MARYAM ROYA JALILI (NPI# 1033755699) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033755699 |
| Entity Type | Individual |
| Full Name | MARYAM ROYA JALILI |
| Credential | DNP-STUDENT |
| Practice Address |
12180 Park Ave S Tacoma Wa 98447 Tacoma WA 98447-0001 |
| Mailing Address |
1050 James St Unit 310 Seattle WA 98104-2493 |
| Practice Telephone | 2067906427 |
| Mailing Telephone | 2067906427 |
| Enumeration Date | 2019-11-19 |
| Last Update Date | 2019-11-19 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
60782030 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
12180 PARK AVE S TACOMA WA 98447 |
| City | TACOMA |
| State | WA |
| Zip Code | 98447-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336369594 | Sherwin Ferguson | Student in an Organized Health Care Education/Training Program | Pacififc Lutheran University, Student Health Center, Tacoma, WA 98447 | 2007-04-27 |
| 1912544941 | Laura Weeks | Student in an Organized Health Care Education/Training Program | 1010 122nd St S, Tacoma, WA 98447-0001 | 2019-12-10 |
| 1154967339 | Angela Kennedy | Student in an Organized Health Care Education/Training Program | 12180 Park Ave S Pacific Lutheran University, Tacoma, WA 98447-0001 | 2019-11-21 |
| 1598301038 | Ariel Carmichael | Registered Nurse | 12180 Park Ave S School of Nursing Ramstad 214, Tacoma, WA 98447-0001 | 2019-11-19 |
| 1336557784 | Anna Fukunaga | Specialist/Technologist | Pacific Lutheran University, Department of Athletics, Tacoma, WA 98447-0001 | 2014-07-29 |
| 1114241478 | Pacific Lutheran University | Clinic/Center | 12108 S Park Ave, Tacoma, WA 98447-0001 | 2010-03-16 |
| 1649415720 | Pacific Lutheran Univeristy Student Health Center | Health Maintenance Organization | Pacific Lutheran University Student Health Ctr, 12012 Park Ave South, Tacoma, WA 98447-0001 | 2008-12-03 |
| 1740442763 | Sue Ellen Weston | Dentist | 12108 Pacific Ave S G 10, Tacoma, WA 98447-0001 | 2008-07-01 |
| 1235356585 | Laurie M Rogers | Physician Assistant | Pacific Lutheran University Student Heatlh Ctr, Tacoma, WA 98447-0001 | 2007-04-19 |
| 1962627232 | Susana Doll | Student in an Organized Health Care Education/Training Program | 12108 Park Ave, Tacoma, WA 98447-0001 | 2007-04-13 |
| Find all providers in zip 98447 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255944278 | Alexis Leanne Snyder | Nurse Practitioner | 717 S 51st St, Tacoma, WA 98408-5710 | 2020-08-28 |
| 1003467127 | Salome Odja Dockendorf | Nurse Practitioner | 1201 Pacific Ave Ste 19501201, Tacoma, WA 98402-4301 | 2019-09-20 |
| 1962064469 | Latoya Tia Marie Veliz | Nurse Practitioner | 2621 170th Street Ct E, Tacoma, WA 98445-7328 | 2019-07-03 |
| 1033629571 | Matthew Alexander Watson | Nurse Practitioner | 9040 Jackson Ave Jay Clinic Jay Clinic, Tacoma, WA 98431-4712 | 2017-10-11 |
| 1396255972 | Julie Ann Sunada | Nurse Practitioner | 2505 S 38th St Ste 109, Tacoma, WA 98409 | 2017-10-09 |
| 1376081836 | Baby Nellie Tamayo | Nurse Practitioner | 10021 12th Ave S, Tacoma, WA 98444-4106 | 2017-02-05 |
| 1114323904 | Deanna Sheets | Nurse Practitioner | 911 Mil Park Ave, Tacoma, WA 98431 | 2014-11-06 |
| 1508273590 | Mallory Louise Pursley | Nurse Practitioner | 1608 South J Street, 3rd Floor, Tacoma, WA 98405 | 2014-07-22 |
| 1932539137 | Nandi Brumidge | Nurse Practitioner | 1498 Pacific Ave Ste 400, Tacoma, WA 98402-4208 | 2013-11-25 |
| 1679813109 | Stephanie Ann Cowan | Nurse Practitioner | 3209 S 23rd St Ste 350, Tacoma, WA 98405-1608 | 2013-02-20 |
| Find all providers in TACOMA | ||||
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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.