JENNIFER CAROL SHOUP (NPI# 1487960878) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487960878 |
| Entity Type | Individual |
| Full Name | JENNIFER CAROL SHOUP |
| Credential | PAC |
| Practice Address |
1802 S Union Ave Suite 200 Tacoma WA 98405-1947 |
| Practice Telephone | 2537526965 |
| Practice Fax Number | 2537596056 |
| Mailing Telephone | 2537526965 |
| Mailing Fax Number | 2537596056 |
| Enumeration Date | 2010-08-24 |
| Last Update Date | 2010-08-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104322643 | Jennifer Elizabeth Shoup | Physical Therapist | 1521 Gull Rd, Kalamazoo, MI 49048-1640 | 2018-04-03 |
| 1962793059 | Jennifer G Shoup | Nurse Practitioner | 5039 Swamp Rd, Suite 401, Fountainville, PA 18923-9667 | 2011-04-25 |
| Street Address |
1802 S UNION AVE SUITE 200 |
| City | TACOMA |
| State | WA |
| Zip Code | 98405-1947 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659368066 | James W Shuffield | Family Medicine | 1802 S Union Ave, Suite 200, Tacoma, WA 98405-1947 | 2005-09-30 |
| 1992196554 | Monica Virginia Dimick | Physician Assistant | 1802 S Union Ave, Tacoma, WA 98405-1947 | 2015-02-17 |
| 1609284819 | Sarah Julina Ulrich | Physician Assistant | 1802 S Union Ave, Tacoma, WA 98405 | 2014-07-31 |
| 1679749329 | Robert Niel Brown | Physical Therapist | 1802 S Union Ave, Tacoma, WA 98405-1947 | 2008-05-02 |
| 1548357098 | Northwest Family & Spinal Clinic Inc Ps | Family Medicine | 1802 S Union Ave, Suite 200, Tacoma, WA 98405 | 2006-10-06 |
| 1588675250 | Melissa L Gamble | Physician Assistant | 1802 S Union Ave, Suite 200, Tacoma, WA 98405 | 2006-08-10 |
| 1063499960 | Sarah K Ray | Physical Therapist | 1802 S Union Ave, Suite 100, Tacoma, WA 98405-1947 | 2005-12-30 |
| 1275520066 | Catherine A Hartjoy | Physician Assistant | 1802 S Union Ave, Ste 200, Tacoma, WA 98405-1947 | 2005-10-05 |
| 1942297353 | Kenneth Cj Scherbarth | Family Medicine | 1802 S Union Ave, Ste 200, Tacoma, WA 98405-1947 | 2005-09-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609486026 | Joanna Christine Hope | Physician Assistant | 2502 S Union Avenue, Tacoma, WA 98405 | 2020-08-01 |
| 1467077891 | Richard Jimenez | Student in an Organized Health Care Education/Training Program | 1202 M.l.k. Jr Way Suite #310, Tacoma, WA 98405 | 2020-06-11 |
| 1669008785 | Mariana Sanchez Corona | Behavior Technician | 1901 S Union Ave Allenmore Building B, Tacoma, WA 98405 | 2020-03-20 |
| 1811534845 | Jasmine Gregory | Social Worker | 311 Martin Luther King Jr. Way, Ms:315-c2-php, Tacoma, WA 98405 | 2019-12-10 |
| 1548807506 | Holly Rebecca Brezynski | Student in an Organized Health Care Education/Training Program | Fresenius Kindney Care - Home Therapies Department, 1717 South J Street, Tacoma, WA 98405 | 2019-12-09 |
| 1972064392 | Logan Brau | Student in an Organized Health Care Education/Training Program | 1202 M.l.k. Jr Way, Tacoma, WA 98405 | 2019-03-28 |
| 1629532536 | Preferred Orthotic and Prosthetic Services Inc | Prosthetic/Orthotic Supplier | 1708 Yakima Ave Ste 60, Tacoma, WA 98405 | 2019-01-24 |
| 1669945911 | Heidi Weakley | Counselor | 1001 S Yakima Ave, Suite 5, Tacoma, WA 98405 | 2019-01-09 |
| 1972074011 | Taviance Benet Laster | Behavior Technician | 1416 S 9th St, Tacoma, WA 98405 | 2018-12-16 |
| 1336618040 | Bailey Bangerter | Physician Assistant | 1901 South Union, A-233, Tacoma, WA 98405 | 2018-11-26 |
| Find all providers in zip 98405 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609486026 | Joanna Christine Hope | Physician Assistant | 2502 S Union Avenue, Tacoma, WA 98405 | 2020-08-01 |
| 1831663442 | Noah C Chance | Physician Assistant | 9040 Jackson Ave Attn:credentials, Tacoma, WA 98431-4604 | 2019-01-16 |
| 1336618040 | Bailey Bangerter | Physician Assistant | 1901 South Union, A-233, Tacoma, WA 98405 | 2018-11-26 |
| 1518448539 | Kimberly Bui | Physician Assistant | 112 S 8th St Ste 200, Tacoma, WA 98402-5294 | 2018-08-27 |
| 1568942621 | Michelle Lynn Scott | Physician Assistant | 1201 Pacific Ave Ste C6, Tacoma, WA 98402-4393 | 2018-08-17 |
| 1548770670 | Bradley Richard Poe | Physician Assistant | 209 M.l.k. Jr Way, Tacoma, WA 98405 | 2017-10-03 |
| 1326588369 | Alyssa K. Leaning | Physician Assistant | 1724 W Union Ave Ste 100, Tacoma, WA 98405-2099 | 2017-02-23 |
| 1356609218 | Rebecca Ann Sciandra | Physician Assistant | 9040a Jackson Ave Madigan Army Medical Center, Tacoma, WA 98431-7037 | 2012-04-30 |
| 1023392529 | Kristie Michelle Mattern | Physician Assistant | 5427 S Birmingham St, Tacoma, WA 98409-5417 | 2011-10-03 |
| 1700100385 | Colleen Anne Carette | Physician Assistant | 1500 N. Warner St., #1035, Tacoma, WA 98416-1035 | 2010-03-25 |
| Find all providers in TACOMA | ||||
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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.