JEANNE NICHOLSON WADSWORTH (NPI# 1568941706) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568941706 |
| Entity Type | Individual |
| Full Name | JEANNE NICHOLSON WADSWORTH |
| Credential | PMHNP-BC |
| Practice Address |
310 3rd Ave Ne Ste 105 Issaquah WA 98027-3345 |
| Mailing Address |
12500 Ne 10th Pl Bellevue WA 98005-2532 |
| Practice Telephone | 4253828989 |
| Practice Fax Number | 4259628788 |
| Mailing Telephone | 4252455240 |
| Mailing Fax Number | 4259628788 |
| Enumeration Date | 2018-08-08 |
| Last Update Date | 2020-03-30 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
AP60909988 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 2113217 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 204 8th St W, Jasper, AL 355014364 | 2053001020 | |
| 6520 226th Pl Se Ste 203, Issaquah, WA 980278969 | 4252221000 | |
| 12500 Ne 10th Pl, Bellevue, WA 980052532 | 4252455420 | 4259628788 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669417036 | Jeanne M Wadsworth | Physician Assistant | 1460 Ne Medical Center Dr, Bend, OR 97701-6061 | 2006-06-18 |
| Street Address |
310 3RD AVE NE STE 105 |
| City | ISSAQUAH |
| State | WA |
| Zip Code | 98027-3345 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780281840 | Cascade Hand & Orthopedic Rehab, Inc. | Clinic/Center | 1301 4th Avenue Nw, Suite 200, Issaquah, WA 98027 | 2020-10-01 |
| 1700494630 | Genevieve S Ward | Counselor | 22500 Se 64th Place, Building G, Suite 150, Issaquah, WA 98027 | 2020-07-16 |
| 1891338604 | Amy Mezulis | Psychologist | 1740 Nw Maple St. #210, Issaquah, WA 98027 | 2019-10-24 |
| 1578055083 | Vivian Yu-en Hsiao | Physical Therapist | 1301 4th Ave Nw Ste 300, Issaquah, WA 98027 | 2018-05-31 |
| 1831698000 | Peter James Carlson | Physical Therapist | 22500 Se 64th Place, Building G, Suite 115, Issaquah, WA 98027 | 2018-02-02 |
| 1902323553 | David Robert Primrose | Dentist | 600 Nw Gilman Blvd Ste B, Issaquah, WA 98027 | 2017-08-24 |
| 1083135446 | Tara Rose | Massage Therapist | 680 Nw Gilman Blvd., Ste. A, Issaquah, WA 98027 | 2017-07-06 |
| 1295276194 | Amy Davenport | Occupational Therapist | 1871 Nw Gilman Blvd #2, Issaquah, WA 98027 | 2017-03-13 |
| 1942751771 | Krista L Gibbons | Counselor | 1700 Nw Blvd, Suite #200, Issaquah, WA 98027 | 2016-10-17 |
| 1376903237 | Kari Wathen Torres | Occupational Therapist | 710 Nw Juniper St Ste 100, Issaquah, WA 98027 | 2016-03-03 |
| Find all providers in zip 98027 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174140677 | Rachael Davison | Nurse Practitioner | 22525 Se 64th Pl Ste 228, Issaquah, WA 98027-5383 | 2020-06-30 |
| 1649727249 | Brett Lee Wadsworth | Nurse Practitioner | 6520 226th Pl Se Ste 203, Issaquah, WA 98027-8969 | 2016-09-01 |
| 1972683571 | Audrey Jean Church | Nurse Practitioner | 2344 Ne Marion Ln, Issaquah, WA 98029-3661 | 2006-10-17 |
| 1225566417 | Wadsworth Psychiatric Services Pllc | Nurse Practitioner | 6520 226th Pl Se Ste 203, Issaquah, WA 98027-8969 | 2017-06-01 |
| 1467624049 | Saskia E Vonmichalofski | Nurse Practitioner | 5837 221st Pl Se, Issaquah, WA 98027-8917 | 2008-03-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134720139 | Youwen Hu | Nurse Practitioner | 10824 Se 170th St Unit A304, Renton, WA 98055-5950 | 2020-11-05 |
| 1831799048 | Sarah Louise Weerheim | Nurse Practitioner | 2727 Hollycroft St Ste 110v, Gig Harbor, WA 98335-1371 | 2020-10-27 |
| 1619576774 | Bethany Heath Arnp-pmhnp Pllc | Nurse Practitioner | 1224 West Riverside, Apt 408, Spokane, WA 99201 | 2020-10-20 |
| 1437761988 | Hollye Hahn | Nurse Practitioner | 1012 Nw Longview Dr, Oak Harbor, WA 98277-8947 | 2020-08-17 |
| 1386254290 | Candie M. Wellwood | Nurse Practitioner | 9908 S Sherman Rd, Spokane, WA 99224-9811 | 2020-08-05 |
| 1104434679 | Progressive Psychiatric Consultant | Nurse Practitioner | 170 S Lincoln St # 150, Spokane, WA 99201-4443 | 2020-07-21 |
| 1235747213 | Peaceful Coexistence, LLC | Nurse Practitioner | 4730 University Way Ne Ste 104, Seattle, WA 98105-4424 | 2020-07-16 |
| 1134747066 | New Dawn Psychotherapy Pllc | Nurse Practitioner | 2223 Benson Rd S Apt D102, Renton, WA 98055-8837 | 2020-07-07 |
| 1376160861 | Clarity Behavioral Health | Nurse Practitioner | 7704 193rd Pl Sw, Edmonds, WA 98026-6234 | 2020-06-30 |
| 1326668856 | Healing Heart Therapeutic Services | Nurse Practitioner | 1915 2nd Ave Apt 2212, Seattle, WA 98101-3165 | 2020-04-24 |
| 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.