JESSICA NICOLE KONGSLIE (NPI# 1386208999) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386208999 |
| Entity Type | Individual |
| Full Name | JESSICA NICOLE KONGSLIE |
| Credential | LMT |
| Practice Address |
2015 Brookmonte Dr Se Puyallup WA 98372-5173 |
| Practice Telephone | 2536827782 |
| Mailing Telephone | 2536789393 |
| Enumeration Date | 2019-04-29 |
| Last Update Date | 2019-04-29 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | MA00023679 | WA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
2015 BROOKMONTE DR SE |
| City | PUYALLUP |
| State | WA |
| Zip Code | 98372-5173 |
| 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 | 225700000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Massage Therapist |
| An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053941187 | Stephanie Farris | Massage Therapist | 18002 Lipoma Firs E Unit G104, Puyallup, WA 98374-9008 | 2020-01-16 |
| 1437793064 | Jessica Graham | Massage Therapist | 12515 Meridian E Ste 205, Puyallup, WA 98373-3436 | 2019-11-06 |
| 1265081566 | Karen Kay Briskey | Massage Therapist | 403 43rd Ave Sw Apt 1, Puyallup, WA 98373-5965 | 2019-09-09 |
| 1275181927 | Vicki Jeanette Just-schaefer | Massage Therapist | 1707 3rd St Se Ste A, Puyallup, WA 98372-4506 | 2019-08-27 |
| 1477113587 | Jessica Jaramillo, LLC | Massage Therapist | 16515 Meridian E Ste 103b, Puyallup, WA 98375-6252 | 2019-06-20 |
| 1013574763 | Jovante A Guerra | Massage Therapist | 18710 Meridian E Ste 117, Puyallup, WA 98375-2231 | 2019-05-28 |
| 1184189565 | Mermaid Cove Massage & Wellness, LLC | Massage Therapist | 812 E Main, Puyallup, WA 98372-3364 | 2019-02-10 |
| 1699249847 | Healing Hands With Heart | Massage Therapist | 12515 Meridian E Ste 201, Puyallup, WA 98373-3436 | 2019-01-21 |
| 1013480508 | Tracy Pina | Massage Therapist | 16909 123rd Ave E, Puyallup, WA 98374 | 2019-01-07 |
| 1144795238 | Tara Knutsen | Massage Therapist | 1404 Valley View Dr, Puyallup, WA 98372-4161 | 2018-10-04 |
| 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.