SUNSHINE JAY GRAHAM (NPI# 1053941658) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053941658 |
| Entity Type | Individual |
| Full Name | SUNSHINE JAY GRAHAM |
| Other Name | MARY ELIZABETH SUNSHINE GRAHAM |
| Credential | SUDPT |
| Practice Address |
2601 Summit Ave Everett WA 98201-3309 |
| Mailing Address |
Po Box 12598 Everett WA 98206-2598 |
| Practice Telephone | 4252582407 |
| Enumeration Date | 2020-01-22 |
| Last Update Date | 2020-01-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
CO61017529 | WA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | CO61017529 | 05 |
| Street Address |
2601 SUMMIT AVE |
| City | EVERETT |
| State | WA |
| Zip Code | 98201-3309 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205965159 | Evergreen Manor Detox | Substance Abuse Rehabilitation Facility | 2601 Summit Ave, Everett, WA 98201 | 2007-03-05 |
| 1023625266 | Jessica Marie Allen | Counselor | 2601 Summit Ave, Everett, WA 98201-3309 | 2020-09-30 |
| 1215542501 | Maya Elizabeth Caldwell Eleazer | Counselor | 2601 Summit Ave, Everett, WA 98201-3309 | 2020-09-13 |
| 1124645866 | Jill Marie Overton | Counselor | 2601 Summit Ave, Everett, WA 98201-3309 | 2020-06-29 |
| 1639798192 | Shante Monique Miller | Counselor | 2601 Summit Ave, Everett, WA 98201-3309 | 2020-04-14 |
| 1922638352 | Michelle Agnes Mcclory | Counselor | 2601 Summit Ave, Everett, WA 98201-3309 | 2020-01-24 |
| 1649828849 | Alexandra Rose Schmidt | Counselor | 2601 Summit Ave, Everett, WA 98201-3309 | 2019-08-30 |
| 1659932242 | Marie Emmanuelle Brown | Counselor | 2601 Summit Ave, Everett, WA 98201-3309 | 2019-06-24 |
| 1700440294 | Leslie Orr | Counselor | 2601 Summit Ave, Everett, WA 98201-3309 | 2019-04-30 |
| 1801359724 | Joanne Jones | Counselor | 2601 Summit Ave, Everett, WA 98201-3309 | 2019-04-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306471867 | Shannon Michelle Dewald | Registered Nurse | D8s 1700 13th St, Everett, WA 98201 | 2020-03-05 |
| 1578123113 | Precious Medicial Spa, LLC | Registered Nurse | 1728 W. Marine View Dr Suite 212, Everett, WA 98201 | 2019-06-17 |
| 1508429796 | Alix Deschain | Counselor | 2801 Broadway, Everett, WA 98201 | 2019-04-15 |
| 1811457534 | Khushboo Patel | Pharmacist | 1330 Rockefeller Ave Ste 150, Everett, WA 98201 | 2019-03-20 |
| 1164991188 | Grace Talbot Davis | Registered Nurse | 2601 Summit Avenue, Bldg. C, Everett, WA 98201 | 2018-11-20 |
| 1063924603 | Tracy Sisk | Counselor | 3120 Colby Ave, 502, Everett, WA 98201 | 2017-11-03 |
| 1710403126 | Michelle Durham | Counselor | 3322 Boadway Fl 2, Everett, WA 98201 | 2017-08-17 |
| 1861927949 | Melanie Schmidt | Counselor | 2610 Westmore Ave, Everett, WA 98201 | 2017-04-26 |
| 1518413327 | Joseph Madson Dmd Pllc | Clinic/Center | 3802 Colby Ave, 4th Floor, Everett, WA 98201 | 2016-08-31 |
| 1043683162 | Jennifer Adams | Counselor | 1511 26th St, Everett, WA 98201 | 2015-11-11 |
| Find all providers in zip 98201 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124664172 | Deidre Michelle Greene | Counselor | 13105 21st Dr Se Apt E307, Everett, WA 98208-7173 | 2019-11-25 |
| 1356859623 | Victor Cleveland | Counselor | 10315 19th Ave Se Ste 112, Everett, WA 98208-4268 | 2018-01-19 |
| 1386155893 | Kristin Zarrello | Counselor | 11008 20th Dr Se, Everett, WA 98208-5241 | 2017-10-24 |
| 1861927949 | Melanie Schmidt | Counselor | 2610 Westmore Ave, Everett, WA 98201 | 2017-04-26 |
| 1619401973 | David Alexander | Counselor | 10905 3rd Ave Se, Everett, WA 98208-7020 | 2017-04-13 |
| 1982152955 | Adekunbi Afusat Olukoya | Counselor | 8625 Evergreen Way Ste 108, Everett, WA 98208-2647 | 2016-09-19 |
| 1588012694 | Tammy J Laird | Counselor | 9300 Evergreen Way, Everett, WA 98204 | 2016-05-31 |
| 1902269418 | Clay Eakin | Counselor | 2732 Grand Evenue, Everett, WA 98208 | 2016-04-01 |
| 1891157798 | Pamela Hubbard | Counselor | 3501 Colby Ave Ste 105, Everett, WA 98201-4795 | 2016-03-22 |
| 1881052280 | Jolene Eva Janacek | Counselor | 1811 Mcdougall Ave, Everett, WA 98201-2456 | 2016-02-01 |
| Find all providers in EVERETT | ||||
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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.