JORDAN ADAMSON (NPI# 1609409788) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1609409788 |
Entity Type | Individual |
Full Name | JORDAN ADAMSON |
Practice Address |
5455 Almira Dr Ne Bremerton WA 98311-8330 |
Practice Telephone | 3603735031 |
Enumeration Date | 2020-02-18 |
Last Update Date | 2020-02-18 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 101Y00000X | Counselor | Behavioral Health & Social Service Providers | ||
Y | 175T00000X | Peer Specialist | Other Service Providers |
Street Address |
5455 ALMIRA DR NE |
City | BREMERTON |
State | WA |
Zip Code | 98311-8330 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447297353 | Brian Gilfeather | Psychiatry & Neurology | 5455 Almira Dr Ne, Bremerton, WA 98311-8330 | 2006-05-31 |
1366043606 | Olivia Skibba Clark | Case Manager/Care Coordinator | 5455 Almira Dr Ne, Bremerton, WA 98311-8330 | 2020-11-03 |
1336740687 | Leonard Michael Cline | Counselor | 5455 Almira Dr Ne, Bremerton, WA 98311-8330 | 2020-11-03 |
1154922409 | Robin Lee Dixon | Counselor | 5455 Almira Dr Ne, Bremerton, WA 98311-8330 | 2020-11-03 |
1366042681 | Rebecca Jane Shepard | Counselor | 5455 Almira Dr Ne, Bremerton, WA 98311-8330 | 2020-10-27 |
1790385011 | David Whitney Mercereau | Case Manager/Care Coordinator | 5455 Almira Dr Ne, Bremerton, WA 98311-8330 | 2020-10-27 |
1427657600 | Tina Louise Remillard | Social Worker | 5455 Almira Dr Ne, Bremerton, WA 98311-8330 | 2020-10-20 |
1124626601 | Rebecca Martin-dean | Student in an Organized Health Care Education/Training Program | 5455 Almira Dr Ne, Bremerton, WA 98311-8330 | 2020-10-15 |
1902403272 | Rose Njoroge | Counselor | 5455 Almira Dr Ne, Bremerton, WA 98311-8330 | 2020-10-08 |
1508463464 | Christiana Marie Bueno | Counselor | 5455 Almira Dr Ne, Bremerton, WA 98311-8330 | 2020-10-05 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811535420 | Naomi Arguelles | Counselor | 5455 Almira Drve Ne, Bremerton, WA 98311 | 2019-12-13 |
1306495775 | Audra Rose Kuoppala | Chiropractor | 5050 Wa State Hwy 303, Suite A101, Bremerton, WA 98311 | 2019-09-09 |
1891351888 | Amanda Olney Flint | Massage Therapist | 5050 Wa-303, A101, Bremerton, WA 98311 | 2019-05-15 |
1265995385 | Daniel Mcclough | Massage Therapist | 5050 Wa-303 A101, Bremerton, WA 98311 | 2019-04-08 |
1073032157 | Kingston Crossing Wellness Ps | Chiropractor | 5050 Hwy 303 Ne, Suite A 101, Bremerton, WA 98311 | 2017-09-11 |
1811252117 | Kayla Sue Kooker | Massage Therapist | 5050 State Hwy 303 Ne #a101, Bremerton, WA 98311 | 2012-07-12 |
1336458983 | Shannon Christine Stewart | Mechanotherapist | 1487 Dawn Rd. Ne, Bremerton, WA 98311 | 2010-09-30 |
1174779656 | Kimberly Ann Vickery | Specialist | 5060 Highway 303 Ne, Suite 103, Bremerton, WA 98311 | 2008-08-15 |
1790988228 | Cynthia Erickson | Specialist | 9125 Central Valley Rd., Bremerton, WA 98311 | 2007-06-11 |
1114132388 | Jennifer Ross Tanguay | Nurse Anesthetist, Certified Registered | 1275 Ne Franklin Ave Ste A, Bremerton, WA 98311 | 2007-05-11 |
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Taxonomy Code | 175T00000X |
Grouping | Other Service Providers |
Classification | Peer Specialist |
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. |
Notes: Source: National Uniform Claim Committee [7/1/2014: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407457500 | Jose Santos Robinett | Peer Specialist | 2625 Wheaton Way Ste B, Bremerton, WA 98310-3372 | 2020-11-04 |
1982203865 | Jamie Bodeutsch | Peer Specialist | 2625 Wheaton Way Ste B, Bremerton, WA 98310-3372 | 2020-10-21 |
1851916548 | Caleigh Johnson | Peer Specialist | 2625 Wheaton Way Ste B, Bremerton, WA 98310-3372 | 2020-06-09 |
1851910368 | Jacob Zocco | Peer Specialist | 2625 Wheaton Way, Bremerton, WA 98310-3371 | 2020-04-14 |
1316571607 | Katrina Poplasky | Peer Specialist | 5455 Almira Dr Ne, Bremerton, WA 98311-8330 | 2020-02-26 |
1821628389 | Lisa Freeze | Peer Specialist | 5455 Almira Dr Ne, Bremerton, WA 98311-8330 | 2020-01-23 |
1639709223 | Derik Marshall | Peer Specialist | 5455 Almira Dr Ne, Bremerton, WA 98311-8330 | 2020-01-22 |
1811534894 | Elianna Nevia Lamadrid | Peer Specialist | 5455 Almira Dr Ne, Bremerton, WA 98311-8330 | 2019-12-09 |
1083182877 | Monica Glass | Peer Specialist | 5455 Almira Dr Ne, Bremerton, WA 98311-8330 | 2018-11-09 |
1376011163 | Ebony Moore | Peer Specialist | 5455 Almira Dr Ne, Bremerton, WA 98311-8330 | 2018-11-09 |
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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.