JEAN MARIE RIQUELME (NPI# 1568446128) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568446128 |
| Entity Type | Individual |
| Full Name | JEAN MARIE RIQUELME |
| Credential | MD |
| Practice Address |
2508 Wheaton Way Bremerton WA 98310-3303 |
| Mailing Address |
Po Box 960 Bremerton WA 98337-0212 |
| Practice Telephone | 3603773776 |
| Practice Fax Number | 3603732096 |
| Mailing Telephone | 3603773776 |
| Mailing Fax Number | 3603732096 |
| Enumeration Date | 2005-12-06 |
| Last Update Date | 2014-09-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | MD60319995 | WA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | LICENSE | 36042 | 01 |
| WA | LICENSE | MD60319995 | 01 |
| WI | 32097700 | 05 |
| Street Address |
2508 WHEATON WAY |
| City | BREMERTON |
| State | WA |
| Zip Code | 98310-3303 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790263366 | Hannah Whitney Bishop | Nurse Practitioner | 2508 Wheaton Way, Bremerton, WA 98310-3303 | 2018-08-05 |
| 1417447830 | Kristen Sara Sylvester | Nurse Practitioner | 2508 Wheaton Way, Bremerton, WA 98310-3303 | 2018-05-10 |
| 1033645049 | Donna Rachael Horton | Nurse Practitioner | 2508 Wheaton Way, Bremerton, WA 98310-3303 | 2017-05-11 |
| 1245683705 | Lauren Menard | Nurse Practitioner | 2508 Wheaton Way, Bremerton, WA 98310-3303 | 2016-07-20 |
| 1821405762 | Adriana Taseva | Family Medicine | 2508 Wheaton Way, Bremerton, WA 98310-3303 | 2014-07-11 |
| 1659712842 | Kristoffer Alan Tacub Valenzuela | Family Medicine | 2508 Wheaton Way, Bremerton, WA 98310-3303 | 2013-07-16 |
| 1912277062 | Peninsula Community Health Services | Pharmacy | 2508 Wheaton Way, Bremerton, WA 98310-3303 | 2012-01-06 |
| 1639458441 | Erica Aragon Bottai | Physician Assistant | 2508 Wheaton Way, Bremerton, WA 98310-3303 | 2011-08-10 |
| 1407148497 | Peninsula Community Health Services | Counselor | 2508 Wheaton Way, Bremerton, WA 98310-3303 | 2011-05-09 |
| 1144544867 | Sharon Penny Lynne Ishihara | Nurse Practitioner | 2508 Wheaton Way, Bremerton, WA 98310-3303 | 2010-03-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891333613 | Miss Mary Community Development | Voluntary or Charitable | 1630 Trenton Avenue Apt 10, Bremerton, WA 98310 | 2019-12-11 |
| 1629636055 | Puget Sound Work Injury Clinic, LLC | Clinic/Center | 812 Cherry Ct, Bremerton, WA 98310 | 2019-05-31 |
| 1538672530 | Rachel E Mittelstaedt Parsons | Dietitian, Registered | 3059 Viewcrest Dr Ne, Bremerton, WA 98310 | 2017-11-13 |
| 1356888937 | Sarah Hike | Community Health Worker | 900 Sheridan, Bremerton, WA 98310 | 2017-01-20 |
| 1073941142 | Hana Singer | Physical Therapy Assistant | 3600 Forest Dr Ne, Bremerton, WA 98310 | 2013-10-28 |
| 1447508122 | Kevin Lee Hathaway | Mechanotherapist | 3308 Veska Avenue, Bremerton, WA 98310 | 2012-08-28 |
| 1003163007 | James Hyun Soo Lee | Surgery | Cvn 76 Uss Ronald Reagan, Bremerton, WA 98310 | 2012-08-08 |
| 1487936241 | Karen S Casseday | Nurse Practitioner | 1740 Ne Riddell Rd Ste 110, Bremerton, WA 98310 | 2011-09-16 |
| 1740560572 | Lauren P Foresman | Physician Assistant | 2709 Hemlock Street, Bremerton, WA 98310 | 2011-08-24 |
| 1538390059 | Patricia L Rushon | Speech-Language Pathologist | 560 Lebo Blvd., Bremerton, WA 98310 | 2009-07-31 |
| Find all providers in zip 98310 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710473590 | Sandra Louise Walker | Family Medicine | 14301 Nw Coho Run, Bremerton, WA 98312 | 2018-07-05 |
| 1790122018 | Heidi Belgum Allred | Family Medicine | 4207 Kitsap Way, Bremerton, WA 98312-2447 | 2013-05-28 |
| 1770630535 | Alisa J. Blitz-seibert | Family Medicine | 8042 Nw Wildcat Lake Rd, Bremerton, WA 98312-9571 | 2007-01-04 |
| 1760551410 | L A Professional Service Corp. | Family Medicine | 804 Callahan Dr # A, Bremerton, WA 98310-3307 | 2006-11-07 |
| 1659478709 | Deborah H Kohli | Family Medicine | Naval Hospital Bremerton, Family Practice Clinic, 1 Boone Rd, Bremerton, WA 98312-1898 | 2006-09-20 |
| 1780798611 | Lila Aflatooni | Family Medicine | 804 Callahan Dr, Suite A, Bremerton, WA 98310 | 2006-08-18 |
| 1326095076 | Desmond B Tuason | Family Medicine | 2641 Cherry Ave, Bremerton, WA 98310-4230 | 2006-05-28 |
| 1811956923 | Christine Romascan | Family Medicine | 1651 Ne Bentley Dr, Bremerton, WA 98311-3706 | 2006-03-20 |
| 1316915168 | Garrett Wayne Duckworth Jr. | Family Medicine | Puget Sound Naval Shipyard Branch Health Clinic, 1400 Farragut Ave, Bldg 940, Bremerton, WA 98314-0001 | 2006-03-09 |
| 1275514911 | Larry Hugh Johnson | Family Medicine | 7643 Oak Park Pl Nw, Bremerton, WA 98311-9175 | 2005-11-09 |
| Find all providers in BREMERTON | ||||
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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.