AMY JO WESNER (NPI# 1679628689) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679628689 |
| Entity Type | Individual |
| Full Name | AMY JO WESNER |
| Credential | MA |
| Practice Address |
450 S Kitsap Blvd Ste 2600 Port Orchard WA 98366-3773 |
| Mailing Address |
5455 Almira Dr Se Bremerton WA 98311-8330 |
| Practice Telephone | 3604155868 |
| Practice Fax Number | 3604155872 |
| Mailing Telephone | 3603735031 |
| Enumeration Date | 2007-01-23 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
LH00007870 | WA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | KITSAP PHYSICIANS SERVICE | 91102010689 | 01 |
| Street Address |
450 S KITSAP BLVD STE 2600 |
| City | PORT ORCHARD |
| State | WA |
| Zip Code | 98366-3773 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922099696 | Melissa R Ottenbacher | Nurse Practitioner | 450 S Kitsap Blvd, Ste 2300, Port Orchard, WA 98366-3773 | 2005-11-02 |
| 1598129561 | Franciscan Medical Group | Emergency Medicine | 450 S Kitsap Blvd, Suite 100, Port Orchard, WA 98366-3773 | 2016-04-06 |
| 1619224771 | Maryam Mostaghni Yazdi | Nurse Practitioner | 450 S Kitsap Blvd, Suite 100, Port Orchard, WA 98366-3773 | 2012-08-08 |
| 1821396904 | Laboratory Corporation of America | Clinical Medical Laboratory | 450 S Kitsap Blvd, Ste 144, Port Orchard, WA 98366-3773 | 2011-03-14 |
| 1437314614 | Young-ki Paik | Internal Medicine | 450 S Kitsap Blvd, Suite 250, Port Orchard, WA 98366 | 2008-07-27 |
| 1568585693 | Olympic Surgical Associates | Registered Nurse | 450 S Kitsap Blvd, Ste. 2220, Port Orchard, WA 98366-3773 | 2007-04-06 |
| 1972646750 | George W Dannells | Counselor | 450 S Kitsap Blvd, Suite 2600, Port Orchard, WA 98366-3773 | 2007-02-14 |
| 1679613244 | Harrison Medical Center | Clinic/Center | 450 S Kitsap Blvd, Suite 100, Port Orchard, WA 98366-3773 | 2007-02-06 |
| 1710030952 | Thomas M Hansen | Nurse Practitioner | 450 S Kitsap Blvd, Suite 200, Port Orchard, WA 98366-3773 | 2007-01-19 |
| 1225123060 | Farrell's Health Centers, Inc | Pharmacy | 450 S Kitsap Blvd, #1800, Port Orchard, WA 98366-3773 | 2006-10-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003423302 | Teresa M Derouin | Speech-Language Pathologist | Harbor Speech Pathology, 463 Tremont St W Suite 110, Port Orchard, WA 98366 | 2020-09-30 |
| 1316591217 | Martin Medical Equipment LLC | Durable Medical Equipment & Medical Supplies | 8079 E Main Street, Suite 101, Port Orchard, WA 98366 | 2019-07-29 |
| 1952822660 | Kristian Thomas Workman Haskins | Hearing Instrument Specialist | 1328 Colchester Drive S.e., Port Orchard, WA 98366 | 2017-07-03 |
| 1013466929 | Jenna Olafson | Counselor | 414 Front St. N, Issaquah, WA 98366 | 2016-10-04 |
| 1063884534 | Laurine Burrer | Licensed Practical Nurse | 2874 Se Lund Ave, Port Orchard, WA 98366 | 2015-10-23 |
| 1346640836 | Karen Diane Thompson | Pharmacy Technician | 1800 Sidney Ave, Apt 1-201, Port Orchard, WA 98366 | 2014-09-03 |
| 1588912042 | Celeste Kyle Interrante | Physical Therapy Assistant | 2051 Pottery Ave., Port Orchard, WA 98366 | 2012-08-15 |
| 1013227339 | Christine Davis | Massage Therapist | 1800 Se Mile Hill Drive, Suite 150, Port Orchard, WA 98366 | 2010-10-20 |
| 1932421724 | Mary Jo Stump | Physical Therapy Assistant | 2051 Pottery Avenue, Port Orchard, WA 98366 | 2010-02-19 |
| 1669707626 | Shannon Mary Baurichter | Speech-Language Pathologist | 1230 Bay St, Port Orchard, WA 98366 | 2009-10-08 |
| Find all providers in zip 98366 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780203265 | New Leaf Mental Wellness Pllc | Counselor | 12139 Glenwood Rd Sw, Port Orchard, WA 98367-7756 | 2020-04-14 |
| 1518432905 | Harbor Counseling Pllc | Counselor | 1097 Sw Matrix Ln, Port Orchard, WA 98367 | 2018-10-11 |
| 1336519222 | Kirsten Tinglum Friedman | Counselor | 569 Division St, Suite F, Port Orchard, WA 98366-4600 | 2015-10-05 |
| 1578992947 | Nicole Fischer | Counselor | 2507 Se Mile Hill Dr Ste C-103, Port Orchard, WA 98366-3515 | 2013-11-06 |
| 1205180957 | Patricia Elena Mulligan | Counselor | 1616 Se Ellis Ct Ste 260, Port Orchard, WA 98367-8766 | 2012-11-02 |
| 1558653873 | William Todd Sadler | Counselor | 9880 Se Emerald Ct, Everyday Therapy, Port Orchard, WA 98367-9601 | 2011-05-04 |
| 1952549107 | Linda Lee West | Counselor | 3209 Sw Old Farm Rd, Port Orchard, WA 98367-9259 | 2009-01-27 |
| 1801044888 | Andrea Nicole Vincent | Counselor | 1616 Se Ellis Ct, Suite 290, Port Orchard, WA 98367-8765 | 2008-09-03 |
| 1194908897 | Michelle E. Alger | Counselor | 3965 Bethel Rd Se, Ste 1 #112, Port Orchard, WA 98366-1976 | 2007-12-17 |
| 1932305901 | Diane Lynn Phillips | Counselor | 1353 Yukon Harbor Rd Se, Port Orchard, WA 98366-8576 | 2007-06-26 |
| Find all providers in PORT ORCHARD | ||||
| City | PORT ORCHARD |
| Zip Code | 98366 |
Please comment or provide details below to improve the information on AMY JO WESNER.
| 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.