MRS. JESSICA D TATE (NPI# 1699174672) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699174672 |
| Entity Type | Individual |
| Full Name | MRS. JESSICA D TATE |
| Credential | PHARM.D. |
| Practice Address |
1115 13th St Snohomish WA 98290-2012 |
| Mailing Address |
325 Rhodora Heights Rd Lake Stevens WA 98258-9276 |
| Practice Telephone | 3605680548 |
| Mailing Telephone | 8187230615 |
| Enumeration Date | 2014-08-15 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | PH60473390 | WA | Pharmacy Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4025 Delridge Way Sw, #400, Seattle, WA 981061249 | 2067632626 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437697570 | Jessica Tate | Technician, Other | 41521 W 11 Mile, Novi, MI 58375 | 2017-02-09 |
| 1033739461 | Jessica Lauren Tate | Speech-Language Pathologist | 9733 Healthway Dr, Berlin, MD 21811-1156 | 2020-04-27 |
| 1295384147 | Jessica Tate | Psychologist | 6603 Irongate Sq, North Chesterfield, VA 23234-6081 | 2019-09-04 |
| 1972937894 | Jessica Tate | Counselor | 5410 N 44th St, Tacoma, WA 98407-3715 | 2013-08-27 |
| 1104267871 | Jessica R Tate | Pediatrics | 5153 N 9th Ave, 6th Floor Nemours, Pensacola, FL 32504-8785 | 2013-07-10 |
| 1932471737 | Jessica Keeler Tate | Physical Therapist | 20830 N Tatum Blvd, Suite 115, Phoenix, AZ 85050-7256 | 2012-02-08 |
| 1235416215 | Jessica G. Tate | Counselor | 501 Paladin Dr, Greenville, NC 27834-7826 | 2011-11-04 |
| 1255653499 | Jessica Madison Tate | Case Manager/Care Coordinator | 620 Gallatin Pike S, Madison, TN 37115-4013 | 2010-02-15 |
| 1811159536 | Jessica Amelia Tate | Psychiatry & Neurology | Medical Center Blvd, Winston Salem, NC 27157-0001 | 2008-06-25 |
| Street Address |
1115 13TH ST |
| City | SNOHOMISH |
| State | WA |
| Zip Code | 98290-2012 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073598553 | Scott Eric White | Pharmacist | 1115 13th St, Snohomish, WA 98290-2012 | 2005-12-07 |
| 1679755193 | Sumaiyabany Shaikh | Pharmacy Technician | 1115 13th St, Snohomish, WA 98290-2012 | 2007-11-27 |
| 1962683540 | Renee Virginia Thelen | Technician, Other | 1115 13th St, Snohomish, WA 98290-2012 | 2007-11-23 |
| 1184706772 | The Bartell Drug Co | Pharmacy | 1115 13th St, Snohomish, WA 98290-2012 | 2006-10-20 |
| 1578536371 | Marlo Marie White | Pharmacy Technician | 1115 13th St, Snohomish, WA 98290-2012 | 2006-02-10 |
| 1619955598 | Bartell Drugs | Pharmacy | 1115 13th St, Snohomish, WA 98290-2012 | 2006-01-02 |
| 1972588697 | Jennifer Michelle Jimenez | Pharmacist | 1115 13th St, Snohomish, WA 98290-2012 | 2005-12-15 |
| 1851376537 | Jane Y Wong | Pharmacist | 1115 13th St, Snohomish, WA 98290-2012 | 2005-12-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376185579 | Payton Helene Lewis | Massage Therapist | 1101 Ave D, C-106, Snohomish, WA 98290 | 2019-10-09 |
| 1225542921 | Pacifica Sl Snohomish | Assisted Living Facility | 1124 Pine Avenue, Snohomish, WA 98290 | 2017-11-17 |
| 1649781469 | Julia Miller | Behavioral Analyst | 2621 Bickford Ave Ste C, Snohomish, WA 98290 | 2017-10-19 |
| 1417315821 | Sherrie June Cooper | Speech-Language Pathologist | 1131 Silva Street, Snohomish, WA 98290 | 2016-02-01 |
| 1689067514 | Gladdie Altura | Speech-Language Pathologist | 12125 Chain Lake Rd, Snohomish, WA 98290 | 2015-03-17 |
| 1740618321 | Rebekah Joanne Oldenkamp | Naturopath | 110 Cedar Avenue, Suite 101, Snohomish, WA 98290 | 2013-10-17 |
| 1356779151 | Cassandra Hurd | Naturopath | 110 Cedar Ave Apt 101, Snohomish, WA 98290 | 2013-10-15 |
| 1982937801 | Elisa Madeline Chimienti | Massage Therapist | 1610 145th Ave. S.e., Snohomish, WA 98290 | 2009-09-10 |
| 1144452319 | Crystal L Blankinship | Counselor | 1830 Bickford Ave Ste 211, Snohomish, WA 98290 | 2009-08-20 |
| 1649417528 | Sondra Deschell | Reflexologist | 127 Ave A, Ste 2b, Snohomish, WA 98290 | 2009-01-14 |
| Find all providers in zip 98290 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205287919 | Shannon Duke | Pharmacist | 8409 41st St Se, Snohomish, WA 98290-5201 | 2016-06-23 |
| 1093078933 | Danielle Fay | Pharmacist | 17520 Sr 9, Snohomish, WA 98296-8320 | 2012-06-15 |
| 1134497241 | Stormie Person | Pharmacist | 17126 70th St Ne, Snohomish, WA 98290-6193 | 2011-12-03 |
| 1821215401 | Alissa L. O'connell | Pharmacist | 205 Pine Ave, Snohomish, WA 98290-2539 | 2007-04-18 |
| 1669566386 | Janet M Kusler | Pharmacist | 1030 Avenue D, Suite 2, Snohomish, WA 98290-2086 | 2006-10-03 |
| 1093819039 | Gretchen Adel Roberts | Pharmacist | 700 Avenue D, Snohomish, WA 98290-2333 | 2006-09-11 |
| 1699750380 | Maria Kamci | Pharmacist | 13709 45th Dr Se, Snohomish, WA 98296-7629 | 2005-12-14 |
| 1073598553 | Scott Eric White | Pharmacist | 1115 13th St, Snohomish, WA 98290-2012 | 2005-12-07 |
| 1376163352 | Olga Blyshchyk | Pharmacist | 205 Pine Ave, Snohomish, WA 98290-2539 | 2020-04-20 |
| 1144623166 | Ryan Malcom | Pharmacist | 700 Avenue D, Snohomish, WA 98290-2333 | 2014-10-04 |
| Find all providers in SNOHOMISH | ||||
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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.