JESSICA STARK (NPI# 1366913048) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366913048 |
| Entity Type | Individual |
| Full Name | JESSICA STARK |
| Credential | PSYD |
| Practice Address |
450 Nw Gilman Blvd Ste 201 Issaquah WA 98027-2722 |
| Practice Telephone | 4258352503 |
| Enumeration Date | 2018-12-06 |
| Last Update Date | 2018-12-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
PY60876949 | WA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730650755 | Jessica Michelle Stark | Nutritionist | 118 Temecula Dr, West Monroe, LA 71292-0476 | 2018-12-17 |
| 1215117643 | Jessica Gayle Irwin Stark | Physician Assistant | 2340 Clay St, 4th Floor Department of Transplant, California Pacific Medical Center, San Francisco, CA 94115 | 2007-11-14 |
| 1750878682 | Jessica Stark | Behavior Technician | 1101 S Winchester Blvd Ste C120, San Jose, CA 95128-3901 | 2018-04-17 |
| 1780104398 | Jessica Stark | Family Medicine | 10461 Quality Dr, Spring Hill, FL 34609-9634 | 2017-06-23 |
| 1568865061 | Jessica Stark | Behavioral Analyst | 4510 Salt Lake Blvd Ste D8, Honolulu, HI 96818-3172 | 2014-09-29 |
| 1912313198 | Jessica Stark | Dentist | 302 Ne 14th St, Leon, IA 50144-1206 | 2014-07-08 |
| 1174888341 | Jessica Stark | Neurological Surgery | 6400 Fannin St Ste 2150, Houston, TX 77030-1524 | 2012-07-12 |
| Street Address |
450 NW GILMAN BLVD STE 201 |
| City | ISSAQUAH |
| State | WA |
| Zip Code | 98027-2722 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912043720 | Issaquah Medical Group | Family Medicine | 450 Nw Gilman Blvd Ste 201, Issaquah, WA 98027-2483 | 2007-01-29 |
| 1174145205 | Ashley Maria Gundermann | Naturopath | 450 Nw Gilman Blvd Ste 201, Issaquah, WA 98027-2722 | 2020-05-12 |
| 1992339295 | Della Harrison | Acupuncturist | 450 Nw Gilman Blvd Ste 201, Issaquah, WA 98027-2722 | 2020-02-25 |
| 1295386589 | Jaime Cloyd | Naturopath | 450 Nw Gilman Blvd Ste 201, Issaquah, WA 98027-2722 | 2019-09-27 |
| 1700341955 | Chris James Sokolick Jr. | Chiropractor | 450 Nw Gilman Blvd Ste 201, Issaquah, WA 98027-2722 | 2019-02-01 |
| 1366922957 | Lorraine Rasmussen | Massage Therapist | 450 Nw Gilman Blvd Ste 201, Issaquah, WA 98027-2722 | 2018-08-14 |
| 1205313194 | Elizabeth Anne Wing | Naturopath | 450 Nw Gilman Blvd Ste 201, Issaquah, WA 98027-2722 | 2018-07-23 |
| 1972027340 | Anna Flies | Acupuncturist | 450 Nw Gilman Blvd Ste 201, Issaquah, WA 98027 | 2017-07-27 |
| 1437681756 | Tiffany Leeann Althaus | Naturopath | 450 Nw Gilman Blvd Ste 201, Issaquah, WA 98027-2722 | 2017-03-28 |
| 1992240790 | Natalie Willits | Acupuncturist | 450 Nw Gilman Blvd Ste 201, Issaquah, WA 98027-2722 | 2017-01-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780281840 | Cascade Hand & Orthopedic Rehab, Inc. | Clinic/Center | 1301 4th Avenue Nw, Suite 200, Issaquah, WA 98027 | 2020-10-01 |
| 1700494630 | Genevieve S Ward | Counselor | 22500 Se 64th Place, Building G, Suite 150, Issaquah, WA 98027 | 2020-07-16 |
| 1891338604 | Amy Mezulis | Psychologist | 1740 Nw Maple St. #210, Issaquah, WA 98027 | 2019-10-24 |
| 1578055083 | Vivian Yu-en Hsiao | Physical Therapist | 1301 4th Ave Nw Ste 300, Issaquah, WA 98027 | 2018-05-31 |
| 1831698000 | Peter James Carlson | Physical Therapist | 22500 Se 64th Place, Building G, Suite 115, Issaquah, WA 98027 | 2018-02-02 |
| 1902323553 | David Robert Primrose | Dentist | 600 Nw Gilman Blvd Ste B, Issaquah, WA 98027 | 2017-08-24 |
| 1083135446 | Tara Rose | Massage Therapist | 680 Nw Gilman Blvd., Ste. A, Issaquah, WA 98027 | 2017-07-06 |
| 1295276194 | Amy Davenport | Occupational Therapist | 1871 Nw Gilman Blvd #2, Issaquah, WA 98027 | 2017-03-13 |
| 1942751771 | Krista L Gibbons | Counselor | 1700 Nw Blvd, Suite #200, Issaquah, WA 98027 | 2016-10-17 |
| 1376903237 | Kari Wathen Torres | Occupational Therapist | 710 Nw Juniper St Ste 100, Issaquah, WA 98027 | 2016-03-03 |
| Find all providers in zip 98027 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891338604 | Amy Mezulis | Psychologist | 1740 Nw Maple St. #210, Issaquah, WA 98027 | 2019-10-24 |
| 1427249895 | Patrick Beau Reilly | Psychologist | 1871 Nw Gilman Blvd, Issaquah, WA 98027-8116 | 2007-08-09 |
| 1467501734 | John Sutton-gamache | Psychologist | 5837 221st Pl Se, Issaquah, WA 98027-8917 | 2007-01-09 |
| 1770640179 | Vivien Johnette Phillips | Psychologist | 195 Ne Gilman Blvd, Suite 202, Issaquah, WA 98027-2940 | 2007-01-03 |
| 1679658496 | Susan Katalin Toth Patiejunas | Psychologist | 1700 Nw Gilman Blvd, Suite 205, Issaquah, WA 98027-5349 | 2006-10-27 |
| 1912980343 | Susan B Sterling | Psychologist | 310 3rd Ave Ne, #122, Issaquah, WA 98027-3300 | 2005-11-21 |
| 1477535789 | Georganna R Sedlar | Psychologist | 1740 Nw Maple St Ste 210, Issaquah, WA 98027 | 2005-11-14 |
| 1164057345 | Seth Carl Courrege | Psychologist | 1700 Nw Gilman Blvd Ste 205, Issaquah, WA 98027-5364 | 2020-03-07 |
| 1942859061 | David N Porter | Psychologist | 1495 Nw Gilman Blvd Ste 11, Issaquah, WA 98027-5328 | 2019-09-11 |
| 1194277350 | Valerie Hewell | Psychologist | 1740 Nw Maple St, Ste 210, Issaquah, WA 98027-8127 | 2016-11-03 |
| Find all providers in ISSAQUAH | ||||
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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.