JESSICA ANN PARE (NPI# 1992875314) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992875314 |
| Entity Type | Individual |
| Full Name | JESSICA ANN PARE |
| Other Name | JESSICA ANN SHATTUCK |
| Credential | MPT, OCS |
| Practice Address |
510 8th Ave Ne Ste 340 Issaquah WA 98029-5449 |
| Mailing Address |
510 8th Ave Ne Ste 320 Issaquah WA 98029-5436 |
| Practice Telephone | 4253133051 |
| Practice Fax Number | 4253133055 |
| Mailing Telephone | 4253133051 |
| Mailing Fax Number | 4256253517 |
| Enumeration Date | 2006-11-09 |
| Last Update Date | 2020-10-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 225100000X | Physical Therapist | PT00009591 | WA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| N | 2251S0007X |
Physical Therapist Specialization: Sports |
PT00009591 | WA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Y | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
PT00009591 | WA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 1024073 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1750 112th Ave Ne, Suite E-175, Bellevue, WA 980043752 | 4252890381 | 4252890387 |
| Street Address |
510 8TH AVE NE STE 340 |
| City | ISSAQUAH |
| State | WA |
| Zip Code | 98029-5449 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508424920 | Cody F Davis | Physical Therapist | 510 8th Ave Ne Ste 340, Issaquah, WA 98029-5449 | 2019-05-31 |
| 1750853669 | Regina Marie Curfman Caruso | Occupational Therapist | 510 8th Ave Ne Ste 340, Issaquah, WA 98029-5449 | 2018-12-18 |
| 1285101642 | Jessinah J. Simas | Physical Therapist | 510 8th Ave Ne Ste 340, Issaquah, WA 98029-5449 | 2018-10-24 |
| 1134606817 | Sarah R Hager | Physical Therapist | 510 8th Ave Ne Ste 340, Issaquah, WA 98029-5449 | 2018-07-25 |
| 1356860902 | Lisa Cook | Physical Therapist | 510 8th Ave Ne Ste 340, Issaquah, WA 98029-5449 | 2017-09-14 |
| 1790161586 | Caitlin Marie Quinn | Physical Therapist | 510 8th Ave Ne Ste 340, Issaquah, WA 98029 | 2015-08-04 |
| 1356762793 | Elizabeth A. Jenson | Occupational Therapist | 510 8th Ave Ne Ste 340, Issaquah, WA 98029-5449 | 2014-01-03 |
| 1730440926 | Carol Astrid Chappelle | Occupational Therapist | 510 8th Ave Ne Ste 340, Issaquah, WA 98029-5449 | 2012-06-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134730161 | Katelyn Creech | Counselor | 1505 16th Lane Ne, Apt 404 Building O, Issaquah, WA 98029 | 2020-08-13 |
| 1326695438 | M Shoaib Haider Siddiqui | Dentist | Issaquah Modern Dentistry, 1416 Highlands Drie Ne, Suite 120, Issaquah, WA 98029 | 2019-08-22 |
| 1053885061 | Rose Osborne | Registered Nurse | 4580 Klahanie Dr Se #181, Sammamish, WA 98029 | 2019-01-14 |
| 1598260960 | Caryn Crosbie | Behavior Technician | 22526 Se 64th Place, Building D Suite 210, Issaquah, WA 98029 | 2018-03-28 |
| 1194110908 | May Y. Mar | Family Medicine | 5708 E. Lake Sammamish Pkwy Se, Issaquah, WA 98029 | 2015-03-30 |
| 1659765816 | Eastside Social Skills Therapy LLC | Preferred Provider Organization | 5436 232nd Ave Se, Issaquah, WA 98029 | 2015-03-26 |
| 1649513946 | Linda Scoppettone Knodel | Registered Nurse | 5303 231 Ave. Se, Issaquah, WA 98029 | 2013-04-04 |
| 1720323116 | Morley Slutsky | Preventive Medicine | 4580 Klahanie Dr. S.e.,#125, Issaquah, WA 98029 | 2012-12-11 |
| 1619248820 | Silas Dickenson Dudley | Dentist | 2520 Ne Park Dr, Suite C, Issaquah, WA 98029 | 2012-01-19 |
| 1659641678 | Cynthia J Creel | Technician/Technologist | 4580 Klahanie Dr. Se, #332, Issaquah, WA 98029 | 2012-01-06 |
| Find all providers in zip 98029 | ||||
| Taxonomy Code | 2251X0800X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Orthopedic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366925075 | Michael Westbrooks | Physical Therapist | 1445 Nw Mall St, Issaquah, WA 98027-7900 | 2018-09-09 |
| 1861912388 | Michael Jay Chen | Physical Therapist | 22500 Se 64th Pl Ste 115, Issaquah, WA 98027-8128 | 2017-06-26 |
| 1760675169 | James Geoffrey Ormiston | Physical Therapist | 450 Nw Gilman Blvd, Suite 106, Issaquah, WA 98027-2483 | 2007-08-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710585849 | Stephanie Marie Partington | Physical Therapist | 1901 Hoad Road, Mount Vernon, WA 98273 | 2020-10-12 |
| 1508475674 | Gretchen Stein | Physical Therapist | 17792 147th St Se # 1030, Monroe, WA 98272-1030 | 2020-07-24 |
| 1194358713 | Heather Salzer | Physical Therapist | 1610 Commercial Ave # 1-a, Anacortes, WA 98221-2275 | 2020-02-21 |
| 1851930721 | Arlene Mckinnon | Physical Therapist | 1506 14th St, Port Townsend, WA 98368-8502 | 2019-12-24 |
| 1457992273 | B3 Physical Therapy and Wellness, Pllc | Physical Therapist | 14510 49th Dr Se, Everett, WA 98208-8975 | 2019-10-02 |
| 1154883601 | Mariah Joy Tank | Physical Therapist | 5410 California Ave Sw # 101, Seattle, WA 98136-1562 | 2019-04-03 |
| 1912464918 | Coty Lee Thomas | Physical Therapist | 21525 Hwy 410 E Ste B, Bonney Lake, WA 98391-4101 | 2019-02-26 |
| 1295244887 | Gregory Lloyd | Physical Therapist | 1407 E 72nd St Ste A100, Tacoma, WA 98404-5906 | 2017-09-26 |
| 1457878035 | Sumner Specialized Physical Therapy, Pllc | Physical Therapist | 212 W Birch Ave, Colville, WA 99114-2440 | 2017-08-24 |
| 1538698915 | Ashlie Emert | Physical Therapist | 2901 3rd Ave Ste 350, Seattle, WA 98121-1031 | 2017-06-08 |
| Find all providers with the same taxonomy | ||||
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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.