MR. JESSE E DAVIS (NPI# 1649887548) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649887548 |
| Entity Type | Individual |
| Full Name | MR. JESSE E DAVIS |
| Credential | BS |
| Practice Address |
3512 Serene Way Lynnwood WA 98087-5202 |
| Practice Telephone | 4259315717 |
| Mailing Telephone | 4259315717 |
| Enumeration Date | 2020-09-25 |
| Last Update Date | 2020-09-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609418003 | Jesse Davis | Registered Nurse | 906 Rush Creek Dr, Allen, TX 75002-2309 | 2019-10-17 |
| 1386713782 | Jesse Davis | Counselor | 409 N Lincoln Way Apt 7, Galt, CA 95632-1651 | 2006-11-07 |
| 1326689860 | Jesse Davis | Nurse Practitioner | 830 S Gloster St, Tupelo, MS 38801-4934 | 2019-10-07 |
| 1427543602 | Jesse B Davis | Occupational Therapist | 313 Maccorkle Ave Sw, Charleston, WV 25303-1263 | 2018-06-29 |
| 1871090886 | Jesse Stewart Davis | Student in an Organized Health Care Education/Training Program | 2601 E Roosevelt St, Phoenix, AZ 85008-4973 | 2018-04-07 |
| 1811316276 | Jesse A Davis | Pediatrics | 1 Childrens Pl, Saint Louis, MO 63110 | 2014-04-14 |
| 1952723397 | Jesse Davis | Registered Nurse | 500 S University Ave, Ste 505, Little Rock, AR 72205-5302 | 2014-01-18 |
| 1861587370 | Jesse Davis | Chiropractor | 100 Cummings Center, Suite 101d, Beverly, MA 01915 | 2006-10-03 |
| 1245280726 | Jesse T Davis | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 3960 Knight Arnold Rd, Ste 115, Memphis, TN 38118-3035 | 2006-05-12 |
| Street Address |
3512 SERENE WAY |
| City | LYNNWOOD |
| State | WA |
| Zip Code | 98087-5202 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568022341 | Romina Kim | Behavioral Analyst | 14228 26th Ave W, Unit A, Lynnwood, WA 98087 | 2019-06-14 |
| 1710542048 | Dwight Hendricks | Massage Therapist | 2902 164th Street Sw, Suite D1, Lynnwood, WA 98087 | 2019-05-02 |
| 1134603822 | Pamela C Brown-seely | Counselor | 15914 44th Ave W, M-208, Lynnwood, WA 98087 | 2018-09-19 |
| 1699213678 | Kyra Ripley | Counselor | 13821 Beverly Park Rd, Lynnwood, WA 98087 | 2017-02-09 |
| 1144634411 | Gloria Orias | Contractor | 14421 Ash Way, Lynnwood, WA 98087 | 2014-06-16 |
| 1134548316 | Nguyen & Nguyen Dds, Pllc | Clinic/Center | 15620 Highway 99, Suite 4, Lynnwood, WA 98087 | 2014-04-15 |
| 1659526341 | Hee-jin Yang | Dentist | 1418 164th St Sw Ste 100, Lynnwood, WA 98087 | 2008-11-21 |
| 1972795342 | Linda Marie Bowen | Counselor | 1120 164th St Sw, Lynnwood, WA 98087 | 2007-08-09 |
| 1649475799 | Martha Lake Dental Center | Dentist | 1233 164th St Sw, Ste #h, Lynnwood, WA 98087 | 2007-06-19 |
| 1154532042 | Atlas Chiropractic Clinic, LLC | Chiropractor | 14608 Hwy 99 Suite309, Lynnwood, WA 98087 | 2007-05-24 |
| Find all providers in zip 98087 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205307451 | Laniel Cua | Physician Assistant | 19221 36th Ave W Ste 201, Lynnwood, WA 98036-5700 | 2018-12-16 |
| 1043725328 | Emily Louise Hutchins | Physician Assistant | 4111 194th St Sw, Lynnwood, WA 98036 | 2017-12-07 |
| 1679090260 | Karielle B Jewell | Physician Assistant | 20200 54th Ave W, Lynnwood, WA 98036-6318 | 2017-08-24 |
| 1518315472 | Lamont Andante Scott | Physician Assistant | 4111 194th St Sw, Lynnwood, WA 98036-4604 | 2016-06-01 |
| 1861869661 | Elysia Bethany Louise Andrews | Physician Assistant | 19020 33rd Ave W Ste 210, Lynnwood, WA 98036-4748 | 2015-08-27 |
| 1174906176 | Jennifer Wilson | Physician Assistant | 4111 194th St Sw, Lynnwood, WA 98036-4604 | 2015-07-08 |
| 1265859664 | Meghan Mosbo | Physician Assistant | 4111 194th St Sw, Lynnwood, WA 98036-4604 | 2014-03-24 |
| 1205265998 | Lindsay Moran | Physician Assistant | 4111 194th St Sw, Lynnwood, WA 98036-4604 | 2013-11-04 |
| 1245483569 | Michael Shane Siem | Physician Assistant | 19020 33rd Ave W Ste 210, Lynnwood, WA 98036-4748 | 2008-10-30 |
| 1548425309 | Jose Anthony Ruiz | Physician Assistant | 19020 33rd Ave W Ste 210, Lynnwood, WA 98036-4748 | 2008-07-22 |
| Find all providers in LYNNWOOD | ||||
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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.