JORDAN EBLE (NPI# 1497292577) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497292577 |
| Entity Type | Individual |
| Full Name | JORDAN EBLE |
| Credential | ACE/CPT, CIFT/NCPAD |
| Practice Address |
4162 148th Ave Ne Redmond WA 98052-5164 |
| Practice Telephone | 4258699506 |
| Practice Fax Number | 4258699482 |
| Mailing Telephone | 4258699506 |
| Mailing Fax Number | 4258699482 |
| Enumeration Date | 2017-01-26 |
| Last Update Date | 2017-01-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225400000X | Rehabilitation Practitioner | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
4162 148TH AVE NE |
| City | REDMOND |
| State | WA |
| Zip Code | 98052-5164 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275871618 | Pushing Boundaries | Clinic/Center | 4162 148th Ave Ne, Redmond, WA 98052-5164 | 2013-01-18 |
| 1902207566 | Roozbeh Katiraie | Rehabilitation Practitioner | 4162 148th Ave Ne, Redmond, WA 98052-5164 | 2014-09-12 |
| 1811398472 | Laura Davis | Rehabilitation Practitioner | 4162 148th Ave Ne, Redmond, WA 98052-5164 | 2014-09-12 |
| 1760890081 | Emily Faye James | Rehabilitation Practitioner | 4162 148th Ave Ne, Redmond, WA 98052-5164 | 2014-07-30 |
| 1033458724 | Martin Richard Frank | Rehabilitation Practitioner | 4162 148th Ave Ne, Redmond, WA 98052-5164 | 2013-01-31 |
| 1568701258 | Aaron Bradley Urquidez | Rehabilitation Practitioner | 4162 148th Ave Ne, Redmond, WA 98052-5164 | 2013-01-31 |
| 1407195191 | Carrie L Sandvick | Rehabilitation Practitioner | 4162 148th Ave Ne, Redmond, WA 98052-5164 | 2013-01-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396301255 | Saraa Abdulateef | Dentist | 16150 Ne 85th St., #212, Redmond, WA 98052 | 2019-05-16 |
| 1174186837 | Zeinab Birjandian | Student in an Organized Health Care Education/Training Program | Carilion Roanoke Memorial Hospital, 1906 Belleview Ave, Roanoke, VA 98052 | 2019-04-18 |
| 1023584026 | Washington Dental Corporation, PC | Dentist | 17126 Redmond Way, Redmond, WA 98052 | 2018-10-17 |
| 1275047599 | Simeon P Roth | Pharmacist | 8547 Avondale Road Ne, Redmond, WA 98052 | 2017-11-22 |
| 1427560267 | Rania Abou Shadi | Pharmacy | 8862 161st Avenue Ne, Suite 102, Redmond, WA 98052 | 2017-11-02 |
| 1376068981 | Mark W Debourke | Clinic/Center | 7579 Old Redmond Rd, Apt 6, Redmond, WA 98052 | 2017-08-04 |
| 1740712280 | Hyomi Cho | Dentist | 15165 Ne24 Th St, Redmond, WA 98052 | 2017-04-03 |
| 1871033878 | Redmond Ambulatory Surgery Center, LLC | Clinic/Center | 18100 Ne Union Hill Rd Ste 340, Redmond, WA 98052 | 2017-02-24 |
| 1346797933 | Bridger Griffin | Speech-Language Pathologist | 8301 16st Ave Ne, Redmond, WA 98052 | 2016-09-01 |
| 1508313123 | Austin Schieler | Pharmacist | 14480 Ne 24th Street, Redmond, WA 98052 | 2016-09-01 |
| Find all providers in zip 98052 | ||||
| Taxonomy Code | 225400000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Rehabilitation Practitioner |
| A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902207566 | Roozbeh Katiraie | Rehabilitation Practitioner | 4162 148th Ave Ne, Redmond, WA 98052-5164 | 2014-09-12 |
| 1811398472 | Laura Davis | Rehabilitation Practitioner | 4162 148th Ave Ne, Redmond, WA 98052-5164 | 2014-09-12 |
| 1760890081 | Emily Faye James | Rehabilitation Practitioner | 4162 148th Ave Ne, Redmond, WA 98052-5164 | 2014-07-30 |
| 1033458724 | Martin Richard Frank | Rehabilitation Practitioner | 4162 148th Ave Ne, Redmond, WA 98052-5164 | 2013-01-31 |
| 1568701258 | Aaron Bradley Urquidez | Rehabilitation Practitioner | 4162 148th Ave Ne, Redmond, WA 98052-5164 | 2013-01-31 |
| 1407195191 | Carrie L Sandvick | Rehabilitation Practitioner | 4162 148th Ave Ne, Redmond, WA 98052-5164 | 2013-01-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326569518 | Forward Mobility | Rehabilitation Practitioner | 416 Daley St Apt A, Edmonds, WA 98020-3186 | 2017-06-28 |
| 1427228980 | Susan Schmitt | Rehabilitation Practitioner | 3213 Eastlake Ave E Apt A, Seattle, WA 98102-7127 | 2008-03-11 |
| 1861511347 | Lesa Crane Hogue | Rehabilitation Practitioner | 1112 W 11th Ave, Spokane, WA 99204-3902 | 2007-03-28 |
| 1376600668 | Mark Stanley Rundel | Rehabilitation Practitioner | 1605 12th Ave, Suite 30, Seattle, WA 98122-2467 | 2007-01-03 |
| 1508972894 | Northwest Therapy Center, LLC | Rehabilitation Practitioner | 320 Ne 97th St., Ste B, Seattle, WA 98115 | 2006-08-21 |
| 1447212683 | Monica Ann Jordan | Rehabilitation Practitioner | 4010 E 15th Ave, Spokane, WA 99223-5244 | 2006-04-04 |
| 1790761286 | G Keith Mackenzie | Rehabilitation Practitioner | 715 S Cowley St, Suite 228, Spokane, WA 99202-1375 | 2005-12-16 |
| 1023646882 | Chhorn Houn Pho | Rehabilitation Practitioner | 8649 Martin Way E, Lacey, WA 98516-5812 | 2020-03-28 |
| 1952933632 | Kaylin Greene | Rehabilitation Practitioner | 10258 W Highway 2 Ste 4, Spokane, WA 99224-5459 | 2020-02-10 |
| 1700300563 | Kimberly Ann Foley | Rehabilitation Practitioner | 103 Washburn Pl, Lopez Island, WA 98261-5528 | 2017-08-02 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on JORDAN EBLE.
| 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.