MS. JAMIE LANE NIXON (NPI# 1619060431) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619060431 |
| Entity Type | Individual |
| Full Name | MS. JAMIE LANE NIXON |
| Credential | PA-C |
| Practice Address |
403 Black Hills Ln Sw Ste B Olympia WA 98502-8600 |
| Practice Telephone | 3607099500 |
| Practice Fax Number | 3607544517 |
| Mailing Telephone | 3607099500 |
| Mailing Fax Number | 3607544517 |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2020-03-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA10005075 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| DEA | ML1479408 | 01 | |
| RAILROAD MEDICARE | P00346592 | 01 | |
| WA | 8464158 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639685670 | Jamie Nicole Nixon | Behavior Technician | 633 E Naples St, Chula Vista, CA 91911-6837 | 2017-12-27 |
| 1457965725 | Jamie Nixon | Pharmacist | 100 N Greer Blvd, Pittsburg, TX 75686-1409 | 2020-09-03 |
| 1053939918 | Jamie Nixon | Counselor | 637 Davison Rd, Lockport, NY 14094-5339 | 2020-07-08 |
| 1518440536 | Jamie Rose Nixon | Behavior Technician | 1050 Fulton Ave Ste 230, Sacramento, CA 95825-4299 | 2018-09-14 |
| 1770856866 | Jamie J Nixon | Nurse Practitioner | 611 W. Park St., Urbana, IL 61801-2500 | 2012-02-20 |
| Street Address |
403 BLACK HILLS LN SW STE B |
| City | OLYMPIA |
| State | WA |
| Zip Code | 98502-8600 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851392765 | Hillary Brooks Allen-kissick | Family Medicine | 403 Black Hills Ln Sw Ste B, Olympia, WA 98502-8600 | 2005-08-02 |
| 1962849000 | Laboratory Corporation of America | Clinical Medical Laboratory | 403 Black Hills Ln Sw Ste B, Olympia, WA 98502 | 2013-05-30 |
| 1124101555 | Hope Hill Umbel | Nurse Practitioner | 403 Black Hills Ln Sw Ste B, Olympia, WA 98502-8600 | 2006-10-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801409172 | Fanny Cordero | Interpreter | 1415 4th Ave W, Olympia, WA 98502 | 2020-08-26 |
| 1235762832 | Accessible Living Physical Therapy | Clinic/Center | 3524 7th Ave Se, Olympia, WA 98502 | 2020-02-21 |
| 1548807738 | Kaiser Foundation Health Plan of Washington | Pharmacy | 1200 Cooper Point Road Sw, Suite 100, Olympia, WA 98502 | 2019-12-06 |
| 1851946388 | Katherine Ann Vitela | Registered Nurse | 4909 Green Wood Dr Sw, Olympia, WA 98502 | 2019-08-01 |
| 1538632658 | Carmen Rae Breding | Massage Therapist | 2627 Capital Mall Dr Se, Olympia, WA 98502 | 2019-01-11 |
| 1285129155 | Fook Yee Cheung | Genetic Counselor, MS | 2010 Caton Way Sw Ste 102, Olympia, WA 98502 | 2018-06-24 |
| 1942724158 | William Coburn | Specialist/Technologist | 703 Lilly Road Ne, Suite 104, Olympia, WA 98502 | 2017-07-29 |
| 1225567415 | Thierry Buckner | Counselor | 2400 Bristol Court Sw, Olympia, WA 98502 | 2017-06-09 |
| 1619406048 | Trenton Reid | Massage Therapist | 2103 Harrison Ave Nw #2642, Olympia, WA 98502 | 2017-06-08 |
| 1962807305 | Richa Mehta | Dentist | 1530 Black Lake Boulevard, Suite A103, Olympia, WA 98502 | 2014-10-28 |
| Find all providers in zip 98502 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649750555 | Stephanie Mcclymond | Physician Assistant | 5519 Donnelly Dr Se, Olympia, WA 98501-5019 | 2018-08-20 |
| 1265972814 | Holmes Howard Stoner IIi | Physician Assistant | 2229 Cooper Crest Pl Nw, Olympia, WA 98502-4079 | 2017-03-01 |
| 1598112054 | Jason Nathaniel Shepherd | Physician Assistant | 1620 Cooper Point Rd Sw Ste 200, Olympia, WA 98502-5736 | 2016-05-14 |
| 1972990281 | Ryan David Richards | Physician Assistant | 3627 Ensign Rd Ne Ste A, Olympia, WA 98506-6104 | 2015-04-24 |
| 1841590502 | Barbara Ann Krulich | Physician Assistant | 2700 Evergreen Parkway Nw, Seminar I 2100, Olympia, WA 98505 | 2010-10-28 |
| 1295889087 | Brad Goldworm | Physician Assistant | 2950 Limited Ln Nw, Olympia, WA 98502-4577 | 2007-01-22 |
| 1083723746 | Stephen R Fischer | Physician Assistant | 615 Lilly Rd Ne Ste 100, Olympia, WA 98506-5117 | 2006-08-29 |
| 1326063462 | John Richard Hill | Physician Assistant | 7125 101st Ave Sw, Olympia, WA 98512-2139 | 2006-07-12 |
| 1164464053 | John C Schira | Physician Assistant | 6700 Martin Way E, Suite 117, Olympia, WA 98516-6502 | 2006-06-12 |
| 1205885290 | Kathy Lucia Savatini | Physician Assistant | 615 Lilly Rd Ne, Ste 100, Olympia, WA 98506-5117 | 2006-05-08 |
| Find all providers in OLYMPIA | ||||
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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.