JONATHAN MACK WINDLE (NPI# 1679071518) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679071518 |
| Entity Type | Individual |
| Full Name | JONATHAN MACK WINDLE |
| Credential | CPC |
| Practice Address |
10710 Mukilteo Speedway Mukilteo WA 98275-5021 |
| Mailing Address |
500 Sw Camano Dr Camano Island WA 98282-7540 |
| Practice Telephone | 4253498888 |
| Mailing Telephone | 4255205637 |
| Enumeration Date | 2018-01-25 |
| Last Update Date | 2018-01-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 175T00000X | Peer Specialist | WA | Other Service Providers |
| Street Address |
10710 MUKILTEO SPEEDWAY |
| City | MUKILTEO |
| State | WA |
| Zip Code | 98275-5021 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699887174 | Aaron G. Robins | Counselor | 10710 Mukilteo Speedway, Mukilteo, WA 98275-5021 | 2006-08-31 |
| 1568075455 | Megan Rey Devlin | Behavior Technician | 10710 Mukilteo Speedway, Mukilteo, WA 98275-5021 | 2020-08-28 |
| 1760095160 | Stacia Kay Rapp | Licensed Psychiatric Technician | 10710 Mukilteo Speedway, Mukilteo, WA 98275-5021 | 2020-08-25 |
| 1013564434 | Jenelle Jagnow | Behavior Technician | 10710 Mukilteo Speedway, Mukilteo, WA 98275-5021 | 2019-08-20 |
| 1528613916 | Rachel Anne Kinney | Licensed Practical Nurse | 10710 Mukilteo Speedway, Mukilteo, WA 98275-5021 | 2019-08-02 |
| 1720640428 | Cassandra Castro | Registered Nurse | 10710 Mukilteo Speedway, Mukilteo, WA 98275-5021 | 2019-07-02 |
| 1780245365 | Kristie Lashae Eskridge | Registered Nurse | 10710 Mukilteo Speedway, Mukilteo, WA 98275-5021 | 2019-06-25 |
| 1144889437 | Simerjit Kaur | Nurse's Aide | 10710 Mukilteo Speedway, Mukilteo, WA 98275-5021 | 2019-06-10 |
| 1376100537 | Samantha Goldsmith | Behavior Technician | 10710 Mukilteo Speedway, Mukilteo, WA 98275-5021 | 2019-05-23 |
| 1851956379 | Jennifer N Mbugua | Registered Nurse | 10710 Mukilteo Speedway, Mukilteo, WA 98275-5021 | 2019-05-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477030245 | Brandon Eugene Moore | Social Worker | 12303 Cyrus Way, Suite 107, Mukilteo, WA 98275 | 2018-07-25 |
| 1407349962 | Cascade Endocrinology Pllc | Internal Medicine | 8423 Mukilteo Spdwy Ste 102, Mukilteo, WA 98275 | 2018-06-10 |
| 1780059899 | Jamie Kowatch | Dietitian, Registered | 8423 Mukilteo Speedway Ste 102, Mukilteo, WA 98275 | 2015-12-01 |
| 1225479025 | Helen Ra | Pharmacist | 5600 Harbour Pointe Blvd., Unit 1-105, Mukilteo, WA 98275 | 2013-07-10 |
| 1861731333 | Lynn Sharon Schmidt | Physical Therapist | 10520 Harbour Pointe Blvd, Columbia Elementary School - Msd #6, Mukilteo, WA 98275 | 2013-02-04 |
| 1023318326 | Hillary E Hofstaedter | Registered Nurse | 10710 Mukilteo Speedway # 67, Mukilteo, WA 98275 | 2010-11-02 |
| 1528371416 | Zita Molnar Fekete | Counselor | 4460 73rd Pl Sw, Mukilteo, WA 98275 | 2010-07-20 |
| 1497900609 | Heidi S. Rendall | Family Medicine | 8227 44th Ave W., Ste E, Mukilteo, WA 98275 | 2008-12-02 |
| 1558583609 | Ana B Rountree | Physician Assistant | 10710 Mukilteo Spdwy, Mukilteo, WA 98275 | 2007-05-02 |
| 1376769752 | Wahid Elbahr | Dentist | 12121 Harbour Reach Dr., Ste 210, Mukilteo, WA 98275 | 2007-04-17 |
| Find all providers in zip 98275 | ||||
| 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 |
|---|---|---|---|---|
| 1720551401 | Jeffrey Kirby | Peer Specialist | 10710 Mukilteo Speedway, Mukilteo, WA 98275-5021 | 2019-01-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992304703 | Corina Thornton | Peer Specialist | Arrow Lakes Street, Nespelem, WA 99155-0304 | 2020-10-22 |
| 1578161402 | Yavonnie Leslie Griggs | Peer Specialist | 3285 Ferguson Ln Sw, Tumwater, Wa 98512, Tumwater, WA 98512 | 2020-10-13 |
| 1306454061 | Ashley D Vinson-harris | Peer Specialist | 116 S 339th Cir, Federal Way, WA 98003-4537 | 2020-07-20 |
| 1184240301 | Aleric Hughes | Peer Specialist | 1200 Sw Holden St, Seattle, WA 98106-2054 | 2020-06-23 |
| 1013533876 | Alyssa Camille Meaker | Peer Specialist | 4350 Cordata Pkwy Ste 220, Bellingham, WA 98226-8278 | 2020-06-17 |
| 1134741424 | Tara Lin Garcia | Peer Specialist | 4256 Federal Avenue, Everett, WA 98203 | 2020-05-11 |
| 1558982058 | Edward Thomas Gollihugh | Peer Specialist | 721 Fawcett Ave Ste 204, Tacoma, WA 98402-5502 | 2020-05-06 |
| 1295356483 | Yvette Marie Sampson | Peer Specialist | Josephinum C/o Crew, 1902 2nd Ave., Seattle, WA 98101 | 2020-04-29 |
| 1043856123 | Jayde Wailani Albright | Peer Specialist | 5920 N Calispel St, Spokane, WA 99205-6214 | 2019-11-23 |
| 1033755244 | Willapa Behavioral Health | Peer Specialist | 2204 Pacific Ave. N., Long Beach, WA 98631 | 2019-11-22 |
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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.