JACALYN EISENBERG (NPI# 1679980189) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679980189 |
| Entity Type | Individual |
| Full Name | JACALYN EISENBERG |
| Practice Address |
7316 Bowlyn Pl S Seattle WA 98118-4208 |
| Practice Telephone | 2069104203 |
| Mailing Telephone | 2069104203 |
| Enumeration Date | 2014-07-16 |
| Last Update Date | 2014-07-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 146N00000X | Emergency Medical Technician, Basic | Emergency Medical Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 200926248WA | 05 |
| Street Address |
7316 BOWLYN PL S |
| City | SEATTLE |
| State | WA |
| Zip Code | 98118-4208 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386102812 | Psjh Pllc | Pharmacy | 3828 S Graham St Unit B, Seattle, WA 98118 | 2019-03-04 |
| 1912463670 | Hillman City Medical Pllc | Family Medicine | 3828 S Graham St Suite A, Seattle, WA 98118 | 2019-02-18 |
| 1992287650 | Valentina Komarova | Massage Therapist | 4321 S Webster St Unit D, Seattle, WA 98118 | 2018-08-29 |
| 1750884672 | Ka Hei Cheuk | Behavior Technician | 3815 S Othello Street, Suite 100 Box 361, Seattle, WA 98118 | 2018-03-16 |
| 1285150904 | Crystal N White | Counselor | 3815 S Othello St Suite 100 #317, Seattle, WA 98118 | 2017-08-15 |
| 1346775327 | Anya Lisha Andre | Student in an Organized Health Care Education/Training Program | 9245 Rainier Avenue South, Seattle, WA 98118 | 2017-04-27 |
| 1710334552 | Emeka Titus Okoye | Durable Medical Equipment & Medical Supplies | 4529 S. Henderson Street, #7, Seattle, WA 98118 | 2016-05-23 |
| 1104202191 | Elizabeth Kittay | Acupuncturist | 5224 Wilson Avenue South, Suite 202, Seattle, WA 98118 | 2015-08-03 |
| 1194129601 | Heather Vargas-lyon | Massage Therapist | 8338 Wolcott Ave S, Seattle, WA 98118 | 2014-10-13 |
| 1487069878 | Tamikia Jones | Massage Therapist | 9260 57th Ave S, Seattle, WA 98118 | 2014-06-25 |
| Find all providers in zip 98118 | ||||
| Taxonomy Code | 146N00000X |
| Grouping | Emergency Medical Service Providers |
| Classification | Emergency Medical Technician, Basic |
| A Basic EMT is an individual trained and certified to perform basic life support treatment in medical emergencies based on individual state boards. |
| Notes: Sources: Tabers Medical Dictionary and Florida EMS Clearing House. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003304221 | Chloe Treleven | Emergency Medical Technician, Basic | 2840 Eastlake Ave E Apt 312, Seattle, WA 98102-3042 | 2018-04-23 |
| 1477952158 | David Jacob Armo | Emergency Medical Technician, Basic | 954 17th Ave E, Seattle, WA 98112-3924 | 2014-08-18 |
| 1447435854 | Andrew Loren Johnson | Emergency Medical Technician, Basic | 111 W. Harrison St, Seattle, WA 98119 | 2008-01-03 |
| 1427461086 | Chad Robert Smith | Emergency Medical Technician, Basic | 1930 Boren Ave, Seattle, WA 98101-1406 | 2014-06-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679183412 | Alexandra Grace Wooten | Emergency Medical Technician, Basic | 5043 N Visscher St, Tacoma, WA 98407-2112 | 2020-08-06 |
| 1750905246 | Renton Regional Fire Authority | Emergency Medical Technician, Basic | 18002 108th Ave Se, Renton, WA 98055-6445 | 2020-06-01 |
| 1609404409 | Montana Wynn Gubrud | Emergency Medical Technician, Basic | 1705 Dock St Unit 334, Tacoma, WA 98402-3216 | 2020-03-29 |
| 1295298362 | Tricia May Lopez Holway | Emergency Medical Technician, Basic | 2407 193rd St E, Spanaway, WA 98387-3418 | 2019-04-07 |
| 1477014512 | Chet Merklin | Emergency Medical Technician, Basic | 13075 Gateway Dr S Ste 100, Tukwila, WA 98168-3342 | 2019-03-29 |
| 1104392463 | Kalpana Sherpa | Emergency Medical Technician, Basic | 2696 Erwin Ave, Dupont, WA 98327-8758 | 2018-10-15 |
| 1306311667 | Michael Dean Torres | Emergency Medical Technician, Basic | Madigan Army Medical Center, 9040 Jackson Ave., Attn: Mchj-clq-c, Tacoma, WA 98431-1100 | 2018-10-12 |
| 1285125351 | Xinhui Huang | Emergency Medical Technician, Basic | 4815 Wa Tau Ga Ave Ne, Tacoma, WA 98422-1757 | 2018-05-24 |
| 1104344472 | Chalsea Jayne Hicks Nerys | Emergency Medical Technician, Basic | Madigan Army Medical Center Attn: Mchj-clq-c, Tacoma, WA 98431-0001 | 2017-09-06 |
| 1770012171 | John T Messick | Emergency Medical Technician, Basic | 5410 S Osprey Heights Dr, Spokane, WA 99224 | 2017-06-08 |
| 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.