DR. JERRY L RUSHER (NPI# 1356532030) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356532030 |
| Entity Type | Individual |
| Full Name | DR. JERRY L RUSHER |
| Credential | MD |
| Practice Address |
25959 Community Plaza Way Sedro Woolley WA 98284-9721 |
| Mailing Address |
25944 Community Plaza Way Sedro Woolley WA 98284-9721 |
| Practice Telephone | 3608547070 |
| Mailing Telephone | 3608547070 |
| Enumeration Date | 2007-08-07 |
| Last Update Date | 2007-08-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | MD00012663 | WA | Other Service Providers |
| Street Address |
25959 COMMUNITY PLAZA WAY |
| City | SEDRO WOOLLEY |
| State | WA |
| Zip Code | 98284-9721 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336129295 | Upper Skagit Indian Tribe | Counselor | 25959 Community Plaza Way, Sedro Woolley, WA 98284-9721 | 2006-01-18 |
| 1922250877 | Kathleen Ann Hunter | Counselor | 25959 Community Plaza Way, Sedro Woolley, WA 98284-9721 | 2008-10-22 |
| 1285895284 | Upper Skagit Indian Tribe | Counselor | 25959 Community Plaza Way, Sedro Woolley, WA 98284-9721 | 2008-06-23 |
| 1821259821 | Upper Skagit Indian Tribe | Counselor | 25959 Community Plaza Way, Sedro Woolley, WA 98284-9721 | 2008-06-23 |
| 1477698736 | Betty Jean Hansen | Licensed Practical Nurse | 25959 Community Plaza Way, Sedro Woolley, WA 98284-9721 | 2007-02-21 |
| 1386789634 | Jane Mayer | Clinical Nurse Specialist | 25959 Community Plaza Way, Sedro Woolley, WA 98284-9721 | 2007-02-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174138994 | Matthew Thomas Schaeffer | Counselor | 1690 Thompson Drive, Sedro Woolley, WA 98284 | 2020-09-09 |
| 1841852407 | Melissa Lynn Rose | Licensed Practical Nurse | Pcn, 1960 Thompson Dr, Sedro Wooley, WA 98284 | 2019-07-03 |
| 1730742842 | Joseph Q Elder | Counselor | 1803 North Sound Drive, Sedro Woolley, WA 98284 | 2019-04-16 |
| 1336610575 | John Allan Roeder II | Pharmacist | 320 Harrison St., Sedro-woolley, WA 98284 | 2018-12-16 |
| 1861931107 | Stacy Lee Chambers | Counselor | 1906 Thompson Drive, Sedro Woolley, WA 98284 | 2017-02-20 |
| 1033657309 | Carol Totten | Social Worker | 1960 Thompson Dr., Sedro-woolley, WA 98284 | 2017-02-07 |
| 1639414345 | Shannon L Moore | Licensed Practical Nurse | 1235 3rd Street, Sedro-woolley, WA 98284 | 2012-12-06 |
| 1013210111 | Ashley L Shaner | Physical Therapist | 709 Cook Rd, Sedro Woolley, WA 98284 | 2010-12-10 |
| 1417195660 | Susan L Pearson | Massage Therapist | 12263 N. Mill Street, Clearlake, WA 98284 | 2009-01-27 |
| 1093950883 | Tamara Lyn Stone | Massage Therapist | 460 Hilltop Drive, Sedro Woolley, WA 98284 | 2008-12-08 |
| Find all providers in zip 98284 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063951069 | Katie Moyer | Specialist | 724 Warner St, Sedro Woolley, WA 98284-1737 | 2017-02-23 |
| 1740467596 | Mark Jeffrey Rosenberg | Specialist | 2031c Hospital Drive, Sedro Woolley, WA 98284 | 2008-01-23 |
| 1508057308 | Melissa Beth Judy | Specialist | 370 Lakeside Dr, Sedro Woolley, WA 98284-9541 | 2007-08-06 |
| 1962609057 | Allya Elizabeth Moore | Specialist | 805b Metcalf St, Sedro Woolley, WA 98284-1422 | 2007-07-02 |
| 1083041669 | Tina Larson | Specialist | 780 Cook Rd, Sedro Woolley, WA 98284 | 2013-09-27 |
| 1487999561 | Amanda Noel Voorhees | Specialist | 801 Trail Rd, Sedro Woolley, WA 98284-9387 | 2012-11-30 |
| 1790012128 | Mary K. Verd | Specialist | 260 W Moore St, Sedro Woolley, WA 98284-1039 | 2009-11-05 |
| 1134317977 | Molly C Straub | Specialist | 639 Sunset Park Dr, 103, Sedro Woolley, WA 98284-1540 | 2007-10-05 |
| 1023210333 | Rebecca Skelton Goodell | Specialist | 780 Cook Rd, Sedro Woolley, WA 98284-4341 | 2007-05-31 |
| 1245325950 | Nicholas S Muff Md Ps | Specialist | 2000 Hospital Dr, Sedro Woolley, WA 98284-4327 | 2006-10-04 |
| Find all providers in SEDRO WOOLLEY | ||||
| City | SEDRO WOOLLEY |
| Zip Code | 98284 |
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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.