JESSICA SHINO KINGHORN (NPI# 1699058347) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699058347 |
| Entity Type | Individual |
| Full Name | JESSICA SHINO KINGHORN |
| Practice Address |
165 E Hawthorne Ave Colville WA 99114-2629 |
| Practice Telephone | 5096844597 |
| Practice Fax Number | 5096845286 |
| Mailing Telephone | 5096844597 |
| Mailing Fax Number | 5096845286 |
| Enumeration Date | 2011-09-20 |
| Last Update Date | 2011-09-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 376K00000X | Nurse's Aide | NC60096530 | WA | Nursing Service Related Providers |
| Street Address |
165 E HAWTHORNE AVE |
| City | COLVILLE |
| State | WA |
| Zip Code | 99114-2629 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891792966 | Stevens County | Clinic/Center | 165 E Hawthorne Ave, Colville, WA 99114-2629 | 2005-07-05 |
| 1831798164 | Mariah R Demich | Nurse's Aide | 165 E Hawthorne Ave, Colville, WA 99114-2629 | 2020-10-19 |
| 1376142604 | Kortney B Vining | Nurse's Aide | 165 E Hawthorne Ave, Colville, WA 99114-2629 | 2020-10-19 |
| 1093313140 | Shiloh L Reynolds | Counselor | 165 E Hawthorne Ave, Colville, WA 99114-2629 | 2020-10-12 |
| 1447858501 | Cheyenne J Jones | Counselor | 165 E Hawthorne Ave, Colville, WA 99114-2629 | 2020-10-12 |
| 1174121230 | Daniel W James | Nurse's Aide | 165 E Hawthorne Ave, Colville, WA 99114-2629 | 2020-10-12 |
| 1629676788 | Jason M Dempsey | Nurse's Aide | 165 E Hawthorne Ave, Colville, WA 99114-2629 | 2020-10-12 |
| 1356953228 | Taylor L Lewis | Counselor | 165 E Hawthorne Ave, Colville, WA 99114-2629 | 2020-08-20 |
| 1598381832 | Kelli S O'connor | Registered Nurse | 165 E Hawthorne Ave, Colville, WA 99114-2629 | 2020-06-23 |
| 1306472550 | Jodi L Sheets | Nurse's Aide | 165 E Hawthorne Ave, Colville, WA 99114-2629 | 2020-03-19 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033774799 | Salamia Mikheyeva | Massage Therapist | 697 Gillette Rd., Colville, WA 99114 | 2019-05-07 |
| 1053897694 | Rochelle Diconti | Counselor | 358 E Birch Ave Ste 101, Colville, WA 99114 | 2018-07-17 |
| 1679073928 | Laurel Shull | Massage Therapist | 298 S. Main St., Suite 208, Colville, WA 99114 | 2018-02-13 |
| 1235638123 | Taylor Vanwicklen | Nurse's Aide | 165 E. Hawthorne Ave, Colville, WA 99114 | 2018-02-06 |
| 1932608833 | Sandra Ingram | Registered Nurse | 165 E. Hawthorne Avenue, Colville, WA 99114 | 2018-02-06 |
| 1831451350 | Catherine M Lochner | Occupational Therapist | 1366 Onion Creek Rd., Colville, WA 99114 | 2012-06-11 |
| 1245552215 | Georgia Rae Goot | Hearing Instrument Specialist | 519 S. Main St., Colville, WA 99114 | 2010-02-18 |
| 1801018619 | David W King | Counselor | 165 E Hawthorne Avenue, Colville, WA 99114 | 2007-05-02 |
| 1497976484 | Jack Darrell Esvelt | Dentist | 181 E 1st, Colville, WA 99114 | 2007-05-01 |
| 1730229709 | Carol H Leach | Registered Nurse | 982 E Columbia Ave Ste 201, Colville, WA 99114 | 2007-02-07 |
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| Taxonomy Code | 376K00000X |
| Grouping | Nursing Service Related Providers |
| Classification | Nurse's Aide |
| (1) An unlicensed individual who is trained to function in an assistive role to the licensed nurse in the provision of patient/client activities as delegated by the nurse; (2) An individual trained (either on-the-job or through a formal course generally of less than one year) and experienced in performing patient or client-care nursing tasks that do not require the skills of a specialist, technician, or professional. Examples of tasks performed by nurses aides include changing clothes, diapers, and beds; assisting patients to perform exercises or personal hygiene tasks, and supporting communication or social interaction. Specific education and credentials are not required for this work. |
| Notes: Source: (1) American Nurses Association, Registered Professional Nurses and Unlicensed Personnel, 2nd ed., 1996; (2) Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235638123 | Taylor Vanwicklen | Nurse's Aide | 165 E. Hawthorne Ave, Colville, WA 99114 | 2018-02-06 |
| 1831798164 | Mariah R Demich | Nurse's Aide | 165 E Hawthorne Ave, Colville, WA 99114-2629 | 2020-10-19 |
| 1376142604 | Kortney B Vining | Nurse's Aide | 165 E Hawthorne Ave, Colville, WA 99114-2629 | 2020-10-19 |
| 1174121230 | Daniel W James | Nurse's Aide | 165 E Hawthorne Ave, Colville, WA 99114-2629 | 2020-10-12 |
| 1629676788 | Jason M Dempsey | Nurse's Aide | 165 E Hawthorne Ave, Colville, WA 99114-2629 | 2020-10-12 |
| 1306472550 | Jodi L Sheets | Nurse's Aide | 165 E Hawthorne Ave, Colville, WA 99114-2629 | 2020-03-19 |
| 1811522733 | Eric S Thome | Nurse's Aide | 165 E Hawthorne Ave, Colville, WA 99114-2629 | 2020-03-11 |
| 1922633817 | Cody A Bake | Nurse's Aide | 165 E Hawthorne Ave, Colville, WA 99114-2629 | 2020-03-11 |
| 1740815638 | Jordan W Scott | Nurse's Aide | 165 E Hawthorne Ave, Colville, WA 99114-2629 | 2020-03-11 |
| 1689209579 | Brenna N Passmore | Nurse's Aide | 165 E Hawthorne Ave, Colville, WA 99114-2629 | 2020-03-11 |
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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.