DANA LEIGH JACOBSON (NPI# 1235416462) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235416462 |
| Entity Type | Individual |
| Full Name | DANA LEIGH JACOBSON |
| Credential | GNP-BC, ARNP |
| Practice Address |
505 S 336th St Ste 500 Federal Way WA 98003-8300 |
| Mailing Address |
107 S Division St Spokane WA 99202-1510 |
| Practice Telephone | 2069623535 |
| Mailing Telephone | 5098384651 |
| Mailing Fax Number | 5093632762 |
| Enumeration Date | 2011-11-16 |
| Last Update Date | 2019-10-29 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
AP60259242 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
P60259242 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 2077749 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 422 26th Ave S, Seattle, WA 981442335 | 5092209204 | 8882485232 |
| 107 S Division St, Spokane, WA 992021510 | 5098384651 | 5093632762 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780815803 | Dana N Jacobson | Audiologist | 12330 Metcalf Ave Ste 560, Overland Park, KS 66213-1305 | 2009-08-06 |
| 1265427249 | Dana Jacobson | Speech-Language Pathologist | 4311 106th Pl Ne, Kirkland, WA 98033-7919 | 2005-09-15 |
| Street Address |
505 S 336TH ST STE 500 |
| City | FEDERAL WAY |
| State | WA |
| Zip Code | 98003-8300 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346228301 | Mary Elsbeth Johann | Nurse Practitioner | 505 S 336th St Ste 500, Federal Way, WA 98003-8300 | 2006-01-09 |
| 1356864631 | Eleanor Pascual | Registered Nurse | 505 S 336th St Ste 500, Federal Way, WA 98003-8300 | 2017-07-19 |
| 1578015517 | Mohsin Ikram | Nurse Practitioner | 505 S 336th St Ste 500, Federal Way, WA 98003-8300 | 2016-10-25 |
| 1376905463 | Mayuree Rao | Internal Medicine | 505 S 336th St Ste 500, Federal Way, WA 98003-8300 | 2016-03-28 |
| 1700272572 | Wendelyn Shue | Family Medicine | 505 S 336th St Ste 500, Federal Way, WA 98003-8300 | 2015-04-08 |
| 1003207655 | Veronica Linn | Nurse Practitioner | 505 S 336th St Ste 500, Federal Way, WA 98003-8300 | 2015-02-17 |
| 1417350232 | Bobbi Woodward | Nurse Practitioner | 505 S 336th St Ste 500, Federal Way, WA 98003-8300 | 2014-10-07 |
| 1407258783 | Joseph A Sutton | Physician Assistant | 505 S 336th St Ste 500, Federal Way, WA 98003-8300 | 2014-09-18 |
| 1275935553 | Rose Jones | Physician Assistant | 505 S 336th St Ste 500, Federal Way, WA 98003-8300 | 2014-09-18 |
| 1356755862 | Scott Bogdanoff | Nurse Practitioner | 505 S 336th St Ste 500, Federal Way, WA 98003-8300 | 2014-06-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124634969 | Jossie Jeniffer Wong-vicuna | Interpreter | 3001 S 288th Street, 201, Ferderal Way, WA 98003 | 2020-09-17 |
| 1336642420 | Otto Family | Massage Therapist | 720 S 348th St Ste A-1b, Federal Way, WA 98003 | 2018-03-14 |
| 1962912709 | Lindsay Plumley | Occupational Therapist | 33330 8th Avenue S, Federal Way, WA 98003 | 2017-10-06 |
| 1861922387 | Sea Mar Community Health Centers | Pharmacy | 31405 18th Ave South, Federal Way, WA 98003 | 2017-06-18 |
| 1023547072 | Iora Health Washington Physicians, P.C. | Internal Medicine | 1414 S. 324th Street, Federal Way, WA 98003 | 2017-06-05 |
| 1811346869 | Iora Senior Health Inc | Internal Medicine | 1414 S 324th St, Federal Way, WA 98003 | 2016-06-10 |
| 1972958940 | Kathy Marie Haviland | Registered Nurse | 1010 S. 336th St, Supplemental Health Care, Federal Way, WA 98003 | 2016-04-27 |
| 1972969343 | Jacklyn Marie James | Specialist | 530 South 336th Street, Ste C, Massage for Health and Day Spa, Inc., Federal Way, WA 98003 | 2016-01-14 |
| 1659767036 | Jillian Liner | Pediatrics | 34503 9th Ave S Ste 220, Federal Way, WA 98003 | 2015-04-12 |
| 1235537739 | Simranjit Singh Longia | Student in an Organized Health Care Education/Training Program | 34618 11th Ave. S., Suite 100, Federal Way, WA 98003 | 2014-12-15 |
| Find all providers in zip 98003 | ||||
| Taxonomy Code | 363LG0600X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Gerontology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730713348 | Terra Ann Mclain | Nurse Practitioner | 2803 Pilot Ln, Yakima, WA 98901-1022 | 2020-02-24 |
| 1437716032 | Julia Yang Chen | Nurse Practitioner | 16831 1st Ave W, Bothell, WA 98012-4961 | 2019-05-20 |
| 1699242651 | Patricia Fay Fitzhugh | Nurse Practitioner | 615 W 16th Ave, Spokane, WA 99203-2130 | 2018-10-29 |
| 1598240657 | Beibei Chen | Nurse Practitioner | 5801 223rd Pl Sw, Mountlake Terrace, WA 98043-3123 | 2018-09-25 |
| 1497203244 | Trina Koudelka | Nurse Practitioner | 3015 Squalicum Pkwy Ste 100, Bellingham, WA 98225-1906 | 2016-09-21 |
| 1255791414 | Quynh-anh Phan | Nurse Practitioner | 801 Sw 150th St Ste 230, Burien, WA 98166-1855 | 2016-03-02 |
| 1467836056 | Horizon Health Foundation | Nurse Practitioner | 123 W. Cascade Way, Spokane, WA 99208 | 2015-07-14 |
| 1578955910 | Esateys Stuchiner | Nurse Practitioner | 19410 Ne 116th St, Brush Prairie, WA 98606-3002 | 2015-02-23 |
| 1619377587 | Phiroce Ishaque, LLC | Nurse Practitioner | 5414 Barnes Ave Nw Ste 1, Seattle, WA 98107-3839 | 2014-08-28 |
| 1700217155 | Elisa Martin | Nurse Practitioner | 6025 Vassar Ave Ne, Seattle, WA 98115-7622 | 2013-12-11 |
| Find all providers with the same taxonomy | ||||
| City | FEDERAL WAY |
| Zip Code | 98003 |
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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.