JENNIFER KAY EICKSTADT (NPI# 1417259060) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417259060 |
| Entity Type | Individual |
| Full Name | JENNIFER KAY EICKSTADT |
| Credential | PA-C |
| Practice Address |
6002 N Lidgerwood St Spokane WA 99208-1124 |
| Practice Telephone | 5094824402 |
| Practice Fax Number | 5094825071 |
| Mailing Telephone | 5094824402 |
| Mailing Fax Number | 5094825071 |
| Enumeration Date | 2010-12-01 |
| Last Update Date | 2020-03-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
PA-880 | ID | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA60188676 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
6002 N LIDGERWOOD ST |
| City | SPOKANE |
| State | WA |
| Zip Code | 99208-1124 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376542613 | Mona L Rittenhouse | Physician Assistant | 6002 N Lidgerwood St, Spokane, WA 99208-1124 | 2005-07-19 |
| 1700345220 | Kelly Duris | Pharmacist | 6002 N Lidgerwood St, Spokane, WA 99208-1124 | 2019-03-14 |
| 1861815458 | Carla Hibbs | Pharmacy Technician | 6002 N Lidgerwood St, Spokane, WA 99208-1124 | 2014-02-02 |
| 1245674092 | Kelly Ann Hill | Family Medicine | 6002 N Lidgerwood St, Spokane, WA 99208-1124 | 2013-04-23 |
| 1871857995 | Angela M Eakin | Family Medicine | 6002 N Lidgerwood St, Spokane, WA 99208-1124 | 2012-07-03 |
| 1104117183 | Kaiser Foundation Health Plan of Washington | Clinic/Center | 6002 N Lidgerwood St, Spokane, WA 99208-1124 | 2011-04-26 |
| 1730408550 | Andrew John Lawson | Family Medicine | 6002 N Lidgerwood St, Spokane, WA 99208-1124 | 2010-05-18 |
| 1629102637 | Kaiser Foundation Health Plan of Washington | Pharmacy | 6002 N Lidgerwood St, Spokane, WA 99208-1124 | 2007-03-15 |
| 1881729531 | Michael J Sikora | Family Medicine | 6002 N Lidgerwood St, Spokane, WA 99208-1124 | 2007-02-22 |
| 1639214927 | Marianne K Busch | Nurse Practitioner | 6002 N Lidgerwood St, Spokane, WA 99208-1124 | 2007-02-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043787161 | Bonnie Rose Spencer | Social Worker | E 44 Cozza, Spokane, WA 99208 | 2018-10-26 |
| 1235617515 | Melissa Dawn Scholl | Massage Therapist | 906 E Country Hill Ct, Spokane, WA 99208 | 2018-07-30 |
| 1043706583 | Healthy Schools Washington, Pllc | Pediatrics | 1028 West Rosewood Ave, Spokane, WA 99208 | 2018-07-09 |
| 1467943720 | Simone Ferguson | Student in an Organized Health Care Education/Training Program | 7808 North Morton Avenue, Apt. # 675, Spokane, WA 99208 | 2018-05-22 |
| 1912496035 | Ascend Network Corp | Counselor | 3711 W Woodside, Spokane, WA 99208 | 2018-05-03 |
| 1023522216 | Cherrywood Place-spokane, LLC | Assisted Living Facility | 100 East Dalke Ave, Spokane, WA 99208 | 2017-11-27 |
| 1881118792 | Annie Kamau | Registered Nurse | 5920 W Lonewolf, Spokane, WA 99208 | 2017-08-01 |
| 1609303908 | Jeffery Anthony Glinski | Counselor | 3754 W. Indian Trail Rd., Spokane, WA 99208 | 2017-05-17 |
| 1487186938 | Mukhlis Azar | Physical Therapy Assistant | 305 E Sierra Ct, Spokane, WA 99208 | 2017-04-03 |
| 1154796241 | Daisy O'dell | Marriage & Family Therapist | 515 W. Francis Ave., Suite #8, Spokane, WA 99208 | 2015-12-01 |
| Find all providers in zip 99208 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104273648 | Grant Bursell | Physician Assistant | 5316 E Sumac Ln, Spokane, WA 99223-5090 | 2016-05-14 |
| 1881093904 | Jacob Gott | Physician Assistant | 122 W 7th Ave Ste 420, Spokane, WA 99204-2330 | 2014-08-14 |
| 1235215856 | Kurt D Fullmer | Physician Assistant | 406 E Rowan Ave, Suite200, Spokane, WA 99207-1243 | 2006-10-27 |
| 1689782740 | Lori Tschetter | Physician Assistant | 42 E Rowan Ave Ste A, Spokane, WA 99207-1212 | 2006-08-29 |
| 1316973498 | Daniel Ray Keele | Physician Assistant | 4815nwassembly, Spokane, WA 99205 | 2006-06-23 |
| 1386606093 | Kathleen Elizabeth Moudy | Physician Assistant | 9911 N Nevada St, Spokane, WA 99218-1298 | 2006-04-06 |
| 1750359154 | Terri J Roark | Physician Assistant | 911 W 5th Avenue, Spokane, WA 99204 | 2006-03-10 |
| 1942289392 | Mara Lea Geffken | Physician Assistant | 605 E Holland, Suite 218, Spokane, WA 99218-1246 | 2006-01-13 |
| 1285611665 | Amy M Gregg | Physician Assistant | 105 W 8th, Spokane, WA 99204-2304 | 2005-12-28 |
| 1215913850 | Marc A. Hawkins | Physician Assistant | 310 N Riverpoint Blvd Health Science Bldg #280-j, University of Washington Medex Nw Pa Program, Spokane, WA 99202 | 2005-12-15 |
| Find all providers in SPOKANE | ||||
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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.