JESSIE KIM-DEOBALD


Address: 1530 N 115th St, Suite 301, Seattle, WA 98133-8411
Phone: 2063655000

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 174400000X Specialist WA Other Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
WA 1093699 05
WA REGENCE RYDER NUMBER 5355KI 01

Office Location

Street Address 1530 N 115TH ST
SUITE 301
City SEATTLE
State WA
Zip Code 98133-8411

Providers in the same location

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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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 174400000X
Grouping Other Service Providers
Classification Specialist

Taxonomy Definition

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.

Providers in the same taxonomy and city

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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Competitor

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City SEATTLE
Zip Code 98133

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Dataset Information

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.

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