JODI JEAN WAGSTER (NPI# 1497006332) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497006332 |
| Entity Type | Individual |
| Full Name | JODI JEAN WAGSTER |
| Credential | LMP |
| Practice Address |
2804 Grand Ave Ste 300 Everett WA 98201-3586 |
| Mailing Address |
5631 123rd Ave Se Snohomish WA 98290-5510 |
| Practice Telephone | 2066053890 |
| Mailing Telephone | 2066053890 |
| Enumeration Date | 2012-10-01 |
| Last Update Date | 2012-10-01 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 60297122 | WA | Other Service Providers |
| Street Address |
2804 GRAND AVE STE 300 |
| City | EVERETT |
| State | WA |
| Zip Code | 98201-3586 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285813287 | Kathleen Carmela Bundy | Dietitian, Registered | 2804 Grand Ave Ste 300, Everett, WA 98201-3586 | 2007-10-26 |
| 1104467778 | Lara A Thompson | Naturopath | 2804 Grand Ave Ste 300, Everett, WA 98201 | 2019-10-03 |
| 1720643257 | Ilithyia Pllc | Midwife | 2804 Grand Ave Ste 300, Everett, WA 98201-3586 | 2019-05-09 |
| 1396266276 | Kaitlyn Marie Shaw | Midwife | 2804 Grand Ave Ste 300, Everett, WA 98201-3586 | 2017-06-30 |
| 1417401928 | Leila S Kuehner | Naturopath | 2804 Grand Ave Ste 300, Everett, WA 98201-3586 | 2016-08-12 |
| 1982942603 | Amanda Joan Wilms | Naturopath | 2804 Grand Ave Ste 300, Everett, WA 98201-3586 | 2013-01-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306471867 | Shannon Michelle Dewald | Registered Nurse | D8s 1700 13th St, Everett, WA 98201 | 2020-03-05 |
| 1578123113 | Precious Medicial Spa, LLC | Registered Nurse | 1728 W. Marine View Dr Suite 212, Everett, WA 98201 | 2019-06-17 |
| 1508429796 | Alix Deschain | Counselor | 2801 Broadway, Everett, WA 98201 | 2019-04-15 |
| 1811457534 | Khushboo Patel | Pharmacist | 1330 Rockefeller Ave Ste 150, Everett, WA 98201 | 2019-03-20 |
| 1164991188 | Grace Talbot Davis | Registered Nurse | 2601 Summit Avenue, Bldg. C, Everett, WA 98201 | 2018-11-20 |
| 1063924603 | Tracy Sisk | Counselor | 3120 Colby Ave, 502, Everett, WA 98201 | 2017-11-03 |
| 1710403126 | Michelle Durham | Counselor | 3322 Boadway Fl 2, Everett, WA 98201 | 2017-08-17 |
| 1861927949 | Melanie Schmidt | Counselor | 2610 Westmore Ave, Everett, WA 98201 | 2017-04-26 |
| 1518413327 | Joseph Madson Dmd Pllc | Clinic/Center | 3802 Colby Ave, 4th Floor, Everett, WA 98201 | 2016-08-31 |
| 1043683162 | Jennifer Adams | Counselor | 1511 26th St, Everett, WA 98201 | 2015-11-11 |
| Find all providers in zip 98201 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548643224 | Zackery A Robinson | Specialist | 3003 W Casino Rd Bldg 40.421, Everett, WA 98204-1910 | 2015-06-30 |
| 1871972380 | Karissa Kayleen Councill-trinidad | Specialist | 3223 Tulalip Ave, Everett, WA 98201-4155 | 2015-05-29 |
| 1629470422 | Betty Thorson | Specialist | 711 112th St Se Ste C, Everett, WA 98208-5283 | 2014-09-23 |
| 1942571880 | Alena A Klimenko | Specialist | 12811 8th- Ave W, Suite B-103, Everett, WA 98204 | 2012-01-24 |
| 1174829709 | Rebecca Lynn Morris | Specialist | 11614a 35th Ave Se, Everett, WA 98208-5306 | 2011-01-29 |
| 1083867428 | Susan Anne Helm | Specialist | 2020 Lake Heights Dr Apt M304, Everett, WA 98208-6061 | 2008-10-29 |
| 1205088622 | Anne E Miller | Specialist | 11619 31st Dr Se, Everett, WA 98208-6107 | 2008-10-16 |
| 1861655391 | Dana Bianchi | Specialist | 2320 Del Campo Dr, Everett, WA 98208-3405 | 2008-07-03 |
| 1962679217 | Reisa A. Cole | Specialist | 1902 120th Pl Se, Ste 102, Everett, WA 98208 | 2008-05-14 |
| 1326212390 | Holly Nicole Foor | Specialist | 181 Old Racetrack Rd, Everett, PA 15537-4572 | 2008-04-21 |
| Find all providers in EVERETT | ||||
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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.