MRS. JOSEPHINE VIRGEN (NPI# 1619444742) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619444742 |
| Entity Type | Individual |
| Full Name | MRS. JOSEPHINE VIRGEN |
| Other Name | MS. JOSEPHINE GUTIERREZ- MATA |
| Credential | CM 60705971 |
| Practice Address |
3300 Roosevelt Ave Yakima WA 98902-6344 |
| Practice Telephone | 5095711455 |
| Practice Fax Number | 5094699285 |
| Mailing Telephone | 5095711455 |
| Mailing Fax Number | 5094699285 |
| Enumeration Date | 2018-10-26 |
| Last Update Date | 2018-10-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
WA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 91-0755984 | 05 |
| Street Address |
3300 ROOSEVELT AVE |
| City | YAKIMA |
| State | WA |
| Zip Code | 98902-6344 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437555471 | Yakima Valley Council On Alcoholism | Substance Abuse Rehabilitation Facility | 3300 Roosevelt Ave, Yakima, WA 98902-6344 | 2014-11-18 |
| 1699337097 | Jessica Padilla | Counselor | 3300 Roosevelt Ave, Yakima, WA 98902-6344 | 2019-07-05 |
| 1992273320 | Danielle Hope Akins | Counselor | 3300 Roosevelt Ave, Yakima, WA 98902-6344 | 2018-11-03 |
| 1568930014 | Ashley Guisinger | Physician Assistant | 3300 Roosevelt Ave, Yakima, WA 98902-6344 | 2018-11-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922653203 | Laboratory Corporation of America | Clinical Medical Laboratory | 314 S 11th Ave Suite A, Yakima, WA 98902 | 2019-08-05 |
| 1669967865 | Rebecca Schrader | Speech-Language Pathologist | Children's Village 3801 Kern Road, Yakima, WA 98902 | 2018-06-29 |
| 1720572928 | Hyperbaric Centers of Washington | Preventive Medicine | 302 S. 12th Ave., Yakima, WA 98902 | 2018-06-20 |
| 1487155503 | Courtney Lombardi | Nurse Practitioner | 1515 W Yakima Ave, Yakima, WA 98902 | 2018-02-23 |
| 1003329665 | Maria-elena Mendoza | Case Manager/Care Coordinator | 918 E Mead Avenue, Yakima, WA 98902 | 2017-11-06 |
| 1679017610 | Claudia Zepeda | Massage Therapist | 3908 Creekside Loop Ste # 110, Yakima, WA 98902 | 2016-12-09 |
| 1093194425 | Silas Klaver | Podiatrist | 1607 Creekside Loop Ste 140, Yakima, WA 98902 | 2015-05-18 |
| 1821490905 | Jen Lynn Silver | Massage Therapist | 3512 Tieton Dr, Yakima, WA 98902 | 2014-09-20 |
| 1194131383 | Brenna Claire Hayes | Genetic Counselor, MS | 2903 W Walnut, Yakima, WA 98902 | 2014-07-08 |
| 1720400435 | Agnes Nadine Jeske | Speech-Language Pathologist | 621 S. 13th Ave., Mckinley Elementary School, Yakima, WA 98902 | 2014-01-15 |
| Find all providers in zip 98902 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578110862 | Kaitlin E. Brotman | Physician Assistant | 315 Holton Ave Ste 100, Yakima, WA 98902-3245 | 2019-08-21 |
| 1710173703 | Yakima Valley Dermatology Inc Ps | Physician Assistant | 506 N 40th Ave # 201, Yakima, WA 98908 | 2007-09-24 |
| 1538196654 | Gretchen A Kaizer | Physician Assistant | 406 S. 30th Ave, Suite 101, Yakima, WA 98902 | 2006-06-26 |
| 1649726852 | Salvador Lopez | Physician Assistant | 310 Holton Ave, Yakima, WA 98902-3208 | 2016-08-28 |
| 1649625963 | Zachary Ronald Grunig | Physician Assistant | 1110 N 35th Ave, Yakima, WA 98902-1622 | 2016-04-25 |
| 1164762621 | Daniel Mark Richmond | Physician Assistant | 602 E Nob Hill Blvd, Yakima, WA 98901-3534 | 2013-02-20 |
| 1538463252 | Wade Allen Holden | Physician Assistant | 3909 Creekside Loop Ste 115, Yakima, WA 98902-4880 | 2011-01-10 |
| 1396998001 | Coleen Foreman | Physician Assistant | 3003 Tieton Dr, Suite 200, Yakima, WA 98902-3679 | 2008-10-24 |
| 1124217583 | Bridget Bernice Albright | Physician Assistant | 602 E Nob Hill Blvd, Yakima, WA 98901-3534 | 2007-10-22 |
| 1003007279 | Jennifer Christi Williams | Physician Assistant | 602 E Nob Hill Blvd, Yakima, WA 98901-3534 | 2007-08-05 |
| Find all providers in YAKIMA | ||||
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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.