JEDIAH A MAIN (NPI# 1639705197) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639705197 |
| Entity Type | Individual |
| Full Name | JEDIAH A MAIN |
| Credential | BA |
| Practice Address |
124 E Pacific Ave Spokane WA 99202-1518 |
| Mailing Address |
107 S Division St Spokane WA 99202-1510 |
| Practice Telephone | 5098384651 |
| Practice Fax Number | 5093632762 |
| Mailing Telephone | 5098384651 |
| Enumeration Date | 2020-03-17 |
| Last Update Date | 2020-03-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
124 E PACIFIC AVE |
| City | SPOKANE |
| State | WA |
| Zip Code | 99202-1518 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770774010 | Donald W Meng | Orthotist | 124 E Pacific Ave, Spokane, WA 99202-1518 | 2007-08-01 |
| 1316597867 | Maria De La Luz Gutierrez | Student in an Organized Health Care Education/Training Program | 124 E Pacific Ave, Spokane, WA 99202-1518 | 2019-09-17 |
| 1487119178 | Natasha Jean Carruthers | Student in an Organized Health Care Education/Training Program | 124 E Pacific Ave, Spokane, WA 99202-1518 | 2019-02-06 |
| 1316402290 | Ciera Kanani Yunko Min | Student in an Organized Health Care Education/Training Program | 124 E Pacific Ave, Spokane, WA 99202-1518 | 2019-02-05 |
| 1285107672 | Ashlyn Morgan Williams | Student in an Organized Health Care Education/Training Program | 124 E Pacific Ave, Spokane, WA 99202-1518 | 2019-01-08 |
| 1700357993 | Sophia Francesca Cleanthous | Student in an Organized Health Care Education/Training Program | 124 E Pacific Ave, Spokane, WA 99202-1518 | 2018-12-16 |
| 1376012856 | Cynthia Ann Phillips | Counselor | 124 E Pacific Ave, Spokane, WA 99202-1518 | 2018-11-14 |
| 1912475575 | Anthony Robert Gaspar | Counselor | 124 E Pacific Ave, Spokane, WA 99202-1518 | 2018-11-12 |
| 1710455696 | Angela M Macdonald | Counselor | 124 E Pacific Ave, Spokane, WA 99202-1518 | 2018-11-08 |
| 1407323967 | Amber Lynn Jones | Counselor | 124 E Pacific Ave, Spokane, WA 99202-1518 | 2018-11-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669099552 | Morgan Physiotherapy, Pllc | Physical Therapist | 716 South Arthur Street, Spokane, WA 99202 | 2020-06-26 |
| 1659926863 | Hiliary Beatty | Marriage & Family Therapist | 3101 E Boone Avenue, Spokane, WA 99202 | 2019-08-05 |
| 1992359301 | Jennifer Pelzel | Pharmacist | Pbs, 205 E Spokane Falls Blvd, Spokane, WA 99202 | 2019-07-25 |
| 1750858171 | Elyse M Tullar | Counselor | 3101 E Boone Ave, Spokane, WA 99202 | 2018-10-24 |
| 1952830333 | Kaleb E Walker | Case Manager/Care Coordinator | 1002 N Superior, Spokane, WA 99202 | 2017-06-08 |
| 1659823987 | Laura Lenoue | Chiropractor | 301 E Sharp, Lenoue Integrative Medicine, Spokane, WA 99202 | 2016-11-03 |
| 1376095141 | Clinton George Ralph | Counselor | 624 S Cowley, Spokane, WA 99202 | 2016-10-27 |
| 1144772245 | Megan Nicole Korst | Counselor | 104 S. Freya, Red Flag Bldg, Suite 101b, Spokane, WA 99202 | 2016-10-25 |
| 1043766652 | Moffitt Children's Dentistry | Dentist | 520 S Cowley St Ste 101, Spokane, WA 99202 | 2016-09-01 |
| 1881147296 | Natalie Stine | Dietitian, Registered | 203 E Spague Avenue, Spokane, WA 99202 | 2016-08-02 |
| Find all providers in zip 99202 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528678844 | April Antonio | Student in an Organized Health Care Education/Training Program | 412 E Spokane Falls Blvd # 130, Spokane, WA 99202-2131 | 2020-08-01 |
| 1467085803 | Kate Anahola Hall | Student in an Organized Health Care Education/Training Program | 919 E 14th Ave, Spokane, WA 99202-2537 | 2020-02-13 |
| 1669024212 | Tara Alexandria Myatt | Student in an Organized Health Care Education/Training Program | 3115 S Spring Creek Ln, Spokane, WA 99224-9612 | 2019-07-14 |
| 1295392348 | Jennifer Bray | Student in an Organized Health Care Education/Training Program | 4112 S Custer Ct, Spokane, WA 99223-1285 | 2019-05-23 |
| 1407410731 | Helya Peyman | Student in an Organized Health Care Education/Training Program | 3029 E 34th Ave Unit A, Spokane, WA 99223-4620 | 2019-04-22 |
| 1538622949 | Audrey Woo | Student in an Organized Health Care Education/Training Program | 8802 N Elm St, Spokane, WA 99208-6433 | 2019-04-11 |
| 1942761671 | Melissa Zavislan | Student in an Organized Health Care Education/Training Program | 3222 S Dearborn Ln, Spokane, WA 99223-1535 | 2019-03-26 |
| 1346700655 | Christina Rose | Student in an Organized Health Care Education/Training Program | 120 W. 8th Avenue, Spokane, WA 99204 | 2019-03-22 |
| 1053871889 | Karli Meehan | Student in an Organized Health Care Education/Training Program | 2611 S Post St, Spokane, WA 99203-1843 | 2019-03-20 |
| 1790245579 | Mindy Woodruff | Student in an Organized Health Care Education/Training Program | 9111 S Cedar Rim Ln, Spokane, WA 99224-9665 | 2019-03-20 |
| Find all providers in SPOKANE | ||||
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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.