DR. JENNIFER LYNN DAHL (NPI# 1518259134) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518259134 |
| Entity Type | Individual |
| Full Name | DR. JENNIFER LYNN DAHL |
| Credential | PHARMD |
| Practice Address |
1415 E Kincaid St Mount Vernon WA 98274-4126 |
| Practice Telephone | 3604282364 |
| Mailing Telephone | 3604282364 |
| Enumeration Date | 2011-05-16 |
| Last Update Date | 2012-09-29 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P1200X |
Pharmacist Specialization: Pharmacotherapy |
PH14294 | WA | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558454025 | Jennifer Ann Dahl | Counselor | 6261 Dupont Station Court E., Jacksonville, FL 32217 | 2006-10-02 |
| 1396215877 | Jennifer Lynn Dahl | Physical Therapist | 2509 County Highway I, Chippewa Falls, WI 54729-2785 | 2018-11-28 |
| 1134471295 | Jennifer J Dahl | Physician Assistant | 1515 Holcombe Blvd, Houston, TX 77030-4009 | 2012-10-12 |
| 1679527964 | Jennifer Ann Dahl | Pharmacist | 1055 Clermont St, Denver, CO 80220-3808 | 2006-05-20 |
| Street Address |
1415 E KINCAID ST |
| City | MOUNT VERNON |
| State | WA |
| Zip Code | 98274-4126 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750360707 | Rick A Wenning | Pharmacist | 1415 E Kincaid St, Mount Vernon, WA 98274-4126 | 2006-01-10 |
| 1396367561 | Sarah Zubair | Student in an Organized Health Care Education/Training Program | 1415 E Kincaid St, Mount Vernon, WA 98274-4126 | 2020-05-11 |
| 1538798889 | Savannah Martha Broadlick | Student in an Organized Health Care Education/Training Program | 1415 E Kincaid St, Mount Vernon, WA 98274-4126 | 2020-04-07 |
| 1639708175 | Melinda Mae Mantooth | Student in an Organized Health Care Education/Training Program | 1415 E Kincaid St, Mount Vernon, WA 98274-4126 | 2020-04-06 |
| 1699303974 | Matthew Kon | Student in an Organized Health Care Education/Training Program | 1415 E Kincaid St, Mount Vernon, WA 98274-4126 | 2020-03-31 |
| 1518595412 | Rhandy Ceballos | Student in an Organized Health Care Education/Training Program | 1415 E Kincaid St, Mount Vernon, WA 98274-4126 | 2020-03-28 |
| 1467089235 | Khadij Assani | Student in an Organized Health Care Education/Training Program | 1415 E Kincaid St, Mount Vernon, WA 98274-4126 | 2020-03-23 |
| 1689210874 | Hospitalist Medicine Physicians of California - San Leandro, PC | Internal Medicine | 1415 E Kincaid St, Mount Vernon, WA 98274-4126 | 2019-11-22 |
| 1760023170 | Jessica K. Fletcher | Physical Therapist | 1415 E Kincaid St, Mount Vernon, WA 98274-4126 | 2019-10-07 |
| 1932769007 | Kerrie Steffan | Physical Therapist | 1415 E Kincaid St, Mount Vernon, WA 98274-4126 | 2019-06-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881123438 | Ankur Tarun Sanghvi | Peer Specialist | 209 Milwaukee Steet, 209, Mount Vernon, WA 98274 | 2017-06-07 |
| 1932647187 | Claudia Diaz | Counselor | 23550 Garden St, Mount Vernon, WA 98274 | 2017-02-08 |
| 1871042002 | Richard Simcock Dds, Ps | Dentist | 130 S 15th St Suite 101, Mount Vernon, WA 98274 | 2016-09-29 |
| 1528228186 | Parampreet Singh Ghuman | Internal Medicine | 121 S. 12th St, Ste B, Mount Vernon, WA 98274 | 2008-06-16 |
| 1699940874 | Eugene Villanueva De Guzman | Internal Medicine | 208 S Hospital Pkwy, Mount Vernon, WA 98274 | 2008-04-28 |
