DR. JENNIFER JEAN SOARES (NPI# 1548485980) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548485980 |
| Entity Type | Individual |
| Full Name | DR. JENNIFER JEAN SOARES |
| Credential | M.D. |
| Practice Address |
4500 Sand Point Way Ne Seattle WA 98105-3900 |
| Practice Telephone | 2069872000 |
| Enumeration Date | 2007-04-13 |
| Last Update Date | 2013-09-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0214X |
Pediatrics Specialization: Pediatric Pulmonology |
45962 | TN | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215161914 | Jennifer Lynn Soares | Psychologist | 2575 E Perrin Ave Ste 110, Fresno, CA 93720 | 2009-05-08 |
| 1013085315 | Jennifer K Soares | Physical Medicine & Rehabilitation | 795 Franklin Ave, Franklin Lakes, NJ 07417-1368 | 2006-12-04 |
| Street Address |
4500 SAND POINT WAY NE |
| City | SEATTLE |
| State | WA |
| Zip Code | 98105-3900 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356321129 | John L Bastien | Anesthesiology | 4500 Sand Point Way Ne, #100, Seattle, WA 98105-3900 | 2006-01-18 |
| 1659802429 | Adrienne Schlatter | Pediatrics | 4500 Sand Point Way Ne, Seattle, WA 98105-3900 | 2017-03-23 |
| 1033433933 | Jon L. Way Dds, Ms | Dentist | 4500 Sand Point Way Ne, Seattle, WA 98105-3900 | 2010-03-22 |
| 1346410719 | Allyson Stewart Dkeidek | Dentist | 4500 Sand Point Way Ne, Suite 208, Seattle, WA 98105-3900 | 2008-03-03 |
| 1902996895 | J. Craig Jackson | Pediatrics | 4500 Sand Point Way Ne, Seattle Children's Hospital Fa-2, Seattle, WA 98105-3900 | 2006-10-13 |
| 1306957147 | Steven Douglas Smutka | Dentist | 4500 Sand Point Way Ne, Suite 208, Seattle, WA 98105-3925 | 2006-08-31 |
| 1255449963 | The Association of Chrmc and University Physicians | Surgery | 4500 Sand Point Way Ne, Seattle, WA 98105-3900 | 2006-08-25 |
| 1811926553 | Gordon Alan Sako | Dentist | 4500 Sand Point Way Ne, Suite #212, Seattle, WA 98105-3900 | 2006-07-03 |
| 1649214925 | Donna Louise Massoth | Dentist | 4500 Sand Point Way Ne, #218, Seattle, WA 98105-3900 | 2006-06-16 |
| 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 Code | 2080P0214X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Pulmonology |
| A pediatrician dedicated to the prevention and treatment of all respiratory diseases affecting infants, children and young adults. This specialist is knowledgeable about the growth and development of the lung, assessment of respiratory function in infants and children, and experienced in a variety of invasive and noninvasive diagnostic techniques. |
| 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) was provided by the American Osteopathic Board of Pediatrics. The Certification is no longer offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770902637 | David Panek | Pediatrics | 4800 Sand Point Way Ne, Oc.7.720, Seattle, WA 98105 | 2014-04-08 |
| 1275599631 | John Pilgrim Osborn | Pediatrics | 1101 Madison St Ste 800, Seattle, WA 98104-1306 | 2006-04-25 |
| 1437425329 | Laura Elizabeth Ellington | Pediatrics | 4800 Sand Point Way Ne, Oc.7.830, Seattle, WA 98105-3901 | 2012-03-26 |
| 1881993251 | Jonathan David Cogen | Pediatrics | 4800 Sand Point Way Ne, Seattle Children's Hospital, Seattle, WA 98103 | 2011-03-24 |
| 1750518957 | Jennifer Ruddy | Pediatrics | 4800 Sand Point Way Ne, A-5937, Seattle, WA 98105-3901 | 2009-06-15 |
| 1861636276 | Thida Ong | Pediatrics | 4800 Sand Point Way Ne, M/s A-5937, Seattle, WA 98105-3901 | 2009-04-29 |
| 1861604175 | David Paul Nichols | Pediatrics | 4800 Sand Point Way Ne, Seattle, WA 98105-3901 | 2007-05-07 |
| 1689755944 | Lucas Hoffman | Pediatrics | 4800 Sand Point Way Ne, Seattle, WA 98105-3901 | 2006-10-17 |
| 1932280294 | Bonnie Ramsey | Pediatrics | 4800 Sand Point Way Ne, Seattle, WA 98105-3901 | 2006-10-17 |
| 1841371101 | Gregory J Redding | Pediatrics | 4800 Sand Point Way Ne, Seattle, WA 98105-3901 | 2006-10-17 |
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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.