JACOB ZOCCO (NPI# 1851910368) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851910368 |
| Entity Type | Individual |
| Full Name | JACOB ZOCCO |
| Practice Address |
2625 Wheaton Way Bremerton WA 98310-3371 |
| Practice Telephone | 3607922020 |
| Mailing Telephone | 3607922020 |
| Enumeration Date | 2020-04-14 |
| Last Update Date | 2020-04-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 175T00000X | Peer Specialist | CG61062419 | WA | Other Service Providers |
| Street Address |
2625 WHEATON WAY |
| City | BREMERTON |
| State | WA |
| Zip Code | 98310-3371 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861497729 | Wallace C Volz | Dentist | 2625 Wheaton Way, Ste D, Bremerton, WA 98310-3372 | 2005-06-16 |
| 1821567231 | Kathryn Ann Goins | Case Manager/Care Coordinator | 2625 Wheaton Way, Bremerton, WA 98310-3371 | 2018-11-14 |
| 1821563644 | Benjamin Cole Harriott | Counselor | 2625 Wheaton Way, Bremerton, WA 98310-3371 | 2018-10-08 |
| 1326522897 | Susan Denise Horton | Counselor | 2625 Wheaton Way, Bremerton, WA 98310-3371 | 2018-09-20 |
| 1013400688 | Amanda Lee Johnson | Case Manager/Care Coordinator | 2625 Wheaton Way, Bremerton, WA 98310-3371 | 2018-06-08 |
| 1760919443 | Abigail Smith | Counselor | 2625 Wheaton Way, Bremerton, WA 98310-3371 | 2017-05-12 |
| 1427580646 | Catholic Community Services of Western Washington | Clinic/Center | 2625 Wheaton Way, Suite B, Bremerton, WA 98310-3371 | 2017-03-28 |
| 1588056121 | Cassandra Michele Elowski | Counselor | 2625 Wheaton Way, Bremerton, WA 98310-3371 | 2015-02-18 |
| 1720228109 | Richelle L Jordan | Counselor | 2625 Wheaton Way, Bremerton, WA 98310-3371 | 2009-02-25 |
| 1578619409 | Renee G Miller | Counselor | 2625 Wheaton Way, Bremerton, WA 98310-3371 | 2007-01-25 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891333613 | Miss Mary Community Development | Voluntary or Charitable | 1630 Trenton Avenue Apt 10, Bremerton, WA 98310 | 2019-12-11 |
| 1629636055 | Puget Sound Work Injury Clinic, LLC | Clinic/Center | 812 Cherry Ct, Bremerton, WA 98310 | 2019-05-31 |
| 1538672530 | Rachel E Mittelstaedt Parsons | Dietitian, Registered | 3059 Viewcrest Dr Ne, Bremerton, WA 98310 | 2017-11-13 |
| 1356888937 | Sarah Hike | Community Health Worker | 900 Sheridan, Bremerton, WA 98310 | 2017-01-20 |
| 1073941142 | Hana Singer | Physical Therapy Assistant | 3600 Forest Dr Ne, Bremerton, WA 98310 | 2013-10-28 |
| 1447508122 | Kevin Lee Hathaway | Mechanotherapist | 3308 Veska Avenue, Bremerton, WA 98310 | 2012-08-28 |
| 1003163007 | James Hyun Soo Lee | Surgery | Cvn 76 Uss Ronald Reagan, Bremerton, WA 98310 | 2012-08-08 |
| 1487936241 | Karen S Casseday | Nurse Practitioner | 1740 Ne Riddell Rd Ste 110, Bremerton, WA 98310 | 2011-09-16 |
| 1740560572 | Lauren P Foresman | Physician Assistant | 2709 Hemlock Street, Bremerton, WA 98310 | 2011-08-24 |
| 1538390059 | Patricia L Rushon | Speech-Language Pathologist | 560 Lebo Blvd., Bremerton, WA 98310 | 2009-07-31 |
| Find all providers in zip 98310 | ||||
| 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 |
|---|---|---|---|---|
| 1407457500 | Jose Santos Robinett | Peer Specialist | 2625 Wheaton Way Ste B, Bremerton, WA 98310-3372 | 2020-11-04 |
| 1982203865 | Jamie Bodeutsch | Peer Specialist | 2625 Wheaton Way Ste B, Bremerton, WA 98310-3372 | 2020-10-21 |
| 1851916548 | Caleigh Johnson | Peer Specialist | 2625 Wheaton Way Ste B, Bremerton, WA 98310-3372 | 2020-06-09 |
| 1316571607 | Katrina Poplasky | Peer Specialist | 5455 Almira Dr Ne, Bremerton, WA 98311-8330 | 2020-02-26 |
| 1821628389 | Lisa Freeze | Peer Specialist | 5455 Almira Dr Ne, Bremerton, WA 98311-8330 | 2020-01-23 |
| 1639709223 | Derik Marshall | Peer Specialist | 5455 Almira Dr Ne, Bremerton, WA 98311-8330 | 2020-01-22 |
| 1811534894 | Elianna Nevia Lamadrid | Peer Specialist | 5455 Almira Dr Ne, Bremerton, WA 98311-8330 | 2019-12-09 |
| 1083182877 | Monica Glass | Peer Specialist | 5455 Almira Dr Ne, Bremerton, WA 98311-8330 | 2018-11-09 |
| 1376011163 | Ebony Moore | Peer Specialist | 5455 Almira Dr Ne, Bremerton, WA 98311-8330 | 2018-11-09 |
| 1073081931 | Melissa Spence | Peer Specialist | 5455 Almira Dr Ne, Bremerton, WA 98311-8330 | 2018-11-08 |
| Find all providers in BREMERTON | ||||
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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.