DR. TERESE LESLIE JENNINGS


Address: 3626 Ne 45th St, Suite 300, Seattle, WA 98105-5652
Phone: 2065262600

DR. TERESE LESLIE JENNINGS (NPI# 1528014701) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1528014701
Entity Type Individual
Full Name DR. TERESE LESLIE JENNINGS
Credential M.D.
Practice Address 3626 Ne 45th St
Suite 300
Seattle
WA 98105-5652
Practice Telephone 2065262600
Practice Fax Number 2065260219
Mailing Telephone 2065262600
Mailing Fax Number 2065260219
Enumeration Date 2006-05-26
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor X

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2080N0001X Pediatrics
Specialization: Neonatal-Perinatal Medicine
MD00040058 WA Allopathic & Osteopathic Physicians

Office Location

Street Address 3626 NE 45TH ST
SUITE 300
City SEATTLE
State WA
Zip Code 98105-5652

Providers in the same location

NPI Name Taxonomy Address Enumeration
1194787457 Barry Michael Lawson Specialist 3626 Ne 45th St, #300, Seattle, WA 98105-5652 2006-04-03
1255453619 Vicki L. Fidler Dentist 3626 Ne 45th St, Suite 200, Seattle, WA 98105-5652 2007-04-05
1932257516 Janet K Look Psychologist 3626 Ne 45th St, 301, Seattle, WA 98105-5652 2007-01-08
1265596100 Alison Kirse Coit Nurse Practitioner 3626 Ne 45th St, Suite 300, Seattle, WA 98105-5652 2006-12-21
1679651301 Robert H. Mertz Pediatrics 3626 Ne 45th St, Suite 300, Seattle, WA 98105-5652 2006-11-01
1619065778 Debra Sue Bender Nurse Practitioner 3626 Ne 45th St, Suite 300, Seattle, WA 98105-5652 2006-10-11
1831290816 Eric Jon Demers Pediatrics 3626 Ne 45th St, Suite 300, Seattle, WA 98105-5652 2006-09-25
1396847869 Traci Leigh Krebs Nurse Practitioner 3626 Ne 45th St, Suite 300, Seattle, WA 98105-5652 2006-09-03
1093829053 Sunil Kumar Saluja Pediatrics 3626 Ne 45th St, Suite 300, Seattle, WA 98105-5652 2006-08-18
1629080106 Dyan Meredith Simon Pediatrics 3626 Ne 45th St, 300, Seattle, WA 98105-5652 2006-08-12
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1326662396 Dale Justin Podolsky Student in an Organized Health Care Education/Training Program 4800 Sand Point Way Ne, Ob.9.520, Seattle Children's, Seattle, WA 98105 2020-06-04
1376170878 Andrew Crompton Yazman Pediatrics 4800 Sand Point Way, Ne Oc.7.830, Seattle, WA 98105 2020-03-25
1427688845 Daniela Michell Zepeda Behavioral Analyst 4616 25th Ave Ne Pmb 437, Seattle, WA 98105 2020-01-24
1255981189 Emily King Student in an Organized Health Care Education/Training Program Mark Hawkins, Pa-c, Mpas, 4311 11th Ave Ne Suite 200, WA 98105 2019-09-12
1821659327 Sara Katherine Horne Student in an Organized Health Care Education/Training Program 4800 Sand Point Way Ne, Mb.11.500, Department of Anesthesiology and Pain Medicine, Seattle, Seattle, WA 98105 2019-06-25
1881252575 Darryl Lee Wright Peer Specialist Gossett Place, 4719 12th Ave Ne, Seattle, WA 98105 2019-05-29
1487117891 Nirupama Madhavan Behavioral Analyst 5001 25th Ave Ne, Seattle, WA 98105 2019-04-11
1780155648 Eryn R Mcentee Naturopath 2216 Ne46th St, Seattle, WA 98105 2018-12-17
1356811921 Kyle Leland Bernbach Massage Therapist 5224 Ravenna Ave Ne, Seattle, WA 98105 2018-11-27
1548742380 Janal Kim Physician Assistant 4726 11th Ave Ne, Apt 511, Seattle, WA 98105 2018-08-29
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Taxonomy Information

Taxonomy Code 2080N0001X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics
Specialization Neonatal-Perinatal Medicine

Taxonomy Definition

A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1730295569 Gary A Twiggs Pediatrics 3626 Ne 45th Street, Suite 300, Seattle, WA 98105-5643 2006-08-22
1013932680 Dennis Mayock Pediatrics Pediatrics, Box 356320, University of Washington, Seattle, WA 98195-6320 2006-07-13
1881960268 Mihai Puia-dumitrescu Pediatrics 4800 Sand Point Way Ne, Seattle, WA 98105 2012-03-29
1073825303 Elliott Mark Weiss Pediatrics 4800 Sand Point Way Ne, Seattle, WA 98105-3901 2010-07-01
1184935678 Kirtikumar N. Upadhyay Pediatrics 4800 Sand Point Way Ne, Seattle, WA 98105-3901 2010-06-29
1912227810 Krystle Marie Perez Pediatrics 4800 Sand Point Way Ne, Seattle, WA 98105-3901 2010-06-03
1275851727 Pattaraporn Tanya Chun Pediatrics 4800 Sand Point Way Ne, Seattle, WA 98105-3901 2010-05-07
1265662191 Zeenia Cyrus Billimoria Pediatrics 4800 Sand Point Way Ne, Seattle, WA 98105-3901 2009-07-27
1770749228 Anna Bruett Hedstrom Pediatrics 1959 Ne Pacific St, Box 356320, Seattle, WA 98195-6320 2008-08-04
1407020746 Meenakshi Rina Dutta Pediatrics 1959 Ne Pacific St, Seattle, WA 98195 2008-04-17
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City SEATTLE
Zip Code 98105

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Dataset Information

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.

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