JENNIFER ELLYN SOUDERS (NPI# 1922360940) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922360940 |
| Entity Type | Individual |
| Full Name | JENNIFER ELLYN SOUDERS |
| Credential | M.D. |
| Practice Address |
6808 220th St Sw North Start Place, Ste 201 Mountlake Terrace WA 98043-2187 |
| Mailing Address |
805 Madison St Suite 901 Seattle WA 98104-1172 |
| Practice Telephone | 4256406976 |
| Practice Fax Number | 4256406977 |
| Mailing Telephone | 2062648100 |
| Enumeration Date | 2012-06-14 |
| Last Update Date | 2016-07-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207L00000X | Anesthesiology | MD00029678 | WA | Allopathic & Osteopathic Physicians |
| Y | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
MD00029678 | WA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497815781 | Jennifer Anne Souders | Physical Therapist | 3210 Grey Hawk Ct, Carlsbad, CA 92010-6651 | 2006-12-09 |
| Street Address |
6808 220TH ST SW NORTH START PLACE, STE 201 |
| City | MOUNTLAKE TERRACE |
| State | WA |
| Zip Code | 98043-2187 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639176902 | Grace Chia-hua Chen | Physician Assistant | 6808 220th St Sw, Suite 201, Mountlake Terrace, WA 98043-2187 | 2005-07-01 |
| 1457891426 | Proliance Surgeons, Inc., P.s. | Clinic/Center | 6808 220th St Sw, Suite 100, Mountlake Terrace, WA 98043-2187 | 2017-02-24 |
| 1790186633 | Roman Antioquia | Specialist | 6808 220th St Sw, Suite 203, Mountlake Terrace, WA 98043-2187 | 2014-09-10 |
| 1184031007 | Samantha Smith | Specialist | 6808 220th St Sw, Suite 203, Mountlake Terrace, WA 98043-2187 | 2014-07-14 |
| 1760826374 | Lydia Miriam Lagrou | Specialist | 6808 220th St Sw, #203, Mountlake Terrace, WA 98043-2187 | 2013-04-25 |
| 1174861397 | Emily Brooke Brown | Massage Therapist | 6808 220th St Sw, #203, Mountlake Terrace, WA 98043-2187 | 2013-01-23 |
| 1861740847 | Robyn Ann Smith | Counselor | 6808 220th St Sw, # 204, Mountlake Terrace, WA 98043-2187 | 2012-08-22 |
| 1083982359 | Jessica Taylor Ralston | Massage Therapist | 6808 220th St Sw, Suite 203, Mountlake Terrace, WA 98043-2187 | 2011-12-01 |
| 1942583034 | Vantage Point Counseling | Social Worker | 6808 220th St Sw, Suite 204, Mountlake Terrace, WA 98043-2187 | 2011-09-24 |
| 1639458177 | Erin Andersen | Massage Therapist | 6808 220th St Sw, Mountlake Terrace, WA 98043-2187 | 2011-08-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538785357 | Maria Angelica Lopez | Counselor | 22815 Lakeview Dr Apt 'g' - 308, Mountlake Terrace, WA 98043 | 2020-06-17 |
| 1447891411 | Juana Antonia Hartley | Technician | 4808 221st St. Sw, Mountlake Terrace, WA 98043 | 2019-10-01 |
| 1437709961 | Jamil Vaughn Shoot | Acupuncturist | 21705 56th Ave W, Mount Lake Terrace, WA 98043 | 2019-09-17 |
| 1942709449 | Julie A Hill | Registered Nurse | 22001 44th Ave W, Mountlake Terrace, WA 98043 | 2018-02-09 |
| 1205285004 | Preeti Suryakumar | Occupational Therapist | 23008 56th Ave West, Vineyard Park At Mountlake Terrace, Mountlake Terrace, WA 98043 | 2016-06-13 |
| 1467819623 | Liisa Marlene Geyer | Social Worker | 6021 244th St Sw # 400, Mountlake Terrace, WA 98043 | 2016-01-19 |
| 1346611696 | Isaiah Johnson | Massage Therapist | 21604 66th Ave N, #a, Mountlake Terrace, WA 98043 | 2015-10-13 |
| 1417343260 | Sunanta Angela Astorga | Counselor | 6021 244th St Sw #400, Mountlake Terrace, WA 98043 | 2015-04-08 |
| 1366835746 | Teresa Antoinette White | Chiropractor | 6603 220th St. Sw Suite 100, Mountlake Terrace, WA 98043 | 2015-03-10 |
| 1508156647 | Monica Jean Scott | Massage Therapist | 23009-56 Ave W # B, Mountlake Terrace, WA 98043 | 2011-04-11 |
| Find all providers in zip 98043 | ||||
| Taxonomy Code | 207LP2900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| Specialization | Pain Medicine |
| An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578600672 | Northwest Pain Management Associates, Pllc | Anesthesiology | 6808 220th St Sw, Suite 201, Mountlake Terrace, WA 98043-2187 | 2007-01-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740822139 | Bellevue Pain and Wellness Pllc | Anesthesiology | 14550 Ne 29th Pl Ste 230, Bellevue, WA 98007-3630 | 2019-10-17 |
| 1659700730 | Washington Center for Pain Management LLC | Anesthesiology | 705 S 9th St Ste 102, Tacoma, WA 98405-4678 | 2013-11-08 |
| 1629332895 | North Cascade Pain Management Ps | Anesthesiology | 340 E George Hopper Rd, Suite #1, Burlington, WA 98233 | 2012-07-02 |
| 1396044947 | Mind Your Body Clinic Pllc | Anesthesiology | 6900 E Greenlake Way N, Suite J, Seattle, WA 98103 | 2011-03-22 |
| 1205163771 | Pacific Pain Specialists | Anesthesiology | 22510 Se 64th Place, Suite 120, Issaquan, WA 98027 | 2009-11-04 |
| 1528228103 | Jared Paul Wagner | Anesthesiology | 636 Valley Mall Pkwy Ste 5, Wenatchee, WA 98802-4898 | 2008-06-17 |
| 1053585802 | Jordan Graham Graybill | Anesthesiology | 920 Ne 112th Ave Ste 104, Vancouver, WA 98684 | 2008-04-14 |
| 1780754499 | T Daniel Dibble Md PC | Anesthesiology | 1117 North Evergreen Rd, Suite 2, Spokane, WA 99216-1138 | 2006-11-09 |
| 1508936212 | Timothy Daniel Dibble | Anesthesiology | 1117 N Evergreen Rd Ste 2, Spokane Valley, WA 99216-1138 | 2006-11-09 |
| 1053499608 | Kathy I-wen Wang | Anesthesiology | 1519 3rd St Se Ste 101, Puyallup, WA 98372-3742 | 2006-11-01 |
| Find all providers with the same taxonomy | ||||
| City | MOUNTLAKE TERRACE |
| Zip Code | 98043 |
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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.