JENNIFER LYNN WICKERSHAM (NPI# 1427301977) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427301977 |
| Entity Type | Individual |
| Full Name | JENNIFER LYNN WICKERSHAM |
| Credential | L.M.P. |
| Practice Address |
5610 Kitsap Way Suite 260 Bremerton WA 98312-2292 |
| Mailing Address |
2734 Pine Rd Ne Bremerton WA 98310-2120 |
| Practice Telephone | 3604782100 |
| Mailing Telephone | 3605366114 |
| Enumeration Date | 2012-10-22 |
| Last Update Date | 2012-10-22 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | MA00018998 | WA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023314168 | Jennifer Marie Wickersham | Counselor | 330 N Gore Ave, Saint Louis, MO 63119-1600 | 2011-02-08 |
| Street Address |
5610 KITSAP WAY SUITE 260 |
| City | BREMERTON |
| State | WA |
| Zip Code | 98312-2292 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871788653 | Deana M Enebo-short | Counselor | 5610 Kitsap Way, Suite 250, Bremerton, WA 98312-2292 | 2007-09-13 |
| 1821548983 | Robin Armijo | Massage Therapist | 5610 Kitsap Way, #260, Bremerton, WA 98312-2292 | 2016-10-12 |
| 1306246129 | Tamara Fowler | Massage Therapist | 5610 Kitsap Way, Suite 260, Bremerton, WA 98312-2292 | 2014-08-28 |
| 1902116189 | Kim Ann Kessell | Counselor | 5610 Kitsap Way, Suite 350, Bremerton, WA 98312-2292 | 2010-10-20 |
| 1134308554 | Steven Wexler | Marriage & Family Therapist | 5610 Kitsap Way, Suite 250, Bremerton, WA 98312-2292 | 2007-11-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962025114 | Candace Mckenzie | Counselor | 2564 Cascades Pass Blvd, The Landings Bldg. 779, Bremerton, WA 98312 | 2020-05-22 |
| 1710473590 | Sandra Louise Walker | Family Medicine | 14301 Nw Coho Run, Bremerton, WA 98312 | 2018-07-05 |
| 1467947663 | Jason David Alexander | Military Health Care Provider | Uss Kentucky, Ssbn, Fpo, AE 98312 | 2018-06-29 |
| 1588176614 | Institute Family for Development | Community/Behavioral Health | 5610 Kitsap Way, Suite 315, Bremerton, WA 98312 | 2017-10-30 |
| 1720521321 | Debra Lynn Lemieux | Counselor | 5762 Chico Way Nw, Bremerton, WA 98312 | 2016-11-30 |
| 1164840047 | Amber Rose Morison | Chiropractor | 3963 Sand Dollar Road West, Bremerton, WA 98312 | 2014-03-28 |
| 1942625611 | Kristen Williams | Clinic/Center | 5112 Nw Taylor Rd., Bremerton, WA 98312 | 2014-03-04 |
| 1184049629 | Tariku Tsegaye Messele | Specialist/Technologist | 5112 Nw Taylor Road, Bremerton, WA 98312 | 2014-02-20 |
| 1063784064 | Johnson Chiropractic Clinic | Clinic/Center | 3721 Kitsap Way Suite #8, Bremerton, WA 98312 | 2012-02-06 |
| 1194013532 | Casey Mccann | Student in an Organized Health Care Education/Training Program | 1 Boone Rd., Naval Hospital Bremerton, Bremerton, WA 98312 | 2011-07-19 |
| Find all providers in zip 98312 | ||||
| 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 |
|---|---|---|---|---|
| 1689274250 | Francine Marie Morales | Massage Therapist | 1320 Worrall Dr, Bremerton, WA 98310-3629 | 2020-10-31 |
| 1457982068 | Marta I Valentin | Massage Therapist | 1301 Nw Fox Run, Bremerton, WA 98311-8936 | 2020-02-01 |
| 1235780917 | Arcelia Ellis | Massage Therapist | 8251 Lariat Trl Nw, Bremerton, WA 98311-9122 | 2019-09-24 |
| 1891351888 | Amanda Olney Flint | Massage Therapist | 5050 Wa-303, A101, Bremerton, WA 98311 | 2019-05-15 |
| 1265995385 | Daniel Mcclough | Massage Therapist | 5050 Wa-303 A101, Bremerton, WA 98311 | 2019-04-08 |
| 1558845198 | Megan Jenkins | Massage Therapist | 5610 Kitsap Way # 260, Bremerton, WA 98312-2292 | 2018-09-19 |
| 1922517226 | Kimberley Renee Cortina | Massage Therapist | 5050 State Highway 303 Ne Ste A101, Bremerton, WA 98311-3629 | 2017-09-29 |
| 1578006417 | Joshua Jenkins | Massage Therapist | 144 N Cambrian Ave, Bremerton, WA 98312-4009 | 2016-11-27 |
| 1497298533 | Nicole Adams | Massage Therapist | 123 Wencker Cir, Apt C, Bremerton, WA 98312-5809 | 2016-11-21 |
| 1801268297 | Melissa Haffly | Massage Therapist | 1616 Perry Ave, Bremerton, WA 98310-5011 | 2015-10-23 |
| Find all providers in BREMERTON | ||||
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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.