DR. JENNIFER LAUREN HANNON (NPI# 1346692480) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346692480 |
| Entity Type | Individual |
| Full Name | DR. JENNIFER LAUREN HANNON |
| Credential | NP |
| Practice Address |
751 Ne Blakely Dr Ste 5010 Issaquah WA 98029 |
| Mailing Address |
Po Box 25608 Salt Lake City UT 84125-0608 |
| Practice Telephone | 4253940700 |
| Practice Fax Number | 4253940701 |
| Mailing Telephone | 2063204476 |
| Mailing Fax Number | 2065687043 |
| Enumeration Date | 2016-07-12 |
| Last Update Date | 2018-06-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | RN60217127 | WA | Nursing Service Providers |
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
AP60653184 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356997019 | Jennifer Hannon | Social Worker | 9811 Lee Cir, Leawood, KS 66206-2345 | 2019-08-16 |
| 1962815233 | Jennifer Hannon | Physical Therapist | 3614 Providence Rd S Ste 100, Waxhaw, NC 28173-6310 | 2014-06-04 |
| 1700268018 | Jennifer Hannon | Nurse Practitioner | 3600 Olentangy River Rd, Ste C2, Columbus, OH 43214-3437 | 2015-06-23 |
| 1063731735 | Jennifer Kaye Evans Hannon | Nurse Anesthetist, Certified Registered | 1800 Orleans St, Baltimore, MD 21287-0010 | 2010-05-20 |
| 1245410612 | Jennifer Lynn Hannon | Physical Therapist | 100 Erdman Way, Leominster, MA 01453-1804 | 2007-11-14 |
| Street Address |
751 NE BLAKELY DR STE 5010 |
| City | ISSAQUAH |
| State | WA |
| Zip Code | 98029 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801902887 | Nancy J Lee | Pharmacist | 751 Ne Blakely Dr Ste 5010, Issaquah, WA 98029-6201 | 2006-08-22 |
| 1437769619 | Brittany Kayla Willey | Psychologist | 751 Ne Blakely Dr Ste 5010, Issaquah, WA 98029-6201 | 2020-08-03 |
| 1053823641 | Alison L Ryan | Registered Nurse | 751 Ne Blakely Dr Ste 5010, Issaquah, WA 98029-6201 | 2017-11-03 |
| 1508311853 | Margo A Badman | Registered Nurse | 751 Ne Blakely Dr Ste 5010, Issaquah, WA 98029-6201 | 2016-08-16 |
| 1386053205 | Jennifer Noelke | Social Worker | 751 Ne Blakely Dr Ste 5010, Issaquah, WA 98029-6201 | 2014-08-05 |
| 1508200239 | Stephenie Alyssa Tornberg | Family Medicine | 751 Ne Blakely Dr Ste 5010, Issaquah, WA 98029-6201 | 2013-04-24 |
| 1174801674 | Helen Hye-jung Hansen | Psychologist | 751 Ne Blakely Dr Ste 5010, Issaquah, WA 98029-6201 | 2011-08-01 |
| 1396035036 | Lida Celeste Turner | Psychiatry & Neurology | 751 Ne Blakely Dr Ste 5010, Issaquah, WA 98029-6201 | 2011-04-14 |
| 1578882452 | Jake Harley Choiniere | Psychiatry & Neurology | 751 Ne Blakely Dr Ste 5010, Issaquah, WA 98029 | 2010-05-18 |
| 1184957367 | Tiffany Lynne Herr | Pediatrics | 751 Ne Blakely Dr Ste 5010, Issaquah, WA 98029-6201 | 2009-09-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134730161 | Katelyn Creech | Counselor | 1505 16th Lane Ne, Apt 404 Building O, Issaquah, WA 98029 | 2020-08-13 |
| 1326695438 | M Shoaib Haider Siddiqui | Dentist | Issaquah Modern Dentistry, 1416 Highlands Drie Ne, Suite 120, Issaquah, WA 98029 | 2019-08-22 |
