JORDYN L WATTS (NPI# 1548899156) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548899156 |
| Entity Type | Individual |
| Full Name | JORDYN L WATTS |
| Credential | ACNPC-AG |
| Practice Address |
62 W 7th Ave Ste 232 Spokane WA 99204-2321 |
| Mailing Address |
1192 W Summit Pkwy Apt 30 Spokane WA 99201-7021 |
| Practice Telephone | 5094742041 |
| Mailing Telephone | 2083658161 |
| Enumeration Date | 2020-04-06 |
| Last Update Date | 2020-07-10 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | RN60283274 | WA | Nursing Service Providers |
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
AP61063402 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
62 W 7TH AVE STE 232 |
| City | SPOKANE |
| State | WA |
| Zip Code | 99204-2321 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295948388 | Adrienne L Goldberg | Social Worker | 62 W 7th Ave Ste 232, Spokane, WA 99204-2321 | 2007-05-07 |
| 1073715793 | Benjamin Stuart Schultze | Nurse Practitioner | 62 W 7th Ave Ste 232, Spokane, WA 99204-2321 | 2007-06-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982250957 | Megan Elizabeth Dibenedetto | Pharmacist | 105 West 8th Avenue, 350e, Spokane, WA 99204 | 2019-08-14 |
| 1619521168 | Evelyn R Cabon | Genetic Counselor, MS | 101 W. 8th Avenue Suite 1100, Spokane, WA 99204 | 2019-08-01 |
| 1346700655 | Christina Rose | Student in an Organized Health Care Education/Training Program | 120 W. 8th Avenue, Spokane, WA 99204 | 2019-03-22 |
| 1508339862 | Cody J French | Physical Therapist | Washington Outpatient Rehab, 507 S Washington, Spokane, WA 99204 | 2019-01-09 |
| 1730655598 | Washington Outpatient Rehabilitation, LLC | Physical Therapist | 507 S. Washington St., Suite 10, Spokane, WA 99204 | 2018-10-19 |
| 1013405547 | Joel James Hayden | Student in an Organized Health Care Education/Training Program | Providence Sacred Heart, 101 West 8th Avenue, Spokane, WA 99204 | 2018-04-30 |
| 1144694787 | Brooksjohnsonpllc | Dentist | 1004 S. Monroe Street, Ste 100, Spokane, WA 99204 | 2015-11-19 |
| 1497184196 | Kathalene M Cassels | Physician Assistant | 810 W. 5th Ave. Ste 510, Spokane, WA 99204 | 2013-11-04 |
| 1174880454 | Kelly E Wurzel | Psychiatry & Neurology | 624 E. Front Ave, Spokane, WA 99204 | 2012-04-11 |
| 1003190331 | Katie L Gomez | Nurse Practitioner | 805 W. 5th Ave, Suite 518, Spokane, WA 99204 | 2011-10-05 |
| Find all providers in zip 99204 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982064507 | Kerrin Michele Sorrie | Nurse Practitioner | 309 E Farwell Rd, Suite 100, Spokane, WA 99218-8210 | 2016-02-24 |
| 1871608976 | Marcia Ann Richardson | Nurse Practitioner | 101 W 8th Ave, Spokane, WA 99204-2307 | 2006-08-20 |
| 1487671194 | Washington State University | Nurse Practitioner | 829 W Broadway Ave, Spokane, WA 99201-2117 | 2006-07-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447875752 | Vincent Gutierrez | Nurse Practitioner | 4120 N 19th St, Tacoma, WA 98406-4718 | 2020-06-11 |
| 1003463951 | Corene Kimberly Irvin | Nurse Practitioner | 15508 80th Avenue Ct E, Puyallup, WA 98375-8489 | 2019-08-23 |
| 1427527233 | Nikki Lillian Nino | Nurse Practitioner | 9819 Harborview Pl, Gig Harbor, WA 98332-1018 | 2018-11-21 |
| 1386134203 | Heather J Mckinney | Nurse Practitioner | 6420 Tacoma Mall Blvd Ste 101, Tacoma, WA 98409-6722 | 2018-05-16 |
| 1427551159 | Amanda Catherine Maclurg | Nurse Practitioner | 1802 S Yakima Ave Ste 302, Tacoma, WA 98405 | 2018-03-08 |
| 1568850154 | Cara Cook | Nurse Practitioner | 1504 Nw 57th St, Seattle, WA 98107-3017 | 2015-01-05 |
| 1770913022 | Amanda Ray | Nurse Practitioner | 118 Nw 188th St, Shoreline, WA 98177-3033 | 2013-11-24 |
| 1487999140 | Jessica Morgan White | Nurse Practitioner | 2607 Bridgeport Way W Ste 2e, University Place, WA 98466-4725 | 2012-12-06 |
| 1851625701 | Cathy Phan | Nurse Practitioner | 4029 Northwest Ave Ste 301a, Bellingham, WA 98226-9077 | 2009-09-24 |
| 1902054687 | Lk Healthcare Systems, L.L.C. | Nurse Practitioner | 12611 W Sunset Hwy, Suite B, Airway Heights, WA 99001-9427 | 2008-09-05 |
| Find all providers with the same taxonomy | ||||
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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.