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).
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 |
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 |
State | Issuer | Identifier | Type Code |
---|---|---|---|
WA | 1417165382 | 05 | |
OR | 500635060 | 05 |
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 |
Street Address |
301 W POPLAR ST SUITE 100 |
City | WALLA WALLA |
State | WA |
Zip Code | 99362-2858 |
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 |
Find all providers in the same location |
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 |
Find all providers in zip 99362 |
Taxonomy Code | 207RN0300X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Nephrology |
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. |
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 |
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 |
Find all providers with the same taxonomy |
City | WALLA WALLA |
Zip Code | 99362 |
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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.