KATIE JACKLEY (NPI# 1184680167) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184680167 |
| Entity Type | Individual |
| Full Name | KATIE JACKLEY |
| Credential | PA-C |
| Practice Address |
125 N Franklin Dr Suite 1 Washington PA 15301-5892 |
| Practice Telephone | 7242258657 |
| Practice Fax Number | 7242288388 |
| Mailing Telephone | 7242258657 |
| Mailing Fax Number | 7242288388 |
| Enumeration Date | 2006-04-26 |
| Last Update Date | 2009-07-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | MA051828 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363A00000X | Physician Assistant | PA18658 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
MA051828 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
PA18658 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
MA051828 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
PA18658 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
125 N FRANKLIN DR SUITE 1 |
| City | WASHINGTON |
| State | PA |
| Zip Code | 15301-5892 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023002037 | Jose Vicente Venero | Internal Medicine | 125 N Franklin Dr, Washington, PA 15301-5892 | 2005-09-06 |
| 1124570239 | Sara Oliverio | Nurse Practitioner | 125 N Franklin Dr, Suite 1, Washington, PA 15301-5892 | 2016-10-25 |
| 1467903930 | Lauren Miller | Nurse Practitioner | 125 N Franklin Dr, Suite 1, Washington, PA 15301-5892 | 2016-10-20 |
| 1669725339 | Dean Dental Pllc | Dentist | 125 N Franklin Dr, Suite 5, Washington, PA 15301-5892 | 2012-10-18 |
| 1205123148 | Mckesson Patient Care Solutions Inc. | Durable Medical Equipment & Medical Supplies | 125 N Franklin Dr, Washington, PA 15301-5892 | 2011-06-29 |
| 1336459452 | The Washington Hospital | Special Hospital | 125 N Franklin Dr, Washington, PA 15301-5892 | 2010-10-08 |
| 1619283355 | Washington Physician Services Organization | Internal Medicine | 125 N Franklin Dr, Ste 1, Washington, PA 15301-5892 | 2010-08-19 |
| 1033358734 | Brian Albert Staub | Internal Medicine | 125 N Franklin Dr, Suite 1, Washington, PA 15301-5892 | 2009-02-19 |
| 1255592663 | Damon L Hoffmann | Urology | 125 N Franklin Dr, Ste 3, Washington, PA 15301-5892 | 2008-06-18 |
| 1811166424 | Marci Lynn Morgan | Occupational Therapist | 125 N Franklin Dr, Washington, PA 15301-5892 | 2008-02-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629601208 | Tammi Kathleen Hanak | Speech-Language Pathologist | 2212 Shawnee Drive, Address Line 2, Washington, PA 15301 | 2020-02-21 |
| 1922652460 | Shannon Rouse | Nurse Practitioner | 95 Leonard Avenue Building 2 2nd Floor, Washington, PA 15301 | 2019-08-01 |
| 1700352291 | Heather Mcvay PC | Clinic/Center | 2112 North Franklin Dr, Suite 3, Washington, PA 15301 | 2018-10-23 |
| 1689169880 | Oper King | Counselor | 8 Oliver Rd, Oliver Square Suite 116, Uniontown, PA 15301 | 2018-06-29 |
| 1609374701 | Centerville Clinics Inc | Social Worker | 201 Allison Ave, Washington High School, Washington, PA 15301 | 2018-01-24 |
| 1902304009 | Centerville Clinics, Inc. | Social Worker | 50 Scenic Drive, Trinity Middle School, Washington, PA 15301 | 2018-01-24 |
| 1780182873 | Centerville Clinics, Inc | Social Worker | 252 Cameron Road, Trinity East Elementary School, Washington, PA 15301 | 2018-01-24 |
| 1700384807 | Centerville Clinics Inc | Social Worker | 801 East Wheeling St., Washington Park Elementary, Washington, PA 15301 | 2018-01-24 |
| 1992203095 | Centerville Clinics Inc | Social Worker | 2500 South Main St Ext., Trinity South Elementary School, Washington, PA 15301 | 2018-01-24 |
| 1578061784 | Centerville Clinics, Inc. | Social Worker | 225 Midland Drive, Trinity North Elelmentary School, Washington, PA 15301 | 2018-01-23 |
| Find all providers in zip 15301 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487254306 | Zane T Mcguire | Physician Assistant | 378 W Chestnut St Ste 103, Washington, PA 15301-4661 | 2020-10-29 |
| 1609487370 | Rachel Alexis Solomon | Physician Assistant | 1920 L St Nw Ste 350, Washington, DC 20036-5004 | 2020-08-14 |
| 1740805175 | Alexandra Fraser | Physician Assistant | 1125 11th St Nw Apt 204, Washington, DC 20001-6420 | 2020-06-11 |
| 1699399162 | Enrique Manriquez | Physician Assistant | 2413 39th Pl Nw, Washington, DC 20007-1702 | 2020-06-01 |
| 1710510565 | Peter Bourland | Physician Assistant | 130 M St Ne Apt 1113, Washington, DC 20002-7925 | 2020-02-20 |
| 1619517950 | Jaclyn Finley | Physician Assistant | 57103 Curtis St, Washington, MI 48094-3844 | 2020-01-15 |
| 1033770755 | Lauren Taylor Parrish | Physician Assistant | 3800 Reservoir Rd Nw # 2phc, Washington, DC 20007-2113 | 2019-06-24 |
| 1821654617 | Connor James Butz | Physician Assistant | 2311 M St Nw Ste 401, Washington, DC 20037-1495 | 2019-05-16 |
| 1164087482 | Lisa Chuong | Physician Assistant | 110 Irving St Nw # 3b19, Washington, DC 20010-3017 | 2019-05-02 |
| 1932660362 | Matthew Joseph Moon | Physician Assistant | Medstar Washington Hospital Center - Sicu, 110 Irving Street Nw, Washington, DC 20010 | 2019-03-28 |
| Find all providers in WASHINGTON | ||||
| City | WASHINGTON |
| Zip Code | 15301 |
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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.