ne Pacific Street, Box 357115, Seattle, WA 98195 | 2017-06-18 |
| 1932638137 | Maziar Riazy | Student in an Organized Health Care Education/Training Program | 1959 Ne Pacific Street, Rm Ne110, University of Washington Medical Center - Pathology, Seattle, WA 98195 | 2017-06-09 |
| Find all providers in zip 98195 | ||||
| Taxonomy Code | 247ZC0005X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Pathology |
| Specialization | Clinical Laboratory Director, Non-physician |
| An individual who is state-licensed as a clinical laboratory director and meets the qualifications in the Clinical Laboratory Improvement Amendments of 1988 for non-physicians (non-MD/DO) as defined in the CFR 42 Part 493.1405. |
| Notes: Source: National Uniform Claim Committee [1/1/2007: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194193300 | Paul Warner | Pathology | 921 Terry Ave, Seattle, WA 98104-1239 | 2015-09-03 |
| 1881061638 | Idoia Gimferrer | Pathology | 921 Terry Ave, Room 614, Seattle, WA 98104-1239 | 2015-08-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144627324 | Lakshminiranjan Vanimireddy | Pathology | 2840 Northup Way Ste 100, Bellevue, WA 98004 | 2014-12-03 |
| 1538588256 | Lakshmi Gaur | Pathology | 2800 Northup Way Ste 100, Bellevue, WA 98004-1440 | 2014-04-09 |
| 1821439233 | Chenyang Lian | Pathology | 12868 Se 225th Ct, Kent, WA 98031-3933 | 2013-07-13 |
| 1326384645 | Laurance Ferreri | Pathology | 2840 Northup Way Ste 120, Bellevue, WA 98004-1464 | 2012-12-13 |
| 1508241217 | Sung Choi | Pathology | 12100 Northup Way, Suite A, Bellevue, WA 98005-1920 | 2015-07-23 |
| 1912107459 | Paul L Schwabe | Pathology | 250 Fort Street, Neah Bay, WA 98357 | 2007-07-23 |
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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.