JAIME SPARKS (NPI# 1578042651) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578042651 |
| Entity Type | Individual |
| Full Name | JAIME SPARKS |
| Other Name | JAIME CARLSON |
| Credential | CDPT |
| Practice Address |
2708 Westmoor Ct Sw Olympia WA 98502-5754 |
| Mailing Address |
271 E Balmoral Way Shelton WA 98584-8598 |
| Practice Telephone | 3609438810 |
| Enumeration Date | 2018-08-09 |
| Last Update Date | 2018-08-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
CO60742749 | WA | Behavioral Health & Social Service Providers |
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | WASHINGTON STATE DEPT OF HEALTH | CO60742749 | 01 |
| Street Address |
2708 WESTMOOR CT SW |
| City | OLYMPIA |
| State | WA |
| Zip Code | 98502-5754 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457410391 | Duane Thomas Price | Counselor | 2708 Westmoor Ct Sw, Olympia, WA 98502-5754 | 2006-12-06 |
| 1306471040 | Gabriela Santiago | Counselor | 2708 Westmoor Ct Sw, Olympia, WA 98502-5754 | 2020-03-03 |
| 1285119164 | Jackie A Lopez | Marriage & Family Therapist | 2708 Westmoor Ct Sw, Olympia, WA 98502-5754 | 2018-09-26 |
| 1790277242 | Jessica Anne Donyes | Counselor | 2708 Westmoor Ct Sw, Olympia, WA 98502-5754 | 2018-05-31 |
| 1770084832 | Mark Anthony Goebel | Counselor | 2708 Westmoor Ct Sw, Olympia, WA 98502-5754 | 2018-02-23 |
| 1962934125 | Joshua Alan Black | Counselor | 2708 Westmoor Ct Sw, Olympia, WA 98502-5754 | 2017-03-28 |
| 1689110678 | Jenna Lynn Cook | Counselor | 2708 Westmoor Ct Sw, Olympia, WA 98502-5754 | 2017-01-13 |
| 1851847206 | Sandra Kozlowski | Counselor | 2708 Westmoor Ct Sw, Olympia, WA 98502-5754 | 2016-08-26 |
| 1992166482 | Nicole Elya Vela | Counselor | 2708 Westmoor Ct Sw, Olympia, WA 98502-5754 | 2016-03-11 |
| 1669833281 | Jami Lynn Lott | Counselor | 2708 Westmoor Ct Sw, Olympia, WA 98502-5754 | 2016-03-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801409172 | Fanny Cordero | Interpreter | 1415 4th Ave W, Olympia, WA 98502 | 2020-08-26 |
| 1235762832 | Accessible Living Physical Therapy | Clinic/Center | 3524 7th Ave Se, Olympia, WA 98502 | 2020-02-21 |
| 1548807738 | Kaiser Foundation Health Plan of Washington | Pharmacy | 1200 Cooper Point Road Sw, Suite 100, Olympia, WA 98502 | 2019-12-06 |
| 1851946388 | Katherine Ann Vitela | Registered Nurse | 4909 Green Wood Dr Sw, Olympia, WA 98502 | 2019-08-01 |
| 1538632658 | Carmen Rae Breding | Massage Therapist | 2627 Capital Mall Dr Se, Olympia, WA 98502 | 2019-01-11 |
| 1285129155 | Fook Yee Cheung | Genetic Counselor, MS | 2010 Caton Way Sw Ste 102, Olympia, WA 98502 | 2018-06-24 |
| 1942724158 | William Coburn | Specialist/Technologist | 703 Lilly Road Ne, Suite 104, Olympia, WA 98502 | 2017-07-29 |
| 1225567415 | Thierry Buckner | Counselor | 2400 Bristol Court Sw, Olympia, WA 98502 | 2017-06-09 |
| 1619406048 | Trenton Reid | Massage Therapist | 2103 Harrison Ave Nw #2642, Olympia, WA 98502 | 2017-06-08 |
| 1962807305 | Richa Mehta | Dentist | 1530 Black Lake Boulevard, Suite A103, Olympia, WA 98502 | 2014-10-28 |
| Find all providers in zip 98502 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689291163 | Rachel E Freer | Counselor | 3222 Friendly Grove Rd Ne, Olympia, WA 98506-2940 | 2020-06-30 |
| 1144854332 | Lisa Lorraine Gaul | Counselor | 1905 4th Ave E Ste B, Olympia, WA 98506-4631 | 2020-02-26 |
| 1083244644 | Audrey Jane Bengtson | Counselor | 3773 Martin Way E Ste 107, Olympia, WA 98506-4400 | 2020-01-23 |
| 1396385357 | Cecilia Chavez | Counselor | 1820 Ashwood Downs Ln Se Apt 315, Olympia, WA 98501-7664 | 2020-01-08 |
| 1376055947 | Ashleigh L Clark | Counselor | 11702 Yelm Hwy Se, Olympia, WA 98513-9109 | 2017-11-03 |
| 1225567415 | Thierry Buckner | Counselor | 2400 Bristol Court Sw, Olympia, WA 98502 | 2017-06-09 |
| 1609301381 | Petya Pacheva | Counselor | 2401 Bristol Ct Sw Ste D101, Olympia, WA 98502-6037 | 2017-05-01 |
| 1215380787 | Alicia Rose | Counselor | 3773 Martin Way E Ste 105a, Olympia, WA 98506-5048 | 2016-07-19 |
| 1154770188 | Amelia Sohler | Counselor | 5326 80th Ave Sw, Olympia, WA 98512-2358 | 2016-06-09 |
| 1164870267 | Kelly Knittle | Counselor | 4820 She-nah-num Dr. Se, Olympia, WA 98520 | 2016-05-31 |
| Find all providers in OLYMPIA | ||||
Please comment or provide details below to improve the information on JAIME SPARKS.
| 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.