JACLYN WATSON (NPI# 1245759109) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245759109 |
| Entity Type | Individual |
| Full Name | JACLYN WATSON |
| Practice Address |
417 E Pioneer Ste B Puyallup WA 98372-3267 |
| Mailing Address |
1618 Amber Blvd Puyallup WA 98372-5230 |
| Practice Telephone | 2539876425 |
| Mailing Telephone | 5412067859 |
| Enumeration Date | 2017-09-12 |
| Last Update Date | 2017-09-12 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
MC60405100 | WA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578006052 | Jaclyn Marie Watson | Speech-Language Pathologist | 5637 188th St, Fresh Meadows, NY 11365-2230 | 2016-12-01 |
| Street Address |
417 E PIONEER STE B |
| City | PUYALLUP |
| State | WA |
| Zip Code | 98372-3267 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053927707 | Megan Briana Moeller | Counselor | 417 E Pioneer Ste B, Puyallup, WA 98372-3267 | 2020-09-18 |
| 1508351123 | Leah Shepherd Elliott | Counselor | 417 E Pioneer Ste B, Puyallup, WA 98372-3267 | 2018-06-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295371532 | Jeffrey Allen Zhan | Urology | Good Samaritan Medical Office Bldg 1450 5th St Se, Suite 2100- Urology Clinic, Puyallup, WA 98372 | 2019-11-21 |
| 1447811419 | Serenity Counseling & Consulting, LLC | Marriage & Family Therapist | 102 23rd St Se, Unit B, Puyallup, WA 98372 | 2019-06-21 |
| 1316401565 | Katherine Juarez Davidson | Nurse Practitioner | 325 E Pioneer # A145, Puyallup, WA 98372 | 2019-01-22 |
| 1679041404 | Cara Ann Lundin | Nurse Practitioner | 11926 43rd St Crt E, Edgewood, WA 98372 | 2018-11-09 |
| 1104392109 | Megan Black | Occupational Therapist | 40 29th St Ne, Puyallup, WA 98372 | 2018-10-17 |
| 1063919470 | Myriah Shekinah Olakpe | Occupational Therapist | 516 Se 23rd Ave, Puyallup, WA 98372 | 2018-04-11 |
| 1902330202 | Tyler Girdler | Student in an Organized Health Care Education/Training Program | 1322 3rd Street Se Suite 240, Puyallup, WA 98372 | 2017-04-13 |
| 1770039471 | Mahalakshmi Hariharan | Pharmacist | 2117 28th St Se, Puyallup, WA 98372 | 2016-09-01 |
| 1801241112 | Nawazish Ali | Internal Medicine | 401 15th Ave Se Multicare God Samartian Hopsital, Puyallup, WA 98372 | 2016-04-25 |
| 1932567559 | Denice L. Voss | Physical Therapist | 400 29th St. Ne, Puyallup, WA 98372 | 2016-02-10 |
| Find all providers in zip 98372 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437784584 | Steven William Wagner | Counselor | 12909 106th Avenue Ct E, Puyallup, WA 98374-3048 | 2020-03-10 |
| 1073147484 | Jackie Kerns St. Louis | Counselor | 8506 137th Street Ct E, Puyallup, WA 98373-6415 | 2020-02-24 |
| 1629615760 | Jessie Jean Waiamau-ariota | Counselor | Winds of Liberty, 702 S Hill Park Dr Ste 206, Puyallup, WA 98373 | 2019-12-09 |
| 1104486158 | Jodi Marie Youngquist | Counselor | 11102 Sunrise Blvd E Ste 100, Puyallup, WA 98374-8846 | 2019-06-20 |
| 1649839739 | Aathina Dillard | Counselor | 102 23rd Ave Se Unit 102a, Puyallup, WA 98372-4501 | 2019-06-11 |
| 1124599972 | Orenda Counseling, LLC | Counselor | 104 W. Meeker #f, Puyallup, WA 98371-8901 | 2018-12-05 |
| 1558877696 | Picket Fene Therapy & Consulting, LLC | Counselor | 105b W Main Ste 105, Puyallup, WA 98371-5329 | 2017-12-27 |
| 1831603851 | Minza Cheyo Kuyenga | Counselor | 14020 176th St E, Puyallup, WA 98374-9294 | 2017-11-29 |
| 1609321603 | Kristina Nicole Durene | Counselor | 1420 S Meridian Ste C, Puyallup, WA 98371-6914 | 2016-08-19 |
| 1801248364 | Sara Lee Kern | Counselor | 2119 10th Avenue Ct Se, Puyallup, WA 98372-4058 | 2016-07-08 |
| Find all providers in PUYALLUP | ||||
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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.