| 1871775122 | Matthew John Novak | Internal Medicine | 208 Hospital Pkwy, Mount Vernon, WA 98274 | 2007-11-28 |
| 1568658797 | Emily A K Bianconi | Nurse Practitioner | 2101 Little Mountain Lane, Mount Vernon, WA 98274 | 2007-09-21 |
| 1659576981 | Peggy Randall | Counselor | 1420 S 12th, Mount Vernon, WA 98274 | 2007-06-18 |
| 1194937037 | Cascade Neurologic Clinic, Inc, P.s. | Clinic/Center | 1315 East Division St., Mt. Vernon, WA 98274 | 2007-05-04 |
| 1427171297 | Keri L D Halgren | Dentist | 1711 E Division Street, Mt Vernon, WA 98274 | 2007-04-09 |
| Find all providers in zip 98274 | ||||
| Taxonomy Code | 1835P1200X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Pharmacotherapy |
| A licensed pharmacist who has demonstrated specialized knowledge and skill in optimizing pharmacotherapeutic care of patients, by developing, implementing, monitoring, and modifying complex treatment plans, providing advanced level education and consultation, and collaborating with other health professionals in the management of therapy. |
| Notes: Source: Specialty certification and recertification program administered by Board of Pharmaceutical Specialties, www.bpsweb.org [7/1/2006: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750360707 | Rick A Wenning | Pharmacist | 1415 E Kincaid St, Mount Vernon, WA 98274-4126 | 2006-01-10 |
| 1346674322 | Christopher Michael Herman | Pharmacist | 3401 Broadway St, Mount Vernon, IL 62864-2201 | 2013-08-27 |
| 1265724256 | Denise Dianne Johnson | Pharmacist | 307 S 13th St, Suite 100, Mount Vernon, WA 98274-4100 | 2011-05-09 |
| 1639461973 | Bernadine Feist | Pharmacist | 1415 E Kincaid St, Mount Vernon, WA 98274-4126 | 2011-05-04 |
| 1326330655 | Carmel Lynn Lenski | Pharmacist | 1415 E Kincaid St, Mount Vernon, WA 98274-4126 | 2011-05-04 |
| 1801945035 | Brandon Keith Barker | Pharmacist | 606 E Mount Vernon Blvd, Mount Vernon, MO 65712-9100 | 2007-01-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912362070 | Ashley Johnson | Pharmacist | 734 Crestview Pl, Walla Walla, WA 99362-4230 | 2015-12-16 |
| 1649516436 | Andrew James Harbison | Pharmacist | 7080 Killeen Pl Sw, Port Orchard, WA 98367-7617 | 2012-12-24 |
| 1265627640 | Marilyn G Bufton | Pharmacist | 2107 Wilderness Ridge Rd, Bellingham, WA 98229-6901 | 2007-09-10 |
| 1386835817 | Julia Ann Barnett | Pharmacist | 16550 177th Ave Se, Po Box 777, Monroe, WA 98272 | 2007-08-08 |
| 1336356443 | Trent Lawrence Danielson | Pharmacist | 236 2nd Ave N., Okanogan, WA 98840 | 2007-05-17 |
| 1295858934 | Jeffrey B Purcell | Pharmacist | 325 9th Ave Box 359885, Seattle, WA 98104-2499 | 2007-04-09 |
| 1144340654 | Teri Lynn Gilbert | Pharmacist | 713 Canyon View Pl, Yakima, WA 98908-2105 | 2007-03-29 |
| 1386776995 | Edward O. Bye | Pharmacist | 16325 Thorpe Rd Ne, Poulsbo, WA 98370-8010 | 2007-03-09 |
| 1063554954 | Kyle Downey | Pharmacist | 6727 S Moran View St, Spokane, WA 99224-8494 | 2007-02-13 |
| 1447319918 | Steven Harold Erickson | Pharmacist | 24914 153rd Pl Se, Monroe, WA 98272-9558 | 2006-12-08 |
| Find all providers with the same taxonomy | ||||
| City | MOUNT VERNON |
| Zip Code | 98274 |
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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.