JENNIFER STAMBAUGH (NPI# 1114455888) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114455888 |
| Entity Type | Individual |
| Full Name | JENNIFER STAMBAUGH |
| Practice Address |
4245 Roosevelt Way Ne Seattle WA 98105-6008 |
| Mailing Address |
Po Box 50095 Seattle WA 98145-5095 |
| Practice Telephone | 2065984288 |
| Mailing Telephone | 2065205700 |
| Enumeration Date | 2017-05-25 |
| Last Update Date | 2019-03-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
PA60909537 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 1114455888 | 05 |
| Street Address |
4245 ROOSEVELT WAY NE |
| City | SEATTLE |
| State | WA |
| Zip Code | 98105-6008 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447246731 | James Heath Miller | Obstetrics & Gynecology | 4245 Roosevelt Way Ne, Seattle, WA 98105 | 2005-09-22 |
| 1518447341 | Alia Paget | Social Worker | 4245 Roosevelt Way Ne, Seattle, WA 98105-6008 | 2018-08-21 |
| 1033615380 | Allen Sy | Student in an Organized Health Care Education/Training Program | 4245 Roosevelt Way Ne, Seattle, WA 98105 | 2018-04-04 |
| 1144735820 | Abigail Mary Winter | Pharmacist | 4245 Roosevelt Way Ne, Seattle, WA 98105-6008 | 2017-12-04 |
| 1831646983 | Ian Macniven | Orthopaedic Surgery | 4245 Roosevelt Way Ne, Seattle, WA 98105-6008 | 2016-09-07 |
| 1225491194 | Sarah Steinkruger | Internal Medicine | 4245 Roosevelt Way Ne, Seattle, WA 98105-6008 | 2016-03-30 |
| 1487027389 | Laura Desenfants | Physician Assistant | 4245 Roosevelt Way Ne, Seattle, WA 98105-6008 | 2015-11-02 |
| 1316329691 | Caitlin Marra | Physical Therapy Assistant | 4245 Roosevelt Way Ne, Seattle, WA 98105-6008 | 2015-06-23 |
| 1497136907 | Abhiram R Bhashyam | Orthopaedic Surgery | 4245 Roosevelt Way Ne, Seattle, WA 98105-6008 | 2015-06-11 |
| 1891175980 | Aishat Olatunde | Obstetrics & Gynecology | 4245 Roosevelt Way Ne, Seattle, WA 98105-6008 | 2015-06-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326662396 | Dale Justin Podolsky | Student in an Organized Health Care Education/Training Program | 4800 Sand Point Way Ne, Ob.9.520, Seattle Children's, Seattle, WA 98105 | 2020-06-04 |
| 1376170878 | Andrew Crompton Yazman | Pediatrics | 4800 Sand Point Way, Ne Oc.7.830, Seattle, WA 98105 | 2020-03-25 |
| 1427688845 | Daniela Michell Zepeda | Behavioral Analyst | 4616 25th Ave Ne Pmb 437, Seattle, WA 98105 | 2020-01-24 |
| 1255981189 | Emily King | Student in an Organized Health Care Education/Training Program | Mark Hawkins, Pa-c, Mpas, 4311 11th Ave Ne Suite 200, WA 98105 | 2019-09-12 |
| 1821659327 | Sara Katherine Horne | Student in an Organized Health Care Education/Training Program | 4800 Sand Point Way Ne, Mb.11.500, Department of Anesthesiology and Pain Medicine, Seattle, Seattle, WA 98105 | 2019-06-25 |
| 1881252575 | Darryl Lee Wright | Peer Specialist | Gossett Place, 4719 12th Ave Ne, Seattle, WA 98105 | 2019-05-29 |
| 1487117891 | Nirupama Madhavan | Behavioral Analyst | 5001 25th Ave Ne, Seattle, WA 98105 | 2019-04-11 |
| 1780155648 | Eryn R Mcentee | Naturopath | 2216 Ne46th St, Seattle, WA 98105 | 2018-12-17 |
| 1356811921 | Kyle Leland Bernbach | Massage Therapist | 5224 Ravenna Ave Ne, Seattle, WA 98105 | 2018-11-27 |
| 1548742380 | Janal Kim | Physician Assistant | 4726 11th Ave Ne, Apt 511, Seattle, WA 98105 | 2018-08-29 |
| Find all providers in zip 98105 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851875561 | Sarah Gene Soloff | Physician Assistant | 9730 3rd Ave Ne Ste 201, Seattle, WA 98115-2023 | 2018-09-18 |
| 1861987992 | Lillian Baldwin Bourret | Physician Assistant | 6317 Linden Ave N, Seattle, WA 98103-5658 | 2018-07-01 |
| 1043535024 | Pamela Baird | Physician Assistant | 2016 16th Ave East, Seattle, WA 98112-5260 | 2010-04-01 |
| 1548402209 | Loverne Greg De Venecia Jimenez | Physician Assistant | James Tower 550 17th Ave Suite 500, Swedish Neuroscience Institute, Seattle, WA 98122 | 2009-03-27 |
| 1679506737 | Gerald M Strode | Physician Assistant | 521 Wall St, Seattle, WA 98121-1524 | 2006-07-09 |
| 1023049905 | Kari A. Schmitz | Physician Assistant | 3725 Sw Prescott Pl, Seattle, WA 98126-2042 | 2006-07-06 |
| 1528007069 | Claudia M Kalotay | Physician Assistant | 901 Boren Ave #800, Seattle, WA 98104 | 2006-06-06 |
| 1386681815 | Paul Richard Halkett | Physician Assistant | Pbs Building, 401 Broadway, Seattle, WA 98122 | 2006-06-01 |
| 1851361646 | Irina E Penev | Physician Assistant | 550 17th Ave Fl 6, Seattle, WA 98122-5788 | 2006-01-24 |
| 1174123939 | Kaitlin C Fitzgerald | Physician Assistant | 325 9th Ave, Seattle, WA 98104-2420 | 2020-10-29 |
| Find all providers in SEATTLE | ||||
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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.