JESSIE KIM-DEOBALD (NPI# 1902902018) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1902902018 |
Entity Type | Individual |
Full Name | JESSIE KIM-DEOBALD |
Credential | MD |
Practice Address |
1530 N 115th St Suite 301 Seattle WA 98133-8411 |
Practice Telephone | 2063655000 |
Practice Fax Number | 2063655002 |
Mailing Telephone | 2063655000 |
Mailing Fax Number | 2063655002 |
Enumeration Date | 2006-09-15 |
Last Update Date | 2007-07-09 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 174400000X | Specialist | WA | Other Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
WA | 1093699 | 05 | |
WA | REGENCE RYDER NUMBER | 5355KI | 01 |
Street Address |
1530 N 115TH ST SUITE 301 |
City | SEATTLE |
State | WA |
Zip Code | 98133-8411 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922003896 | James C Coghlan | Family Medicine | 1530 N 115th St, Ste 303, Seattle, WA 98133-8411 | 2005-06-16 |
1407208176 | Pauline Lao | Nurse Practitioner | 1530 N 115th St, Suite 102, Seattle, WA 98133-8421 | 2016-07-06 |
1679982201 | Julia Vander Vegt | Nurse Practitioner | 1530 N 115th St, Suite 102, Seattle, WA 98133-8421 | 2014-08-07 |
1437418407 | Zhenia Physiotherapy LLC | Clinic/Center | 1530 N 115th St, Suite 302, Seattle, WA 98133-8421 | 2012-05-11 |
1770880155 | Healthy Beginnings Lactation | Registered Nurse | 1530 N 115th St, Suite 205a, Seattle, WA 98133-8421 | 2011-02-21 |
1609108042 | Seattle Internal Medicine, Pllc | Internal Medicine | 1530 N 115th St, Suite 104, Seattle, WA 98133-8421 | 2010-02-10 |
1659609642 | Sullivan Pulmonary Clinic Tr | Internal Medicine | 1530 N 115th St, Suite 107, Seattle, WA 98133-8421 | 2009-12-02 |
1689900524 | Lee Clinic Tr | Internal Medicine | 1530 N 115th St, Suite 104, Seattle, WA 98133-8421 | 2009-10-28 |
1538324694 | Sharel C Ongchin | Ophthalmology | 1530 N 115th St, Suite 105, Seattle, WA 98133-8421 | 2008-07-28 |
1316119977 | Theodore J Kapanjie Do Ps | Family Medicine | 1530 N 115th St, 302, Seattle, WA 98133-8421 | 2008-03-24 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891339388 | Marni Lynn Hanig | Occupational Therapist | 1900 N 170th St., Shoreline, WA 98133 | 2019-10-29 |
1871074807 | Minju Kim | Counselor | 14332 Burke Ave N, Seattle, WA 98133 | 2018-08-27 |
1821582941 | Hana Alema Misgina | Registered Nurse | 927 N 199th St, Shoreline, WA 98133 | 2018-06-21 |
1588177729 | Julie Benefiel | Pharmacist | 1536 N 115th St. Suite 100, Seattle, WA 98133 | 2017-11-09 |
1730607953 | Aurora Oaks, LLC | Skilled Nursing Facility | 16357 Aurora Avenue North, Shoreline, WA 98133 | 2017-09-08 |
1750801072 | Zoe Ana Cavnar-lewandowski | Counselor | 10700 Meridian Avenue N, Suite G-11, Seattle, WA 98133 | 2017-06-27 |
1851820211 | Adam Lee Gardner Sr. | Acupuncturist | 925 N 163rd Street, Unit B, Shoreline, WA 98133 | 2017-06-08 |
1376085209 | Pamela Ashby | Counselor | 2111 N. Northgateway, 212, Seattle, WA 98133 | 2016-11-09 |
1225584956 | General Dentistry | Dentist | 20109 Aurora Ave N, Ste D, Shoreline, WA 98133 | 2016-09-01 |
1144672668 | Aaron Neubauer | Behavioral Analyst | 13407 Greenwood Ave N, 216c, Seattle, WA 98133 | 2016-07-08 |
Find all providers in zip 98133 |
Taxonomy Code | 174400000X |
Grouping | Other Service Providers |
Classification | Specialist |
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477172963 | Gary W Bangs | Specialist | 325 9th Ave # Ms 359860, Seattle, WA 98104-2420 | 2020-04-14 |
1073153748 | Eric Vincent Currier | Specialist | 7218 Linden Ave. N., Seattle, WA 98103 | 2020-01-10 |
1447794391 | Ruth Aaronson | Specialist | 4636 E. Marginal Way, Seattle, WA 98134 | 2016-12-12 |
1386186807 | Kristin Jeanine Travis | Specialist | 8405 12th Ave S, Seattle, WA 98108-4418 | 2016-11-15 |
1700332186 | Dustin Eugene Taylor | Specialist | 9849 17th Ave Sw # 127, Seattle, WA 98106-2714 | 2016-08-26 |
1053865006 | Lifespan Biosciences | Specialist | 2401 4th Ave, Suite 900, Seattle, WA 98121-3419 | 2016-08-08 |
1699140426 | Trent L Tredway Md | Specialist | 901 Boren Ave Ste 600, Seattle, WA 98104-3596 | 2015-12-04 |
1467829226 | Elizabeth Terry | Specialist | 1601 N 52nd St, Seattle, WA 98103-6109 | 2015-08-27 |
1376929919 | Matthew Kory Grey | Specialist | 3001 Beacon Ave S, Seattle, WA 98144-5853 | 2015-08-05 |
1497130207 | Jaqulyn Nikole Carrell | Specialist | 3910 Montlake Blvd Ne, Seattle, WA 98195-0001 | 2015-07-22 |
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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.