MISS JENNIFER ROSE IVEY (NPI# 1639722366) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639722366 |
| Entity Type | Individual |
| Full Name | MISS JENNIFER ROSE IVEY |
| Credential | CPC |
| Practice Address |
3285 Ferguson Street Sw Tumwater WA 98512 |
| Mailing Address |
7408 Vandermark Rd E Bonney Lake WA 98391-8664 |
| Practice Telephone | 3609431907 |
| Mailing Telephone | 2533551996 |
| Enumeration Date | 2019-07-22 |
| Last Update Date | 2019-07-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 175T00000X | Peer Specialist | WA | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225069107 | Jennifer Ivey | Physical Therapist | 505 Elm St Ne, Albuquerque, NM 87102-2500 | 2006-07-06 |
| 1275062846 | Jennifer Pitcavage Ivey | Social Worker | 601 N Elm St, High Point, NC 27262-4331 | 2017-06-07 |
| 1912153446 | Jennifer Brooke Ivey | Speech-Language Pathologist | 828 S Bascom Ave, Suite 100, San Jose, CA 95128-2651 | 2008-08-15 |
| Street Address |
3285 FERGUSON STREET SW |
| City | TUMWATER |
| State | WA |
| Zip Code | 98512 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669998183 | Bradley Ross Bishop | Registered Nurse | 3285 Ferguson Street Sw, Tumwater, WA 98512 | 2017-08-16 |
| 1801493200 | Sydney Jurich | Counselor | 3285 Ferguson Street Sw, Tumwater, WA 98512 | 2020-10-08 |
| 1376195073 | Anthony O'leary | Counselor | 3285 Ferguson Street Sw, Tumwater, WA 98512 | 2019-07-12 |
| 1447802244 | Samantha Rodriguez | Counselor | 3285 Ferguson Street Sw, Tumwater, WA 98503 | 2019-07-11 |
| 1164074993 | Jennifer Lynne Thomas | Counselor | 3285 Ferguson Street Sw, Tumwater, WA 98512 | 2019-07-11 |
| 1689226482 | Sheila Kay Mccann | Counselor | 3285 Ferguson Street Sw, Tumwater, WA 98512 | 2019-07-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578161402 | Yavonnie Leslie Griggs | Peer Specialist | 3285 Ferguson Ln Sw, Tumwater, Wa 98512, Tumwater, WA 98512 | 2020-10-13 |
| 1205465622 | Falina Marie Luce | Counselor | 3285 Ferguson St, Olympia, WA 98512 | 2020-04-07 |
| 1881234912 | Andres Enrique Velazquez | Counselor | 3285 Ferguson St Sw Wa 98512, Tumwater, WA 98512 | 2020-01-07 |
| 1700432507 | Maria E Zavala Negrete | Behavior Technician | 3285 Ferguson Street Southwest, Tumwater, WA 98512 | 2019-08-16 |
| 1669026951 | Bradley Allen Labrador | Social Worker | 3285 Ferguson St, Sw, Tumwater, WA 98512 | 2019-07-25 |
| 1033762893 | Janice Lapreal Swanzey | Licensed Practical Nurse | 3285 Ferguson Lane St Sw, Olympia, WA 98512 | 2019-07-22 |
| 1821569195 | Linda Marie Moffitt | Registered Nurse | 7741 Littlerock Rd. Sw, Tumwater, WA 98512 | 2018-12-16 |
| 1427534577 | Matthew Hart | Occupational Therapist | 2620 Rw Johnson Boulevard Southwest Suite 112, Tumwater, WA 98512 | 2018-07-12 |
| 1558858019 | Amy Louise Cline | Counselor | 6005 Tyee Drive Sw, Tumwater, WA 98512 | 2018-04-19 |
| 1932625712 | Karen Lynne Hamilton | Case Management | 1275 Second Avenue South, Tumwater, WA 98512 | 2017-08-14 |
| Find all providers in zip 98512 | ||||
| Taxonomy Code | 175T00000X |
| Grouping | Other Service Providers |
| Classification | Peer Specialist |
| Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. |
| Notes: Source: National Uniform Claim Committee [7/1/2014: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578161402 | Yavonnie Leslie Griggs | Peer Specialist | 3285 Ferguson Ln Sw, Tumwater, Wa 98512, Tumwater, WA 98512 | 2020-10-13 |
| 1770111718 | Anetira Mary Donelan | Peer Specialist | 3285 Ferguson St Sw, Tumwater, WA 98512 | 2020-03-27 |
| 1558915850 | Hana Jazz Klimek | Peer Specialist | 3285 Ferguson St Sw, Tumwater, WA 98512 | 2019-07-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992304703 | Corina Thornton | Peer Specialist | Arrow Lakes Street, Nespelem, WA 99155-0304 | 2020-10-22 |
| 1306454061 | Ashley D Vinson-harris | Peer Specialist | 116 S 339th Cir, Federal Way, WA 98003-4537 | 2020-07-20 |
| 1184240301 | Aleric Hughes | Peer Specialist | 1200 Sw Holden St, Seattle, WA 98106-2054 | 2020-06-23 |
| 1013533876 | Alyssa Camille Meaker | Peer Specialist | 4350 Cordata Pkwy Ste 220, Bellingham, WA 98226-8278 | 2020-06-17 |
| 1134741424 | Tara Lin Garcia | Peer Specialist | 4256 Federal Avenue, Everett, WA 98203 | 2020-05-11 |
| 1558982058 | Edward Thomas Gollihugh | Peer Specialist | 721 Fawcett Ave Ste 204, Tacoma, WA 98402-5502 | 2020-05-06 |
| 1295356483 | Yvette Marie Sampson | Peer Specialist | Josephinum C/o Crew, 1902 2nd Ave., Seattle, WA 98101 | 2020-04-29 |
| 1043856123 | Jayde Wailani Albright | Peer Specialist | 5920 N Calispel St, Spokane, WA 99205-6214 | 2019-11-23 |
| 1033755244 | Willapa Behavioral Health | Peer Specialist | 2204 Pacific Ave. N., Long Beach, WA 98631 | 2019-11-22 |
| 1104468362 | Lyric G Sisterhen | Peer Specialist | 7823 Box Elder Dr Sw, Olympia, WA 98512-2326 | 2019-10-09 |
| 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.