JACOB ROBERT LYNN BRUBAKER


Address: 17927 131st St E, Bonney Lake, WA 98391-7686
Phone: 2067903890

JACOB ROBERT LYNN BRUBAKER (NPI# 1275880015) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1275880015
Entity Type Individual
Full Name JACOB ROBERT LYNN BRUBAKER
Credential C.P.O.
Practice Address 17927 131st St E
Bonney Lake
WA 98391-7686
Mailing Address 3400 Latouche St
Suite 100
Anchorage
AK 99508-4208
Practice Telephone 2067903890
Mailing Telephone 9075611777
Mailing Fax Number 9075612157
Enumeration Date 2012-08-10
Last Update Date 2019-12-02
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 222Z00000X Orthotist Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Y 224P00000X Prosthetist Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
AK PO0012 05

Other Providers JACOB BRUBAKER

NPI Name Taxonomy Address Enumeration
1740433945 Jacob Wellington Brubaker Ophthalmology 1515 River Park Dr Ste 100, Sacramento, CA 95815-4605 2008-10-31

Office Location

Street Address 17927 131ST ST E
City BONNEY LAKE
State WA
Zip Code 98391-7686

Providers in the same location

NPI Name Taxonomy Address Enumeration
1699313742 Butler and Brubaker Orthotics and Prosthetics Prosthetist 17927 131st St E, Bonney Lake, WA 98391-7686 2019-12-18

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1982218814 Lenny Yann Pharmacist 21301 Wa 410, Bonney Lake, WA 98391 2020-09-08
1497244552 Kayla Grasso Technician, Other 18444 139th Street East, Bonney Lake, WA 98391 2018-05-04
1407359151 Costco Wholesale Corporation Eyewear Supplier (Equipment, not the service) 9801 204th Ave E, Bonney Lake, WA 98391 2018-03-08
1992217152 Rachel Renee Andringa Massage Therapist 19102 Wa-410, Bonney Lake, WA 98391 2017-10-27
1437679099 Emily A. Hansen Occupational Therapist 12202 209th Ave Ct. E., Liberty Ridge Elementary School, Bonney Lake, WA 98391 2017-06-26
1245782986 Advance Behavior Education Continuum, Inc Behavioral Analyst 2305 164th Ave Ct, Bonney Lake, WA 98391 2016-10-28
1619343191 Lauren Christine Difolco Specialist 10920 199th Ave. Ct. E., Bonney Lake Hs, Bonney Lake, WA 98391 2015-08-19
1699018192 Michael Nelson Dentist 2803 176th Ave East, Lake Tapps, WA 98391 2013-04-03
1700141066 Jacqueline Nguyen Pharmacist 20025 State Route 410 E, Bonney Lake, WA 98391 2012-07-11
1265737860 Braden Shingleton Massage Therapist 19102 Sr 410 E Suite A, Bonney Lake, WA 98391 2011-01-13
Find all providers in zip 98391

Taxonomy Information

Taxonomy Code 224P00000X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Prosthetist

Taxonomy Definition

A health care professional who is specifically educated and trained to manage comprehensive prosthetic patient care for individuals who have sustained complete or partial limb loss or absence. Prosthetists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care.
Notes: Source: American Board for Certification in Orthotics, Prosthetics, and Pedorthics, Inc. [7/1/2010: modified, 7/1/2013: modified] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1699313742 Butler and Brubaker Orthotics and Prosthetics Prosthetist 17927 131st St E, Bonney Lake, WA 98391-7686 2019-12-18

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1043785777 Natalie Kirsten Harold Prosthetist 123 2nd Ave S Ste 200, Edmonds, WA 98020-8449 2018-10-09
1497129092 Stevie Stephens Prosthetist 723 Mlk Jr Way, Tacoma, WA 98405 2015-11-19
1427243468 Andrew J Lind Prosthetist 401 S Sherman St, Spokane, WA 99202-6001 2007-09-12
1508057845 David M Kelly Prosthetist 1900 116th Ave Ne Ste 201, Bellevue, WA 98004-3013 2007-08-01
1093891616 Virginias Feminine Boutique, LLC Prosthetist 3627 152nd St Ne, Marysville, WA 98271-8944 2006-10-27
1912081860 American Artificial Limb Co Prosthetist 650 S Orcas St, Suite 100, Seattle, WA 98108-2654 2006-10-25
1487631586 Michael Philip Podrasky Prosthetist 1420 4th St Se, Ste D, Puyallup, WA 98372 2005-12-29
1891394086 Janae Christine Buchan Prosthetist 2621 Ne 134th St Ste 120, Vancouver, WA 98686-3036 2020-10-20
1164020426 Sarah Mccarthy Cheever Prosthetist 4575 Sand Point Way Ne, Seattle, WA 98105-3950 2020-10-09
1720612450 Sean C Hails Prosthetist 1901 S Cedar St Ste 202, Tacoma, WA 98405-2303 2020-03-03
Find all providers with the same taxonomy

Competitor

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City BONNEY LAKE
Zip Code 98391

Improve Information

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Dataset Information

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.

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