DR. JENNIFER W LEACH


Address: 301 W Poplar St, Suite 100, Walla Walla, WA 99362-2858
Phone: 5095225824

DR. JENNIFER W LEACH (NPI# 1417165382) 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) 1417165382
Entity Type Individual
Full Name DR. JENNIFER W LEACH
Credential M.D.
Practice Address 301 W Poplar St
Suite 100
Walla Walla
WA 99362-2858
Mailing Address Po Box 34439
Seattle
WA 98124-1439
Practice Telephone 5095225824
Practice Fax Number 5095225738
Enumeration Date 2007-05-21
Last Update Date 2012-03-22
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207R00000X Internal Medicine MD28595 OR Allopathic & Osteopathic Physicians
Y 207RN0300X Internal Medicine
Specialization: Nephrology
MD 60212127 WA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
WA 1417165382 05
OR 500635060 05

Other Providers JENNIFER LEACH

NPI Name Taxonomy Address Enumeration
1679973838 Jennifer Marie Leach Physical Therapist 19740 Wampler Dr, Stoutsville, OH 43154-9573 2014-08-25
1225309388 Jennifer Kramer Leach Art Therapist 515 E Oak St, Louisville, KY 40203-3417 2012-01-21
1639396211 Jennifer Leach Psychologist 226 West 26th Street, 8th Floor - Room 2, New York, NY 10001 2007-04-18
1295825917 Jennifer S Leach Specialist/Technologist, Other 2845 Farrell Cres, Owensboro, KY 42303-1393 2006-10-13
1528554334 Jennifer Leach Physical Therapist 3050 N Litchfield Rd Ste 100, Goodyear, AZ 85395-7805 2018-07-04
1124531777 Jennifer Leach Behavior Technician 41521 W 11 Mile Rd, Novi, MI 48375-1803 2017-11-06
1780913509 Jennifer A Leach Physical Therapy Assistant 5409 N Knoxville Ave, Ste 400, Peoria, IL 61614 2009-12-08
1205163581 Jennifer K Leach Social Worker 89 Main St, Suite 201, Medway, MA 02053-1828 2009-11-08

Office Location

Street Address 301 W POPLAR ST
SUITE 100
City WALLA WALLA
State WA
Zip Code 99362-2858

Providers in the same location

NPI Name Taxonomy Address Enumeration
1164427456 Guy Frank Gehling Neurological Surgery 301 W Poplar St, Ste 220, Walla Walla, WA 99362-2858 2005-06-14
1497254635 Corey Carson Physician Assistant 301 W Poplar St, Walla Walla, WA 99362-2858 2018-02-02
1174814552 Providence Health & Services - Washington Durable Medical Equipment & Medical Supplies 301 W Poplar St, Walla Walla, WA 99362-2858 2011-04-20
1699000901 Chelane R Fackenthall Registered Nurse 301 W Poplar St, Suite 100, Walla Walla, WA 99362-2858 2009-10-05
1417191057 Providence Health & Services - Washington Urology 301 W Poplar St, Suite 50, Walla Walla, WA 99362-2858 2009-04-27
1326282963 Providence Health & Services - Washington Otolaryngology 301 W Poplar St, Suite 210, Walla Walla, WA 99362-2858 2009-04-27
1235373879 Providence Health & Services - Washington Internal Medicine 301 W Poplar St, Suite 100, Walla Walla, WA 99362-2858 2009-04-27
1811130156 Providence Health & Services - Washington Surgery 301 W Poplar St, Suites 50, Walla Walla, WA 99362-2858 2009-04-16
1104070598 Brianne Nicole Bridgeland Registered Nurse 301 W Poplar St, Suite #210, Walla Walla, WA 99362-2858 2008-11-11
1194949594 Jason Adam Dreyer Neurological Surgery 301 W Poplar St, Walla Walla, WA 99362-2858 2007-04-13
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1164065959 Kevin Gia-minh Phan Optometrist Walla Walla Vamc Bldg 86, Walla Walla, WA 99362 2019-10-24
1659836401 Arlene Lavonne Whitney Social Worker 1361 Dalles Military Road, Walla Walla, WA 99362 2019-02-06
1053880674 Julie Ann Cooke Speech-Language Pathologist Providence St. Mary Medical Center, 401 W. Poplar St., Walla Walla, WA 99362 2018-11-14
1558887133 Chantey Walker Massage Therapist 1840 Pleasant St, Walla Walla, WA 99362 2017-08-16
1447798723 Carrie S Diede Speech-Language Pathologist 410 West Poplar Street, Rehabilitation Services, Walla Walla, WA 99362 2017-02-07
1235584103 Anchor Point Counseling Pllc Clinic/Center 2330 Eastgate St. Ste. 140, Walla Walla, WA 99362 2016-04-28
1548627011 Washington State Walla Walla Veterans Home Skilled Nursing Facility 92 Wainwright Drive, Walla Walla, WA 99362 2016-01-28
1073926200 Sherry Goff Registered Nurse 11120 W Rose St, Family Medical Center, Walla Walla, WA 99362 2014-06-05
1538597935 Michael Wade Gillespie Orthopaedic Surgery 101 Brookside Drive, Walla Walla, WA 99362 2013-10-22
1023357985 Sandra Kay Bushnell Speech-Language Pathologist 1105 Isaacs Ave, Walla Walla, WA 99362 2013-02-12
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Taxonomy Information

Taxonomy Code 207RN0300X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Nephrology

Taxonomy Definition

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1265446660 Mathias M Stroemel Internal Medicine 301 W Poplar, Suite 100, Walla Walla, WA 99362 2006-07-28
1235373879 Providence Health & Services - Washington Internal Medicine 301 W Poplar St, Suite 100, Walla Walla, WA 99362-2858 2009-04-27

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1790326502 Blazing Grace Medical, LLC Internal Medicine 953 Stevens Dr Ste C, Richland, WA 99352-3533 2019-10-02
1619460268 Pacific Kidney & Hypertension, LLC Internal Medicine 2707 Colby Ave, Everett, WA 98201-3528 2018-06-08
1992258289 Roderick Marshall Macdonald Internal Medicine University of Washington Mc 1959 Ne Pacific St, Seattle, WA 98195-0001 2016-08-03
1124458310 Cascade Kidney Specialists Internal Medicine Cascade Kidney Specialists, 1370 116th Ave Ne Suite 209, Bellevue, WA 98004-3825 2013-11-25
1518209758 Maurice Ibrahim Khayat Internal Medicine 9040 Jackson Ave Mche-qd (creds), Tacoma, WA 98431 2013-03-26
1164775508 Hoang H Dang, Md, Ps Internal Medicine 9804 Ne 15th St, Bellevue, WA 98004-3431 2012-10-23
1942561824 Tsering Dhondup Internal Medicine 3525 Ensign Rd Ne Ste K, Olympia, WA 98506-5065 2012-06-06
1518248921 William Griffith Couser Internal Medicine 16050 169th Ave Ne, Woodinville, WA 98072-8949 2011-08-30
1346535556 David Alan Goodkin Internal Medicine 3807 134th Ave Ne, Bellevue, WA 98005-1437 2011-06-15
1174838676 Shanza Mujeeb Internal Medicine 1708 Yakima Ave Ste 107, Tacoma, WA 98405-5300 2010-08-10
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Competitor

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City WALLA WALLA
Zip Code 99362

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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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