JESSICA PAIGE TUCKER (NPI# 1457797573) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457797573 |
| Entity Type | Individual |
| Full Name | JESSICA PAIGE TUCKER |
| Practice Address |
720 14th Avenue Longview WA 98632 |
| Mailing Address |
921 14th Avenue Longview WA 98632 |
| Practice Telephone | 3604230203 |
| Practice Fax Number | 3604235086 |
| Mailing Telephone | 3604230203 |
| Mailing Fax Number | 3605770269 |
| Enumeration Date | 2013-05-15 |
| Last Update Date | 2019-02-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
60558596 | WA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 2091935 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568084069 | Jessica Brianne Tucker | Social Worker | 408 Burlingham Rd, Bloomingburg, NY 12721-5007 | 2020-05-07 |
| 1083176853 | Jessica Tucker | Physical Therapy Assistant | 20 Dyer Brook Rd, Oakfield, ME 04763 | 2019-04-02 |
| 1740283001 | Jessica Tucker | Family Medicine | 114 Forte Rd, Stedman, NC 28391-8522 | 2005-05-31 |
| 1255941290 | Jessica Tucker | Case Manager/Care Coordinator | 575 E 100 S, Price, UT 84501-3102 | 2020-08-04 |
| 1508482324 | Jessica Tucker | Case Manager/Care Coordinator | 201 5th St Nw Unit 790, Watford City, ND 58854-7118 | 2020-06-17 |
| 1265057707 | Jessica Tucker | Counselor | 995 Helling Way, Nevada City, CA 95959-8619 | 2020-06-10 |
| 1982226080 | Jessica Tucker | Pharmacist | 5120 N May Ave, Oklahoma City, OK 73112-3504 | 2020-05-12 |
| 1790261386 | Jessica Tucker | Physician Assistant | 4700 Nelson Brogdon Blvd Ste 250, Buford, GA 30518-5403 | 2018-07-17 |
| 1265935290 | Jessica Tucker | Behavior Technician | 2354 Powell St Ste A, Emeryville, CA 94608-1738 | 2018-03-15 |
| 1225545163 | Jessica Yvette Tucker | Nurse Practitioner | 1493 Highway 17, Camden, MS 39045-9524 | 2017-12-31 |
| Street Address |
720 14TH AVENUE |
| City | LONGVIEW |
| State | WA |
| Zip Code | 98632 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487659579 | Columbia Wellness | Community/Behavioral Health | 720 14th Avenue, Longview, WA 98632-2316 | 2005-06-16 |
| 1558827022 | Lindsey Richards | Registered Nurse | 720 14th Avenue, Longview, WA 98632 | 2019-02-20 |
| 1699247908 | Pema Kunsang | Registered Nurse | 720 14th Avenue, Longview, WA 98632 | 2018-12-27 |
| 1790255743 | Catherine Genevieve Delaney | Counselor | 720 14th Avenue, Longview, WA 98632 | 2018-12-03 |
| 1811472277 | Kimberly Lake | Counselor | 720 14th Avenue, Longview, WA 98632 | 2018-10-01 |
| 1447735360 | Carol M Vogel | Counselor | 720 14th Avenue, Longview, WA 98632 | 2018-09-26 |
| 1730676701 | Jacey Clark | Counselor | 720 14th Avenue, Longview, WA 98632 | 2018-04-16 |
| 1972090975 | Christie Kemp | Counselor | 720 14th Avenue, Longview, WA 98632 | 2018-04-16 |
| 1417450560 | Emily Seaman | Counselor | 720 14th Avenue, Longview, WA 98632 | 2018-03-15 |
| 1205346707 | Josh Ipock | Counselor | 720 14th Avenue, Longview, WA 98632 | 2017-10-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851992366 | Honor Senior Care LLC | Home Health Aide | 1135 3rd Ave, Ste S101, Longview, WA 98632 | 2020-11-03 |
| 1417416728 | Sam Wise | Dentist | 1538 11th Ave Lowr Columbia, Longview, WA 98632 | 2019-03-16 |
| 1053870717 | Matthew Johnson | Physician Assistant | 900 Ocean Beach Hwy Ste 110, Longview, WA 98632 | 2019-03-12 |
| 1295205367 | Abid Valji | Occupational Therapist | Americana Health and Rehabilitation Center, 917 7th Ave, Longview, WA 98632 | 2018-11-30 |
| 1184106437 | Peacehealth | Durable Medical Equipment & Medical Supplies | Triangle Mall Suite 16 1015 Ocean Beach Hwy, Longview, WA 98632 | 2018-09-04 |
| 1982186318 | Linda Joan Mason | Licensed Practical Nurse | 1153 23rd Ave, Longview, WA 98632 | 2018-09-01 |
| 1891291910 | Ellen Sumner Hornbeak | Physical Therapist | 200 Triangle Shopping Ctr Ste 270, Longview, WA 98632 | 2018-04-05 |
| 1700399961 | Johnna Joyce Knapp | Speech-Language Pathologist | 2615 Lilac St, Longview, WA 98632 | 2017-11-09 |
| 1841711868 | Deborah Annette Burzynski | Registered Nurse | 1057 12th Avenue, Longview, WA 98632 | 2017-06-29 |
| 1598291122 | Cheyenne West | Counselor | 1616 10th Avenue, Longview, WA 98632 | 2017-05-02 |
| Find all providers in zip 98632 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619530045 | Wynell Lealynne Lamoreaux | Counselor | 1338 Commerce Ave Ste 8, Longview, WA 98632-3732 | 2019-04-22 |
| 1831667542 | Ricky Ferguson | Counselor | 3032 N Eastman Rd Ste 102, Longview, TX 75605-5044 | 2018-11-12 |
| 1134694060 | Claire Hunter | Counselor | 5940 Chisom Rd, Longview, TX 75605-6407 | 2018-10-08 |
| 1447758222 | Karen Elizabeth Frederick | Counselor | 260 Sugar Creek Ln, Longview, TX 75605-6750 | 2018-01-26 |
| 1215465570 | Melanie Diana Randolph | Counselor | 1402 Broadway St Ste 207, Longview, WA 98632-3714 | 2017-05-31 |
| 1891183414 | John Hancock | Counselor | 1405 Cypress St, Longview, WA 98632-1533 | 2015-01-05 |
| 1063787216 | David Alden Pulliam | Counselor | 1055 9th Ave # A, Longview, WA 98632-2662 | 2012-03-20 |
| 1922384197 | Amanda Christine Joyce | Counselor | 720 14th Ave., Longview, WA 98632 | 2011-11-01 |
| 1902101108 | The Veta Lewis Behavioral Health Group | Counselor | 1800 S. Judson St., Suite 100, Longview, TX 75605 | 2011-01-19 |
| 1477785541 | Katherine Lora Blackstone Allen | Counselor | 748 14th Avenue, Longview, WA 98632 | 2009-08-21 |
| Find all providers in LONGVIEW | ||||
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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.