JESSICA KUCULYN (NPI# 1275765984) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275765984 |
| Entity Type | Individual |
| Full Name | JESSICA KUCULYN |
| Other Name | JESSICA RODDA |
| Practice Address |
315 Martin Luther King Jr Way Tacoma WA 98405-4234 |
| Mailing Address |
Po Box 5299 Tacoma WA 98415-0299 |
| Practice Telephone | 2534031126 |
| Enumeration Date | 2009-08-13 |
| Last Update Date | 2009-08-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| Street Address |
315 MARTIN LUTHER KING JR WAY |
| City | TACOMA |
| State | WA |
| Zip Code | 98405-4234 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811993298 | Catrina M. Funk | Obstetrics & Gynecology | 315 Martin Luther King Jr Way, Tacoma, WA 98405-4234 | 2005-06-22 |
| 1891301248 | Yaoyi Xiao | Pharmacist | 315 Martin Luther King Jr Way, Tacoma, WA 98405-4234 | 2020-09-21 |
| 1639782741 | Angie Kim Nguyen | Pediatrics | 315 Martin Luther King Jr Way, Tacoma, WA 98405-4234 | 2020-08-28 |
| 1720603558 | Louie Joseph Scalise II | Nurse Practitioner | 315 Martin Luther King Jr Way, Tacoma, WA 98405-4234 | 2020-06-08 |
| 1255951760 | Jamie R Sprague | Registered Nurse | 315 Martin Luther King Jr Way, Tacoma, WA 98405-4234 | 2020-04-24 |
| 1629606959 | Melissa Ann Sauvage | Pharmacist | 315 Martin Luther King Jr Way, Tacoma, WA 98405-4234 | 2020-03-31 |
| 1326675752 | Rajeshwari Shrestha | Nurse Practitioner | 315 Martin Luther King Jr Way, Tacoma, WA 98405-4234 | 2020-03-25 |
| 1013542422 | Heather Bahrt | Dietitian, Registered | 315 Martin Luther King Jr Way, Ms- 315c2hin, Tacoma, WA 98405-4234 | 2020-03-05 |
| 1457986150 | Deannita Fielding | Registered Nurse | 315 Martin Luther King Jr Way, Tacoma, WA 98405-4234 | 2020-03-03 |
| 1336789551 | Yuliana Garcia | Nurse Practitioner | 315 Martin Luther King Jr Way, Tacoma, WA 98405-4234 | 2020-01-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609486026 | Joanna Christine Hope | Physician Assistant | 2502 S Union Avenue, Tacoma, WA 98405 | 2020-08-01 |
| 1467077891 | Richard Jimenez | Student in an Organized Health Care Education/Training Program | 1202 M.l.k. Jr Way Suite #310, Tacoma, WA 98405 | 2020-06-11 |
| 1669008785 | Mariana Sanchez Corona | Behavior Technician | 1901 S Union Ave Allenmore Building B, Tacoma, WA 98405 | 2020-03-20 |
| 1811534845 | Jasmine Gregory | Social Worker | 311 Martin Luther King Jr. Way, Ms:315-c2-php, Tacoma, WA 98405 | 2019-12-10 |
| 1548807506 | Holly Rebecca Brezynski | Student in an Organized Health Care Education/Training Program | Fresenius Kindney Care - Home Therapies Department, 1717 South J Street, Tacoma, WA 98405 | 2019-12-09 |
| 1972064392 | Logan Brau | Student in an Organized Health Care Education/Training Program | 1202 M.l.k. Jr Way, Tacoma, WA 98405 | 2019-03-28 |
| 1629532536 | Preferred Orthotic and Prosthetic Services Inc | Prosthetic/Orthotic Supplier | 1708 Yakima Ave Ste 60, Tacoma, WA 98405 | 2019-01-24 |
| 1669945911 | Heidi Weakley | Counselor | 1001 S Yakima Ave, Suite 5, Tacoma, WA 98405 | 2019-01-09 |
| 1972074011 | Taviance Benet Laster | Behavior Technician | 1416 S 9th St, Tacoma, WA 98405 | 2018-12-16 |
| 1336618040 | Bailey Bangerter | Physician Assistant | 1901 South Union, A-233, Tacoma, WA 98405 | 2018-11-26 |
| Find all providers in zip 98405 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306445614 | Danica Thomas | Counselor | 415 S 13th St, Tacoma, WA 98402-3415 | 2020-10-19 |
| 1720696172 | Evander Suju | Counselor | 4910 N Bristol St, Tacoma, WA 98407-2124 | 2020-07-21 |
| 1033732615 | Mary Amanda Graham | Counselor | 510 S 35th St, Tacoma, WA 98418-6824 | 2020-05-18 |
| 1043831258 | Christine Marie Petersen | Counselor | 601 136th St E, Tacoma, WA 98445-1563 | 2020-04-28 |
| 1841835436 | Michael Roy Bolden | Counselor | 1205 Tacoma Ave S., Suite 1205, Tacoma, WA 98402 | 2019-11-07 |
| 1568016731 | Gabriella Salas-trujillo | Counselor | 3109 N 7th St, Tacoma, WA 98406-6218 | 2019-07-26 |
| 1124686290 | Emmanuel Villarivera | Counselor | 612 113th St S, Tacoma, WA 98444-4902 | 2019-06-03 |
| 1588227094 | Aimee Lauren Peyton-greene | Counselor | 6621 S Wapato St, Tacoma, WA 98409-9082 | 2019-04-19 |
| 1679037535 | Sapati Siose | Counselor | 4021 S Bell St, Tacoma, WA 98418-7820 | 2019-01-24 |
| 1255849980 | Rodney D Terry | Counselor | 4509 S Union Ave Apt 3, Tacoma, WA 98409-4508 | 2018-01-16 |
| Find all providers in TACOMA | ||||
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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.