JENNIFER C CREASER (NPI# 1588772461) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588772461 |
| Entity Type | Individual |
| Full Name | JENNIFER C CREASER |
| Credential | ARNP |
| Practice Address |
1221 Highland Ave Clarkston WA 99403-2829 |
| Practice Telephone | 5097585511 |
| Practice Fax Number | 5092540083 |
| Mailing Telephone | 5097585511 |
| Mailing Fax Number | 5092540083 |
| Enumeration Date | 2006-08-29 |
| Last Update Date | 2015-08-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | NP1021A | ID | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363L00000X | Nurse Practitioner | AP30006968 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | LABOR & INDUSTRIES | 0270668 | 01 |
| ID | 1588772461 | 05 | |
| ID | BC/ID | NP733 | 01 |
| ID | RR MEDICARE | P00884066 | 01 |
| ID | REGENCE BLUESHIELD | 1588772461 | 01 |
| WA | 1014089 | 05 |
| Street Address |
1221 HIGHLAND AVE |
| City | CLARKSTON |
| State | WA |
| Zip Code | 99403-2829 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760485221 | Tri-state Memorial Hospital | General Acute Care Hospital | 1221 Highland Ave, Clarkston, WA 99403-2829 | 2005-05-27 |
| 1861011983 | Nicole Marie Bishop | Occupational Therapist | 1221 Highland Ave, Clarkston, WA 99403-2829 | 2020-04-09 |
| 1164939500 | Emily Katherine Hunt | Health Educator | 1221 Highland Ave, Clarkston, WA 99403-2829 | 2018-01-08 |
| 1831542331 | Jennifer Raykovich | Dietitian, Registered | 1221 Highland Ave, Clarkston, WA 99403-2829 | 2016-07-20 |
| 1477904282 | Leah Hart | Dietitian, Registered | 1221 Highland Ave, Clarkston, WA 99403-2829 | 2016-06-23 |
| 1295186195 | Chelsey Marie Woods | Dietitian, Registered | 1221 Highland Ave, Clarkston, WA 99403-2829 | 2016-06-22 |
| 1679923767 | Trudy Bly | Registered Nurse | 1221 Highland Ave, Clarkston, WA 99403-2829 | 2016-06-20 |
| 1568812808 | Jennifer Brooke Lind | Dietitian, Registered | 1221 Highland Ave, Clarkston, WA 99403-2829 | 2016-06-17 |
| 1265849152 | Claudia-denise Haivas | Internal Medicine | 1221 Highland Ave, Clarkston, WA 99403-2829 | 2014-07-13 |
| 1073955266 | Healing Wings International Pllc | Internal Medicine | 1221 Highland Ave, Clarkston, WA 99403-2829 | 2013-07-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306409669 | Jessica Elaine Krull | Specialist/Technologist | 807 3rd Street, Clarkston, WA 99403 | 2019-04-22 |
| 1477006526 | Idaho County Rideshare | Non-emergency Medical Transport (VAN) | 1470 Elm Street, Clarkston, WA 99403 | 2016-07-25 |
| 1679921340 | Jonathan Preszler | Counselor | 629 6th Street, Educational and Psychological Services, Clarkston, WA 99403 | 2016-06-02 |
| 1104204957 | Optimal Health and Wellness | Clinic/Center | 1267 Belmont Way, Clarkston, WA 99403 | 2015-05-13 |
| 1326456351 | David Nygren | Pharmacist | 506 5th St, Clarkston, WA 99403 | 2014-07-22 |
| 1255672895 | Alpowa Healthcare, Inc. | Hospice Care, Community Based | 1370 Bridge Street, Clarkston, WA 99403 | 2013-03-06 |
| 1265799407 | Elizabeth Bagnulo Dacey | Pathology | 1225 Highland Avenue, Clarkston, WA 99403 | 2012-04-12 |
| 1649586256 | Zeeshan Afzal | Internal Medicine | 1119 Highland Ave Ste 3, Clarkston, WA 99403 | 2010-08-20 |
| 1154657955 | Twin River Vision, Inc. | Optometrist | 306 5th Street, Clarkston, WA 99403 | 2009-10-29 |
| 1649429317 | Elizabeth Marie Allen-racicot | Specialist | 1013 Bridge Street, Clarkston, WA 99403 | 2008-09-17 |
| Find all providers in zip 99403 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114536232 | Suzanne Marie Lugger | Nurse Practitioner | 5028 Ridge Trl S, Clarkston, MI 48348-2180 | 2020-07-24 |
| 1487295531 | Mick Allen Brown | Nurse Practitioner | 1226 Highland Ave, Clarkston, WA 99403-2830 | 2019-09-30 |
| 1083978837 | Jennifer Lynn Nicholas | Nurse Practitioner | 1433 5th St, Clarkston, WA 99403-2714 | 2012-06-26 |
| 1275779308 | Danette Florene Hanson | Nurse Practitioner | 10350 Dartmouth Rd, Clarkston, MI 48348-2115 | 2008-12-18 |
| 1750405767 | Jennifer Altmiller Kaufman | Nurse Practitioner | 302 5th St, Ste 3, Clarkston, WA 99403 | 2007-03-16 |
| 1295840270 | Carol Chandler | Nurse Practitioner | 808 Port Dr, Clarkston, WA 99403-6009 | 2006-08-20 |
| 1427161751 | Eve Kehrer | Nurse Practitioner | 7192 N Main St, Clarkston, MI 48346-1571 | 2006-08-17 |
| 1639242597 | Kristie Koczenasz | Nurse Practitioner | 5701 Bow Pointe Dr, Suite 280, Clarkston, MI 48346-3198 | 2006-11-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417555871 | Katy Jane Kovari | Nurse Practitioner | 2118 N Ruby St, Spokane, WA 99207-5043 | 2020-10-16 |
| 1407454986 | Moore Healthcare Pllc | Nurse Practitioner | 1563 Hemlock Dr, Oak Harbor, WA 98277-3404 | 2020-10-15 |
| 1184222820 | Sidni Brianna Shoemaker | Nurse Practitioner | 4512 N Bessie Ln, Spokane, WA 99212-1793 | 2020-10-14 |
| 1073111902 | Hailey Marie Baker | Nurse Practitioner | 3055 112th Ave Ne Ste 201, Bellevue, WA 98004-2091 | 2020-10-13 |
| 1770180689 | Elizabeth Hague | Nurse Practitioner | 3690 London Loop Ne, Lacey, WA 98516-6401 | 2020-10-04 |
| 1629675699 | Jesse Ballard | Nurse Practitioner | 1410 N Samantha Rd, Liberty Lake, WA 99019-8626 | 2020-10-02 |
| 1316551286 | Jamie Joelle Finnerty | Nurse Practitioner | 910 W 5th Avenue, Suite #1000, Spokane, WA 99204-2902 | 2020-09-08 |
| 1629681523 | Sound Healthworks LLC | Nurse Practitioner | 28807 Redondo Shores Dr S, Des Moines, WA 98198-8243 | 2020-08-28 |
| 1306458328 | Geneva Paula Hoskins-dorsey | Nurse Practitioner | 11120 Ne 33rd Place, Suite 202, Bellevue, WA 98004 | 2020-08-20 |
| 1689285017 | Carmen Snypp | Nurse Practitioner | 3331 W Holyoke Ave, Spokane, WA 99208-4672 | 2020-08-10 |
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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.