MS. JARRE L JARRETT (NPI# 1649313065) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649313065 |
| Entity Type | Individual |
| Full Name | MS. JARRE L JARRETT |
| Other Name | MS. ESTHER L JARRETT-THRESHER |
| Credential | PAC |
| Practice Address |
411 Summit Northport WA 99157 |
| Mailing Address |
411 Summit Po Box 178 Northport WA 99157 |
| Practice Telephone | 5097324252 |
| Practice Fax Number | 5097324318 |
| Mailing Telephone | 5097324252 |
| Mailing Fax Number | 5097324318 |
| Enumeration Date | 2007-02-15 |
| Last Update Date | 2007-07-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA10004544 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | LABOR & INDUSTRIES ID # | 0176704 | 01 |
| WA | 8376428 | 05 |
| Street Address |
411 SUMMIT |
| City | NORTHPORT |
| State | WA |
| Zip Code | 99157 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316994247 | New Health Programs Association | Clinic/Center | 411 Summit, Northport, WA 99157-0178 | 2006-05-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396173761 | Janet Lecture | Day Training/Habilitation Specialist | 3590 Highway 25 N, Northport, WA 99157 | 2013-10-23 |
| 1437183738 | Northport School District | Local Education Agency (LEA) | 404 10th Street, Northport, WA 99157 | 2006-07-10 |
| 1750421491 | Cheryl Bloxam | Massage Therapist | 411 Summit Ave, Northport, WA 99157-0483 | 2007-02-08 |
| 1528586500 | Tameika Renee Shackleford | Massage Therapist | 320 Center Ave, Suite C, Northport, WA 99157-9731 | 2017-08-30 |
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|---|---|---|---|---|
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| 1669070009 | Mae Rose Tyson | Speech-Language Pathologist | 3630 Northbrook Dr Ste D, Northport, AL 35473-5804 | 2020-10-16 |
| 1104432152 | Christopher Allen Jones | Military Health Care Provider | 14019 Firehouse Rd, Northport, AL 35475-3408 | 2020-09-16 |
| 1962017160 | Erin Guffey | Counselor | 12750 Mill Creek Dr, Northport, AL 35473-7882 | 2020-09-14 |
| 1457966087 | Tusk Mobility | Durable Medical Equipment & Medical Supplies | 1000 Union Chapel Rd E # 14, Northport, AL 35473-7615 | 2020-09-10 |
| 1164035341 | William M Colburn Dmd PC | Clinic/Center | 2810 20th Ave Ste A, Northport, AL 35476-3835 | 2020-08-26 |
| 1780295600 | Rose Michell Lebrun | Licensed Practical Nurse | 26 Jefferson Ave, Northport, NY 11768-3055 | 2020-08-13 |
| 1861002396 | Lacedric Crawford | Chore Provider | 13055 Garden Creek Lane, Northport, AL 35473 | 2020-08-10 |
| 1649880352 | Austin Thomas Stack | Physician Assistant | 15 Monroe St, Northport, NY 11768-1901 | 2020-08-06 |
| Find all providers in NORTHPORT | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427393644 | Elizabeth Rohan | Physician Assistant | 118 Cherry St, Northport, NY 11768-3116 | 2012-11-28 |
| 1891790085 | Jason Michael Ziter | Physician Assistant | 301 N Mill St, Northport, MI 49670-5009 | 2005-06-15 |
| 1891957932 | Donald Raymond Hoey | Physician Assistant | 79 Middleville Rd, Northport, NY 11768 | 2008-06-30 |
| 1316024755 | Ronald C Flood | Physician Assistant | 79 Middleville Rd, Northport, NY 11768-2200 | 2006-11-01 |
| 1073698858 | Va Medical Center | Physician Assistant | Va Medical Center, 79 Middleville Rd - Cardiology 111, Northport, NY 11768 | 2006-10-27 |
| 1518927680 | Caryn Ann Frohnhoefer | Physician Assistant | 79 Middleville Rd, Northport Va Medical Center, Northport, NY 11768-2200 | 2006-03-24 |
| 1518926526 | Frank Hail Serigano | Physician Assistant | 79 Middleville Rd, Northport Va Medical Center, Northport, NY 11768-2200 | 2006-03-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033735618 | Gavin Guard | Physician Assistant | 818 Mullis St Ste 6, Friday Harbor, WA 98250-7986 | 2020-06-19 |
| 1578110862 | Kaitlin E. Brotman | Physician Assistant | 315 Holton Ave Ste 100, Yakima, WA 98902-3245 | 2019-08-21 |
| 1700345196 | Kara Lynn Kime | Physician Assistant | 1200 Cooper Point Rd Sw Ste 100, Olympia, WA 98502-1172 | 2019-03-15 |
| 1679056824 | Katharine Loco-marshall | Physician Assistant | 4816 She-nah-num Drive, Olympia, WA 98513 | 2018-09-13 |
| 1841791274 | Sjs, Pllc | Physician Assistant | 900 Ocean Beach Hwy Ste B, Longview, WA 98632-4013 | 2018-02-21 |
| 1063928448 | Heidi April | Physician Assistant | 1410 N Pittsburgh St, Building A, Kennewick, WA 99336-8211 | 2017-12-20 |
| 1194251983 | Christopher Joseph Stanley | Physician Assistant | 1010 Ne Lilac St Apt 301, Issaquah, WA 98029-7878 | 2017-05-11 |
| 1366993362 | Vanessa Julie Iglesias Mehta | Physician Assistant | 5128 Yelm Hwy Se, Suite E, Lacey, WA 98503 | 2016-10-14 |
| 1801344601 | Jessica Ann Pettitt | Physician Assistant | 21200 Ne 190th Ct, Battle Ground, WA 98604-9636 | 2016-09-21 |
| 1407300098 | Joshua David Evans | Physician Assistant | 9040 Jackson Ave Mchj Clq C, Tacoma, WA 98431-1100 | 2016-08-11 |
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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.