JESSICA CLARK (NPI# 1699301879) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699301879 |
| Entity Type | Individual |
| Full Name | JESSICA CLARK |
| