JACLYN MAHLSTEDE (NPI# 1659610764) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659610764 |
| Entity Type | Individual |
| Full Name | JACLYN MAHLSTEDE |
| Credential | ARNP |
| Practice Address |
1135-116th Avenue Ne Suite 200 Bellevue WA 98004 |
| Mailing Address |
Ms 315010 Po Box 3947 Seattle WA 98124-3947 |
| Practice Telephone | 5203242160 |
| Practice Fax Number | 5203241460 |
| Mailing Telephone | 4254673655 |
| Mailing Fax Number | 4258356388 |
| Enumeration Date | 2013-02-08 |
| Last Update Date | 2020-05-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
AP60820546 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
60820546 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 2145072 | 05 | |
| AZ | 791187 | 05 |
| Street Address |
1135-116TH AVENUE NE SUITE 200 |
| City | BELLEVUE |
| State | WA |
| Zip Code | 98004 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093789703 | David W Nelson | Surgery | 1135-116th Avenue Ne, Suite 605, Bellevue, WA 98004 | 2006-02-17 |
| 1518417476 | Molly Beth Brownfield Hess | Physician Assistant | 1135-116th Avenue Ne, Suite 200, Bellevue, WA 98004 | 2016-10-04 |
| 1811386311 | Sarah Marie Skelly | Physician Assistant | 1135-116th Avenue Ne, Suite 605, Bellevue, WA 98004 | 2015-01-21 |
| 1699918169 | Ian R White | Colon & Rectal Surgery | 1135-116th Avenue Ne, Suite 550, Bellevue, WA 98004 | 2009-04-14 |
| 1275554446 | Joel R Wilson | Internal Medicine | 1135-116th Avenue Ne, Bellevue, WA 98004 | 2006-07-22 |
| 1699736579 | Thomas Morton Amidon | Internal Medicine | 1135-116th Avenue Ne, Suite 600, Bellevue, WA 98004 | 2006-03-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306458328 | Geneva Paula Hoskins-dorsey | Nurse Practitioner | 11120 Ne 33rd Place, Suite 202, Bellevue, WA 98004 | 2020-08-20 |
| 1720553613 | Christine Eyler | Pediatrics | Bellevue Pediatrics, C & C Medical Associates, 1940 116th Ave Ne, Ste 200, Bellevue, WA 98004 | 2018-10-08 |
| 1437634730 | Hazelden Betty Ford Foundation | Clinic/Center | 1231 116th Ave. Ne Suite 410, Bellevue, WA 98004 | 2018-10-02 |
| 1356827828 | Seattle Spine Group, Pllc | Orthopaedic Surgery | 1220 116th Ave Ne Ste 102, Bellevue, WA 98004 | 2018-07-17 |
| 1669989216 | Atsuko Nakajima | Acupuncturist | 2223 112th Ave. Ne, Ste 201, Bellevue, WA 98004 | 2018-01-04 |
| 1740794718 | Radka Chapin Counseling, LLC | Clinic/Center | 1611 116th Ave Ne Ste 119, Bellevue, WA 98004 | 2017-11-28 |
| 1962912105 | Cuyler Ann Simmons | Counselor | 3805 108th Ave Ne Ste 204, Bellevue, WA 98004 | 2017-10-02 |
| 1639690357 | Nicolas Lopez-montalvo | Behavioral Analyst | 3003 Northup Way Suite 200, Bellevue, WA 98004 | 2017-07-03 |
| 1124579537 | Matthew Thomas Haley | Pharmacist | 107 Bellevue Way, Se, Bellevue, WA 98004 | 2016-10-20 |
| 1649727348 | Kelsey Tanaka | Nurse Practitioner | 400- 108th Ave Ne, Suite 100, Bellevue, WA 98004 | 2016-09-10 |
| Find all providers in zip 98004 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922618750 | Sarah A Kampfer | Nurse Practitioner | 123 Gardner St, Bellevue, OH 44811-1811 | 2020-08-06 |
| 1386293660 | Kathryn Anderson | Nurse Practitioner | 14808 S 24th St, Bellevue, NE 68123-2003 | 2019-09-09 |
| 1265098610 | Yuzuo Zhang | Nurse Practitioner | 1020 108th Ave Ne Ste 19, Bellevue, WA 98004-4315 | 2019-05-11 |
| 1457819260 | Kathryn Kalmes | Nurse Practitioner | 15710 Ne 24th St Ste A, Bellevue, WA 98008-2444 | 2019-03-11 |
| 1487129243 | Pamela Sue Dorothea Cramer | Nurse Practitioner | 1265 W Main St Ste A, Bellevue, OH 44811-9055 | 2018-10-09 |
| 1841782257 | Kimberly Greene | Nurse Practitioner | 15600 Ne 8th St Ste A4, Bellevue, WA 98008-3917 | 2018-05-31 |
| 1588199053 | Hannah Ng | Nurse Practitioner | 1310 116th Ave Ne Ste A, Bellevue, WA 98004-3817 | 2017-04-21 |
| 1700325883 | Michelle Renae Peterson | Nurse Practitioner | 2529 Madison St, Bellevue, NE 68005-5366 | 2017-02-22 |
| 1740724988 | Amanda Spears | Nurse Practitioner | 413 Brinker St, Bellevue, OH 44811-1508 | 2016-12-07 |
| 1164976205 | Tatyana Melnik | Nurse Practitioner | 10610 Ne 9th Pl Unit 1900, Bellevue, WA 98004-8647 | 2016-08-06 |
| Find all providers in BELLEVUE | ||||
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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.