JACQUELINE HARRIS (NPI# 1366926917) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366926917 |
| Entity Type | Individual |
| Full Name | JACQUELINE HARRIS |
| Other Name | JACKIE HARRIS |
| Practice Address |
204 Ne 94th St Seattle WA 98115-2752 |
| Mailing Address |
11808 Se 172nd Ln Apt N303 Renton WA 98058-5994 |
| Practice Telephone | 2064614580 |
| Mailing Telephone | 4404091980 |
| Enumeration Date | 2018-09-19 |
| Last Update Date | 2018-09-19 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
MC60817390 | WA | Behavioral Health & Social Service Providers |
| N | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730717448 | Jacqueline Harris | Counselor | 4708 Mallard Creek Dr, Greensboro, NC 27405-2782 | 2020-03-29 |
| 1205116589 | Jacqueline Renee Harris | Occupational Therapy Assistant | 7887 N 16th St, Unit #125, Phoenix, AZ 85020-4417 | 2011-08-18 |
| 1376777094 | Jacqueline Rae Harris | Speech-Language Pathologist | 12441 Highway 26, Riverton, WY 82501-9256 | 2009-05-09 |
| 1740429273 | Jacqueline Denise Harris | Licensed Practical Nurse | 8257 N 51st St, Brown Deer, WI 53223-3512 | 2009-02-06 |
| 1073771762 | Jacqueline D Harris | Family Medicine | 815 Weldon Rd, Palmetto, GA 30268-1667 | 2008-05-29 |
| 1417143231 | Jacqueline Ann Harris | Psychiatry & Neurology | 33 Baldwin Rd, Newtown, CT 06470-2003 | 2007-09-16 |
| 1447453220 | Jacqueline Harris | Student in an Organized Health Care Education/Training Program | 11638 Danforth Dr, Sterling Heights, MI 48312-2124 | 2007-06-07 |
| 1700893518 | Jacqueline E Harris | Specialist | 107 Seagrass Station Road, Bluffton, SC 29910-3110 | 2006-08-02 |
| 1962485813 | Jacqueline K Harris | Nurse Practitioner | 101 W Washington St, Montezuma, IA 50171-7739 | 2005-11-23 |
| 1649730565 | Jacqueline Elizabeth Harris | Student in an Organized Health Care Education/Training Program | 2233 Post St, San Francisco, CA 94115-3470 | 2019-03-25 |
| Street Address |
204 NE 94TH ST |
| City | SEATTLE |
| State | WA |
| Zip Code | 98115-2752 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457807125 | Simona Wood | Counselor | 204 Ne 94th St, Seattle, WA 98115-2752 | 2016-08-31 |
| 1831799907 | Evieon Champaign | Counselor | 204 Ne 94th St, Seattle, WA 98115-2752 | 2020-10-28 |
| 1205434685 | Joy L Howard | Counselor | 204 Ne 94th St, Seattle, WA 98115-2752 | 2020-10-16 |
| 1609480581 | Albert Virachismith | Counselor | 204 Ne 94th St, Seattle, WA 98115-2752 | 2020-09-08 |
| 1730705096 | Daniel Prabahkar | Counselor | 204 Ne 94th St, Seattle, WA 98115-2752 | 2020-06-23 |
| 1376174714 | Violet Koek | Counselor | 204 Ne 94th St, Seattle, WA 98115-2752 | 2020-02-03 |
| 1457982894 | Veva Mclemore-young | Counselor | 204 Ne 94th St, Seattle, WA 98115-2752 | 2020-02-03 |
| 1447880158 | Larisa Raskina | Licensed Practical Nurse | 204 Ne 94th St, Seattle, WA 98115-2752 | 2020-01-22 |
| 1366089369 | Gloria O Retuerma | Licensed Practical Nurse | 204 Ne 94th St, Seattle, WA 98115-2752 | 2019-12-09 |
| 1225670755 | Sound | Community Based Residential Treatment Facility, Mental Illness | 204 Ne 94th St, Seattle, WA 98115-2752 | 2019-10-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366079972 | Aaron Hui | Oral & Maxillofacial Surgery | 6222 Ne 74th Street Building 25, 2nd Floor, Seattle, WA 98115 | 2020-03-24 |
| 1396387346 | Catherine Erickson | Social Worker | 6527 - 21st Ave Ne, Suite 4, Seattle, WA 98115 | 2019-10-10 |
| 1275003857 | Margaret Ellen Haber | Social Worker | 2400 Ne 95th Street, Seattle, WA 98115 | 2018-11-27 |
| 1528584513 | Katharine Huntington Poinier | Registered Nurse | 8521 5th Avenue Ne, Seattle, WA 98115 | 2017-08-21 |
| 1750802229 | Cody David Pollock | Student in an Organized Health Care Education/Training Program | 1959 Northeast Pacific Street, Box 357115 University of Washington Medical Center, Seattle, WA 98115 | 2017-07-05 |
| 1144759416 | Amber Padron | Behavior Technician | 6537 Oswego Place Ne, Apt 8, Seattle, WA 98115 | 2017-06-08 |
| 1639603509 | Matthew Vanwinkle | Physical Therapist | 3290 Ne 65th Street, Unit 101, Seattle, WA 98115 | 2017-04-17 |
| 1538607650 | Karen Van Vuren | Registered Nurse | 204 Ne 94h St, Seattle, WA 98115 | 2017-02-09 |
| 1992251599 | Anders Kobbevik | Massage Therapist | 1200 Ne 65th Street, Seattle, WA 98115 | 2016-09-01 |
| 1295288181 | Brandon Marsicek | Counselor | 419 Ne 71st St Apt 407, Seattle, WA 98115 | 2016-07-27 |
| Find all providers in zip 98115 | ||||
| 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.