JOHN NIX (NPI# 1306267653) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306267653 |
| Entity Type | Individual |
| Full Name | JOHN NIX |
| Practice Address |
4719 12th Ave Ne Seattle WA 98105-5414 |
| Mailing Address |
6400 Southcenter Blvd Tukwila WA 98188-2547 |
| Practice Telephone | 2063022200 |
| Mailing Telephone | 2069012000 |
| Mailing Fax Number | 2069012010 |
| Enumeration Date | 2014-01-03 |
| Last Update Date | 2017-11-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 311 S Central St, Clarksville, AR 728303601 | 4794525040 | 4794525047 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669730347 | John Nix | Case Manager/Care Coordinator | 245 W Roosevelt Rd Bldg 15, West Chicago, IL 60185-3739 | 2012-05-01 |
| 1972598837 | John E Nix | Family Medicine | 2101 Galleria Oaks Dr, Texarkana, TX 75503-4625 | 2005-09-16 |
| Street Address |
4719 12TH AVE NE |
| City | SEATTLE |
| State | WA |
| Zip Code | 98105-5414 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003197963 | Janet Matilda Taylor | Counselor | 4719 12th Ave Ne, Gossett Place, Seattle, WA 98105-5414 | 2011-09-06 |
| 1275181133 | Lenea Denae Kelchner | Counselor | 4719 12th Ave Ne, Seattle, WA 98105-5414 | 2019-09-03 |
| 1265887855 | Jennifer April Balangue | Counselor | 4719 12th Ave Ne, Seattle, WA 98105-5414 | 2016-05-02 |
| 1154775948 | Gabrielle Brokaw-lien | Counselor | 4719 12th Ave Ne, Seattle, WA 98105-5414 | 2016-04-18 |
| 1467827451 | Claire Jesse | Social Worker | 4719 12th Ave Ne, Seattle, WA 98105-5414 | 2015-12-02 |
| 1720321359 | Daman Devon Hester Sr. | Community Health Worker | 4719 12th Ave Ne, Gossett Place, Seattle, WA 98105-5414 | 2013-04-02 |
| 1992070981 | Robert Bonifacio Ocasio | Counselor | 4719 12th Ave Ne, Sound Mental Health, Seattle, WA 98105-5414 | 2012-03-09 |
| 1750662607 | Nicole Ann Danson | Counselor | 4719 12th Ave Ne, Sound Mental Health, Seattle, WA 98105-5414 | 2011-09-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326662396 | Dale Justin Podolsky | Student in an Organized Health Care Education/Training Program | 4800 Sand Point Way Ne, Ob.9.520, Seattle Children's, Seattle, WA 98105 | 2020-06-04 |
| 1376170878 | Andrew Crompton Yazman | Pediatrics | 4800 Sand Point Way, Ne Oc.7.830, Seattle, WA 98105 | 2020-03-25 |
| 1427688845 | Daniela Michell Zepeda | Behavioral Analyst | 4616 25th Ave Ne Pmb 437, Seattle, WA 98105 | 2020-01-24 |
| 1255981189 | Emily King | Student in an Organized Health Care Education/Training Program | Mark Hawkins, Pa-c, Mpas, 4311 11th Ave Ne Suite 200, WA 98105 | 2019-09-12 |
| 1821659327 | Sara Katherine Horne | Student in an Organized Health Care Education/Training Program | 4800 Sand Point Way Ne, Mb.11.500, Department of Anesthesiology and Pain Medicine, Seattle, Seattle, WA 98105 | 2019-06-25 |
| 1881252575 | Darryl Lee Wright | Peer Specialist | Gossett Place, 4719 12th Ave Ne, Seattle, WA 98105 | 2019-05-29 |
| 1487117891 | Nirupama Madhavan | Behavioral Analyst | 5001 25th Ave Ne, Seattle, WA 98105 | 2019-04-11 |
| 1780155648 | Eryn R Mcentee | Naturopath | 2216 Ne46th St, Seattle, WA 98105 | 2018-12-17 |
| 1356811921 | Kyle Leland Bernbach | Massage Therapist | 5224 Ravenna Ave Ne, Seattle, WA 98105 | 2018-11-27 |
| 1548742380 | Janal Kim | Physician Assistant | 4726 11th Ave Ne, Apt 511, Seattle, WA 98105 | 2018-08-29 |
| Find all providers in zip 98105 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902407745 | Julie Mcgowan | Counselor | 9222 12th Ave Sw, Seattle, WA 98106-2908 | 2020-11-06 |
| 1043811292 | Satya Wellness Collective, LLC | Counselor | 5608 17th Ave Nw # 1063, Seattle, WA 98107-5232 | 2020-11-04 |
| 1366043960 | Nidhi Amy Rastogi | Counselor | 7004 Murray Ave Sw Apt 103, Seattle, WA 98136-1763 | 2020-11-02 |
| 1124628797 | Krista P Marceron | Counselor | 1421 34th Ave Ste 207, Seattle, WA 98122-3634 | 2020-10-31 |
| 1326648064 | Taylor Ferry | Counselor | 3954 1st Ave Ne Apt 3, Seattle, WA 98105-6863 | 2020-10-30 |
| 1710587969 | Brenton Brooks Page Jr. | Counselor | 819 N 49th St Ste 303, Seattle, WA 98103-6577 | 2020-10-27 |
| 1215536719 | Jessica Aarsvold | Counselor | 1 Ward St Unit 5, Seattle, WA 98109-3627 | 2020-10-26 |
| 1972102911 | Philip H Benjamin | Counselor | Philip Benjamin Seattle Psychology, Pllc 200 W. Mercer, Suite 111, Seattle, WA 98119 | 2020-10-21 |
| 1588263834 | Laura Gardener | Counselor | 216 25th Ave, Seattle, WA 98122-6104 | 2020-10-19 |
| 1265031512 | Mykel Ziolo | Counselor | 11700 Evanston Ave N, Seattle, WA 98133-8225 | 2020-10-19 |
| 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.