JILL E FACCIA (NPI# 1174952139) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174952139 |
| Entity Type | Individual |
| Full Name | JILL E FACCIA |
| Credential | AGACNP |
| Practice Address |
700 Ne 87th Ave Vancouver WA 98664 |
| Mailing Address |
700 Ne 87th Ave Vancouver WA 98664-1913 |
| Practice Telephone | (360) 882-2778 |
| Practice Fax Number | 3606041771 |
| Mailing Telephone | 3608822778 |
| Mailing Fax Number | 3606041771 |
| Enumeration Date | 2013-11-10 |
| Last Update Date | 2018-08-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
AP60755776 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | STATE LICENSE | AP60755776 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2005 W Main St Ste 240, Battle Ground, WA 986044311 | 3608822778 | 3606041771 |
| Street Address |
700 NE 87TH AVE |
| City | VANCOUVER |
| State | WA |
| Zip Code | 98664 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447255112 | Lewis Mark Steinberg | Internal Medicine | 700 Ne 87th Ave, Vancouver, WA 98664-1913 | 2005-06-17 |
| 1598398141 | Blakely Garrity | Physician Assistant | 700 Ne 87th Ave, Vancouver, WA 98664-4896 | 2020-02-21 |
| 1851958797 | Rosa Pham | Nurse Practitioner | 700 Ne 87th Ave, Vancouver, WA 98664-1913 | 2019-05-28 |
| 1902368319 | Alexandria Eunsong Yeo | Nurse Practitioner | 700 Ne 87th Ave, Vancouver, WA 98664-4896 | 2019-04-03 |
| 1568961100 | Jill Renee Bradley | Nurse Practitioner | 700 Ne 87th Ave, Vancouver, WA 98664-4896 | 2018-02-09 |
| 1245757939 | Matthew Elamparo | Pharmacist | 700 Ne 87th Ave, Vancouver, WA 98664-1913 | 2017-08-24 |
| 1174051023 | Fred Meyer Stores Inc | Durable Medical Equipment & Medical Supplies | 700 Ne 87th Ave, Suite 180, Vancouver, WA 98664-1913 | 2017-05-23 |
| 1952833741 | Jeanne Lothrop Gurney | Nurse Practitioner | 700 Ne 87th Ave, Vancouver, WA 98664-1913 | 2017-03-30 |
| 1730639626 | Cameron M Schmidt | Physician Assistant | 700 Ne 87th Ave, Vancouver, WA 98664-1913 | 2016-10-04 |
| 1164971610 | David C Turro Jr. | Physician Assistant | 700 Ne 87th Ave, Suite 140, Vancouver, WA 98664-1913 | 2016-09-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285249938 | Angelica Maria Parle-fresquez | Speech-Language Pathologist | Early Childhood Assessment Center - Lieser School, 301 S. Lieser Rd, Vancouver, WA 98664 | 2020-09-10 |
| 1467923441 | Elizabeth Steen | Counselor | 230 E. State St., Mossyrock, WA 98664 | 2018-12-17 |
| 1497241657 | Chelsey Nicole Parker | Peer Specialist | 9815 Ne 3rd St, Vancouver, WA 98664 | 2018-07-10 |
| 1881145431 | Brent Homan | Occupational Therapist | 807 Se Morgan Rd., Vancouver, WA 98664 | 2016-10-19 |
| 1114474277 | Rebecca Marie Stefan | Nurse's Aide | 10025 Ne 19th St, Vancouver, WA 98664 | 2016-09-07 |
| 1528454105 | Alicia Ford | Dietitian, Registered | 700 Ne 87th Ave Ste 280, Vancouver, WA 98664 | 2015-04-10 |
| 1033504261 | Reid Roberts Bennett | Anesthesiology | 505 Ne 87th Ave Ste 210, Vancouver, WA 98664 | 2015-04-03 |
| 1235550856 | Nikolay Nikolaevich Chernukhin Jr. | Chiropractor | 221-a Ne 104th Ave, Suite 205, Vancouver, WA 98664 | 2013-12-27 |
| 1013278712 | Serena Harker | Physical Therapy Assistant | 221a Ne 104th Ave, Suite #205, Vancouver, WA 98664 | 2012-05-30 |
| 1295091080 | Rebeca C Johnson | Massage Therapist | 11015 Ne 4th Plain Suite B, Vancouver, WA 98664 | 2012-04-05 |
| Find all providers in zip 98664 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316218779 | Christie Joyce Podhora | Nurse Practitioner | 800 Ne 136th Ave, Ste 220, Vancouver, WA 98684-6933 | 2012-01-17 |
| 1962869487 | Lisa Marie Holler | Nurse Practitioner | 2121 Ne 139th St Ste 360, Vancouver, WA 98686-2316 | 2016-01-28 |
| 1992144208 | Ross Puterbaugh | Nurse Practitioner | 2101 Ne 139th St, Suite 460, Vancouver, WA 98686-2309 | 2013-06-19 |
| 1689833766 | Pamela Dunnick | Nurse Practitioner | 2811 Ne 139th St, Vancouver, WA 98686-2724 | 2008-06-04 |
| 1508042102 | Pamela Suzanne Bruhn | Nurse Practitioner | 420 Ne Mother Joseph Place, Vancouver, WA 98664 | 2008-01-14 |
| 1740404565 | Rodie Adeline Renn-lasher | Nurse Practitioner | 221 Ne 104th Ave, Suite 106, Vancouver, WA 98664-4505 | 2007-04-12 |
| 1154334639 | Jolene Pyle | Nurse Practitioner | 2211 E Mill Plain Blvd, Vancouver, WA 98661-4329 | 2006-08-14 |
| 1316957236 | Lottie I Sharp-york | Nurse Practitioner | 1601 E Fourth Plain Blvd, Vancouver, WA 98661-3753 | 2006-08-09 |
| 1720014228 | Kimberley Ann Everett | Nurse Practitioner | 700 Ne 87th Ave, Vancouver, WA 98664-1913 | 2006-06-25 |
| 1477509990 | Marion Cluzel | Nurse Practitioner | 700 Ne 87th Ave, Vancouver, WA 98664 | 2006-05-26 |
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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.