JESSICA MICHELLE KIRKWOOD (NPI# 1326403536) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326403536 |
| Entity Type | Individual |
| Full Name | JESSICA MICHELLE KIRKWOOD |
| Credential | MSN, RN, WHNP-BC |
| Practice Address |
4300 Talbot Rd S Ste 103 Renton WA 98055-6238 |
| Practice Telephone | 4255725112 |
| Mailing Telephone | 4255725112 |
| Enumeration Date | 2015-12-15 |
| Last Update Date | 2020-07-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | AP60590540 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LW0102X |
Nurse Practitioner Specialization: Women's Health |
AP60590540 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
4300 TALBOT RD S STE 103 |
| City | RENTON |
| State | WA |
| Zip Code | 98055-6238 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831674472 | Pacific Northwest Family Care | Family Medicine | 4300 Talbot Rd S Ste 103, Renton, WA 98055-6238 | 2018-09-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356965750 | Proliance Surgery Center At Valley, LLC | Clinic/Center | 4009 Talbot Road S, Suite 200, Renton, WA 98055 | 2020-06-01 |
| 1851804959 | Talbot Rehabilitation Center, LLC | Skilled Nursing Facility | 4430 Talbot Road South, Renton, WA 98055 | 2017-11-10 |
| 1154878668 | Nelson Family Dentistry | Dentist | 19221 108th Ave Se Suite #2, Renton, WA 98055 | 2016-09-01 |
| 1598182990 | Annie Kyunga Ahn | Otolaryngology | 4033 Talbot Rd S Ste 540, Renton, WA 98055 | 2014-03-24 |
| 1376960138 | Madhuri Gordhan Patel | Registered Nurse | 3501 Mill Place South, Renton, WA 98055 | 2014-03-18 |
| 1912331042 | Karen Dohr | Pharmacist | 400 S. 43 Street, Renton, WA 98055 | 2013-08-26 |
| 1659637668 | Benjamin Reiss | Ophthalmology | 4300 Talbot Rd S Ste 300, Renton, WA 98055 | 2012-04-03 |
| 1205137940 | Duy Ai Quang Hoang | Pharmacist | 9431 S 196th Pl, Renton, WA 98055 | 2010-11-11 |
| 1972823664 | Erica L Ellzey | Physical Therapist | 18623 112th Ave Se, Renton, WA 98055 | 2010-06-04 |
| 1588984587 | Melissa A. Jordan | Nurse Anesthetist, Certified Registered | 4011 Talbot Rd., 5th Floor, Renton, WA 98055 | 2010-06-02 |
| Find all providers in zip 98055 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770044018 | Ashley Ann Lee | Nurse Practitioner | 1205 N 10th St Ste 301-c, Renton, WA 98057-5577 | 2019-03-28 |
| 1194064535 | Michelle Marie Waldron | Nurse Practitioner | 1413 Sw 43rd Street, Renton, WA 98057-3356 | 2013-02-05 |
| 1477645976 | Latonya Whitley | Nurse Practitioner | 17650 134th Ave Se, S201, Renton, WA 98058-6889 | 2006-09-29 |
| 1730133638 | Valerie Reed | Nurse Practitioner | 707 S Grady Way, Ste 600, Renton, WA 98057-3227 | 2006-05-22 |
| 1790343408 | Lauren Smilde | Nurse Practitioner | 400 S 43rd St, Renton, WA 98055-5714 | 2019-05-29 |
| 1538723507 | Tyshayna Louis | Nurse Practitioner | 707 S Grady Way Ste 600, Renton, WA 98057-3227 | 2019-04-25 |
| 1578033494 | Louisa Michael | Nurse Practitioner | 200 S 2nd St, Renton, WA 98057-2011 | 2018-12-04 |
| 1922582170 | Savannah Elizabeth Morgan | Nurse Practitioner | 601 S Carr Rd Ste 100, Renton, WA 98055-5802 | 2018-09-23 |
| 1205334349 | Leeann Marie Blattner | Nurse Practitioner | 350 S 38th Ct Ste 100, Renton, WA 98055-5777 | 2018-01-23 |
| 1184138208 | Erin M Eddington Alden | Nurse Practitioner | 400 S 43rd St, Renton, WA 98055 | 2017-11-28 |
| Find all providers in RENTON | ||||
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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.