JASON FERNANDEZ (NPI# 1164982633) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164982633 |
| Entity Type | Individual |
| Full Name | JASON FERNANDEZ |
| Credential | CMA |
| Practice Address |
4526 Federal Ave # Ms 11 Everett WA 98203-2132 |
| Mailing Address |
17024 40th Ave W Lynnwood WA 98037-7014 |
| Practice Telephone | 4253496200 |
| Mailing Telephone | 2064595659 |
| Enumeration Date | 2019-03-21 |
| Last Update Date | 2019-08-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | CM60383237 | WA | Allopathic & Osteopathic Physicians |
| Y | 374700000X | Technician | 60383237 | WA | Nursing Service Related Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | WADOH | CM60383237 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 17024 40th Ave W, Lynnwood, WA 980377014 | 2064595659 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609915560 | Jason Fernandez | Rehabilitation Practitioner | 2226 E Rio Verde Dr, West Covina, CA 91791-2067 | 2007-02-06 |
| Street Address |
4526 FEDERAL AVE # MS 11 |
| City | EVERETT |
| State | WA |
| Zip Code | 98203-2132 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629195524 | Catherine Marie Baum | Registered Nurse | 4526 Federal Ave # Ms 11, Everett, WA 98203-2132 | 2007-03-23 |
| 1467050278 | Andrea Maldonado | Student in an Organized Health Care Education/Training Program | 4526 Federal Ave # Ms 11, Everett, WA 98203-2132 | 2020-10-14 |
| 1033716162 | Roque Ramirez Jr. | Student in an Organized Health Care Education/Training Program | 4526 Federal Ave # Ms 11, Everett, WA 98203-2132 | 2020-10-01 |
| 1538780671 | Miguel Angel Farias | Behavior Technician | 4526 Federal Ave # Ms 11, Everett, WA 98203-2132 | 2020-04-29 |
| 1811518228 | Aleutia Marie Krikorian | Registered Nurse | 4526 Federal Ave # Ms 11, Everett, WA 98203-2132 | 2020-04-27 |
| 1043849052 | Amie Kristine Rich | Registered Nurse | 4526 Federal Ave # Ms 11, Everett, WA 98203-2132 | 2020-04-02 |
| 1225677271 | Alexis Danielle Smith | Behavior Technician | 4526 Federal Ave # Ms 11, Everett, WA 98203-2132 | 2019-12-21 |
| 1811533565 | Steven Titus | Licensed Practical Nurse | 4526 Federal Ave # Ms 11, Everett, WA 98203-2132 | 2019-11-18 |
| 1043855992 | John Allan Maurer | Counselor | 4526 Federal Ave # Ms 11, Everett, WA 98203-2132 | 2019-11-14 |
| 1902450513 | Catherine Muthembwa Mutevu | Behavior Technician | 4526 Federal Ave # Ms 11, Everett, WA 98203-2132 | 2019-07-31 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083226039 | Lisa Mcgregor | Counselor | Sea Mar Community Health Centers, 5007 Claremont Way, Everett, WA 98203 | 2020-08-20 |
| 1417572009 | Megan Ostermick-durkee | Student in an Organized Health Care Education/Training Program | Sunrise Services Inc., 811 Madison Street, Everett, WA 98203 | 2020-06-10 |
| 1134741424 | Tara Lin Garcia | Peer Specialist | 4256 Federal Avenue, Everett, WA 98203 | 2020-05-11 |
| 1225505241 | Reverie Aurora Shunny | Counselor | Sunrise Service Inc., 811 Madison Street, Everett, WA 98203 | 2018-10-29 |
| 1205313483 | Kristina Renee Bylenga | Counselor | Compass Health 4526 Federal Avenue M/s # 11, Everett, WA 98203 | 2018-07-20 |
| 1306384300 | Shantijoy Inc | Naturopath | 5208 S 2nd Ave, Everett, WA 98203 | 2017-02-09 |
| 1922545276 | Ekaterina Malinovska Dds Pllc | Dentist | 5920 Evergreen Way Suite E, Everett, WA 98203 | 2017-01-25 |
| 1326404104 | Job Oichoe | Counselor | 4625 Federal Ave, Everett, WA 98203 | 2016-01-08 |
| 1427423292 | Ross Lee Voorhees | Counselor | 4423 S 3rd Ave, Everett, WA 98203 | 2015-12-04 |
| 1447642376 | Adam Schneider | Counselor | 4526 Federal Ave # 40, Everett, WA 98203 | 2015-03-02 |
| Find all providers in zip 98203 | ||||
| Taxonomy Code | 374700000X |
| Grouping | Nursing Service Related Providers |
| Classification | Technician |
| (1) A person with specialized training in a narrow field of expertise whose occupation requires training and is skilled in specific technical processes and procedures. (2) An individual having special skill or practical knowledge in an area, such as operation and maintenance of equipment or performance of laboratory procedures involving biochemical analyses. Special technical qualifications are normally required, though an increasing number or technicians also possess university degrees in science, and occasionally doctorate degrees. The distinction between technician and technologist in the health care field is not always clear. |
| Notes: Sources: (1) Rhea, Ott, and Shafritz, The Facts on File Dictionary of Health Care Management, New York: Facts on File Publications, 1988; Dorland’s Illustrated Medical Dictionary, 26th Edition, Philadelphia: W.B. Saunders Company, 1981 and Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1984. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 776. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124643770 | Marisol Sanchez | Technician | 8807 Emerson Pl, Everett, WA 98208-1947 | 2020-06-09 |
| 1922637925 | Lyudmila Datskaya | Technician | 4526 Federal Ave, Everett, WA 98203-2132 | 2020-04-02 |
| 1093340184 | Anastasia Valkyrie Cheshev | Technician | 4526 Federal Ave, Everett, WA 98203-2132 | 2020-03-09 |
| 1750880845 | Allison Fina | Technician | 4526 Federal Ave, Everett, WA 98203-2132 | 2018-02-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760029763 | Kayanna Kaylynn Moreland-law | Technician | 15806 4th Ave S D-105, Burien, WA 98148-2547 | 2019-12-09 |
| 1457818700 | Susan Cavanagh | Technician | 17500 25th Ave Ne Unit E202, Marysville, WA 98271-4800 | 2019-02-22 |
| 1609333939 | Hollie Raincloud | Technician | 6700 Martin Way East Suite 117, Olympia, WA 98516-5586 | 2019-02-22 |
| 1235695297 | Rebecca Shockey | Technician | Evergreen Treatment Services, 1700 Airport Way S, Seattle, WA 98134-1618 | 2019-02-14 |
| 1053826883 | Kristen Fuller | Technician | 5978 Highway 291 Ste 2, Nine Mile Falls, WA 99026-5105 | 2017-12-01 |
| 1043697469 | Gynine Takacs | Technician | 503 142nd Ave Se, 66, Bellevue, WA 98007-6607 | 2015-05-05 |
| 1043288699 | Megan Kelly Long | Technician | Ediz Hook Rd., Port Angeles, WA 98362 | 2006-03-09 |
| 1720687882 | Kasilyn Bagio Jensen | Technician | 1700 Airport Way S, Seattle, WA 98134-1618 | 2020-10-20 |
| 1730787904 | Makayla Asclipiadis | Technician | 1700 Airport Way S, Seattle, WA 98134-1618 | 2020-10-11 |
| 1740887199 | Isabel Frances Moskowitz | Technician | 216 James St, Seattle, WA 98104-5102 | 2020-10-07 |
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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.