| 1053885061 | Rose Osborne | Registered Nurse | 4580 Klahanie Dr Se #181, Sammamish, WA 98029 | 2019-01-14 |
| 1598260960 | Caryn Crosbie | Behavior Technician | 22526 Se 64th Place, Building D Suite 210, Issaquah, WA 98029 | 2018-03-28 |
| 1194110908 | May Y. Mar | Family Medicine | 5708 E. Lake Sammamish Pkwy Se, Issaquah, WA 98029 | 2015-03-30 |
| 1659765816 | Eastside Social Skills Therapy LLC | Preferred Provider Organization | 5436 232nd Ave Se, Issaquah, WA 98029 | 2015-03-26 |
| 1649513946 | Linda Scoppettone Knodel | Registered Nurse | 5303 231 Ave. Se, Issaquah, WA 98029 | 2013-04-04 |
| 1720323116 | Morley Slutsky | Preventive Medicine | 4580 Klahanie Dr. S.e.,#125, Issaquah, WA 98029 | 2012-12-11 |
| 1619248820 | Silas Dickenson Dudley | Dentist | 2520 Ne Park Dr, Suite C, Issaquah, WA 98029 | 2012-01-19 |
| 1659641678 | Cynthia J Creel | Technician/Technologist | 4580 Klahanie Dr. Se, #332, Issaquah, WA 98029 | 2012-01-06 |
| Find all providers in zip 98029 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518475631 | Sarah Remorca Agtarap | Nurse Practitioner | 175 1st Pl Nw Ste A, Issaquah, WA 98027-2746 | 2018-01-11 |
| 1457888695 | Holly June Stafford | Nurse Practitioner | 1700 Nw Gilman Blvd Ste 205, Issaquah, WA 98027-5364 | 2017-05-18 |
| 1023407715 | Breathe Pediatrics, Pllc | Nurse Practitioner | 175 1st Pl Nw, Suite A, Issaquah, WA 98027-2744 | 2015-01-18 |
| 1285818369 | Staci Suzanne Scott | Nurse Practitioner | 317 Nw Gilman Blvd, Suite 48, Issaquah, WA 98027-2496 | 2007-12-24 |
| 1609058288 | Amy Jean Bain | Nurse Practitioner | 175 1st Pl Nw, Issaquah, WA 98027-2744 | 2007-12-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881200509 | Megan Maureen Bauer | Nurse Practitioner | 6057 California Ave Sw, Seattle, WA 98136-1612 | 2020-09-17 |
| 1265077960 | Hannah Thornton | Nurse Practitioner | 4800 Sand Point Way Ne # Fa.2114, Seattle, WA 98105-3901 | 2019-11-17 |
| 1598319683 | Jennifer Lynn Bryson | Nurse Practitioner | 8738 Falls Ave Se, Snoqualmie, WA 98065-9610 | 2019-07-28 |
| 1013494434 | Lindsay Bascom Brown | Nurse Practitioner | 12815 120th Ave Ne Ste A, Kirkland, WA 98034-3003 | 2018-07-27 |
| 1518470137 | Bear Creek Pediatrics | Nurse Practitioner | 105 W 8th Ave Ste 7035, Spokane, WA 99204-2313 | 2017-11-06 |
| 1871005298 | Alexis Anne Abel | Nurse Practitioner | 15650 Ne 24th St Ste C, Bellevue, WA 98008-2460 | 2017-10-25 |
| 1326569021 | Spencer Rorie Crihfield | Nurse Practitioner | Po Box 1452, Pasco, WA 99301-1223 | 2017-07-03 |
| 1912427386 | Melinda Ehren Kratzig | Nurse Practitioner | 4800 Sand Point Way Ne # Msoa9220, Seattle, WA 98105-3901 | 2017-06-26 |
| 1245766880 | Jennifer Jean Baker | Nurse Practitioner | 904 7th Ave Fl 3, Seattle, WA 98104-1132 | 2017-05-02 |
| 1194196485 | Lara Subhash | Nurse Practitioner | 3326 160th Ave Se Ste 450, Bellevue, WA 98008-6418 | 2015-10-12 |
| Find all providers with the same taxonomy | ||||
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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.