JARED RALPH COLLETT (NPI# 1427210780) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427210780 |
| Entity Type | Individual |
| Full Name | JARED RALPH COLLETT |
| Credential | PA-C |
| Practice Address |
1100 Goethals Drive 1st Floor Richland WA 99352-3304 |
| Mailing Address |
3900 S Zintel Way Kennewick WA 99337-5092 |
| Practice Telephone | 5099423080 |
| Practice Fax Number | 5099423085 |
| Mailing Telephone | 5099423627 |
| Mailing Fax Number | 5099422268 |
| Enumeration Date | 2008-06-27 |
| Last Update Date | 2013-10-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
PA60034324 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | LABOR & INDUSTRIES | 0251709 | 01 |
| WA | 1427210780 | 05 |
| Street Address |
1100 GOETHALS DRIVE 1ST FLOOR |
| City | RICHLAND |
| State | WA |
| Zip Code | 99352-3304 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699770842 | Ralph G Laraiso | Physical Medicine & Rehabilitation | 1100 Goethals Drive, Suite B, Richland, WA 99352 | 2005-06-15 |
| 1083058762 | Sarena L Sloot | Registered Nurse | 1100 Goethals Drive, 3rd Floor, Richland, WA 99352-3304 | 2013-04-24 |
| 1588905699 | Tyson A Harris | Nurse Practitioner | 1100 Goethals Drive, Suite B, Richland, WA 99352 | 2013-03-14 |
| 1235485731 | Lora C Bird | Nurse Practitioner | 1100 Goethals Drive, Suite F, Richland, WA 99352 | 2012-08-02 |
| 1780962431 | Sunitha Suresh | Internal Medicine | 1100 Goethals Drive, 1st Floor, Richland, WA 99352-3304 | 2011-07-29 |
| 1871824656 | Curtis Anthony Woolf | Audiologist | 1100 Goethals Drive, 2nd Floor, Richland, WA 99352-3304 | 2010-01-19 |
| 1508192915 | Tauni M Urdahl | Physician Assistant | 1100 Goethals Drive, 1st Floor, Richland, WA 99352-3304 | 2009-10-20 |
| 1881928414 | Sarabjit Kaur Atwal | Psychiatry & Neurology | 1100 Goethals Drive, Richland, WA 99352-3304 | 2009-09-29 |
| 1861620627 | Patrick W Gavin | Urology | 1100 Goethals Drive, Suite D Kadlec Clinic Urology, Richland, WA 99352 | 2009-06-30 |
| 1861641581 | James R Kneller | Internal Medicine | 1100 Goethals Drive, Kadlec Inland Cardiology, 3rd Floor, Richland, WA 99352-3304 | 2008-09-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326683053 | Thrive On Counseling, LLC | Counselor | 718 Jadwin Avenue, Richland, WA 99352 | 2019-11-18 |
| 1225687650 | Tri-cities Marital and Family Therapy | Marriage & Family Therapist | 925 Stevens Dr., Suite 3a, Richland, WA 99352 | 2019-09-09 |
| 1053966754 | Darla Nicole Carpenter-sams | Social Worker | 845 Stevens Suite 3a, Richland, WA 99352 | 2019-08-08 |
| 1538720735 | Compass Home Health Care | Home Health | 4281 Tigar Lane, Richland, WA 99352 | 2019-06-27 |
| 1164089934 | Tri-city Orthodontics, LLC | Dentist | 3200 Duportail St, Ste 203, Richland, WA 99352 | 2019-05-28 |
| 1760956361 | Behavior Treatment Solutions LLC | Behavioral Analyst | 403 Adams St, Richland, WA 99352 | 2019-01-16 |
| 1528566981 | Rxltc, Pllc | Pharmacy | 969 Stevens Dr Ste 1b, Richland, WA 99352 | 2018-01-31 |
| 1154829992 | Jason Brody Anderson | Registered Nurse | 888 Swift Blvd # 180, Richland, WA 99352 | 2018-01-26 |
| 1093247355 | Anderson Mcgilliard | Physical Therapist | 875 Gage Blvd, Richland, WA 99352 | 2017-03-28 |
| 1871042689 | Jennifer Bramhall | Nurse Practitioner | 1100 Goethals Drive Suite F, Kadlec Inland Cardiology, Richland, WA 99352 | 2016-09-22 |
| Find all providers in zip 99352 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225238793 | April Anne Duran | Physician Assistant | 945 Goethals Dr Ste 200, Richland, WA 99352-3552 | 2007-07-23 |
| 1134745664 | Conner J Burck | Physician Assistant | 1100 Goethals Dr Ste E2nd, Richland, WA 99352-3300 | 2020-06-20 |
| 1477965929 | Hunter Lee | Physician Assistant | 1100 Goethals Dr, Richland, WA 99352-3300 | 2014-06-02 |
| 1821168840 | Tina G Branson | Physician Assistant | 945 Goethals Drive, Suite 200, Richland, WA 99352 | 2006-11-08 |
| 1396772554 | Jamera A Thompson | Physician Assistant | 945 Goethals Drive, Kadlec Clinic - Associated Physicians for Women, Richland, WA 99352 | 2006-06-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780153536 | Patricia Dorian | Physician Assistant | 2950 Squalicum Pkwy Ste B, Bellingham, WA 98225-1857 | 2018-11-21 |
| 1851875561 | Sarah Gene Soloff | Physician Assistant | 9730 3rd Ave Ne Ste 201, Seattle, WA 98115-2023 | 2018-09-18 |
| 1104308394 | Johnny Thanh Nguyen | Physician Assistant | 1135 116th Ave Ne Ste 605, Bellevue, WA 98004-4697 | 2018-09-04 |
| 1558843201 | Stefanie Eller | Physician Assistant | 532 Cedar Wood Ln, Wenatchee, WA 98801-2476 | 2018-08-29 |
| 1861987992 | Lillian Baldwin Bourret | Physician Assistant | 6317 Linden Ave N, Seattle, WA 98103-5658 | 2018-07-01 |
| 1417446758 | Janelle Elizabeth Becker | Physician Assistant | 11511 Canterwood Blvd Nw Ste 205, Gig Harbor, WA 98332 | 2018-05-02 |
| 1982058418 | Ray Johnson | Physician Assistant | 4446 88th Ave Se, Mercer Island, WA 98040 | 2016-04-21 |
| 1073990651 | Laura Skanse | Physician Assistant | 12303 Ne 130th Ln #500, Kirkland, WA 98034 | 2015-05-02 |
| 1104231893 | Amber Elaine Deck | Physician Assistant | 20307 67th Ave E, Spanaway, WA 98387-5600 | 2014-06-22 |
| 1043535024 | Pamela Baird | Physician Assistant | 2016 16th Ave East, Seattle, WA 98112-5260 | 2010-04-01 |
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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.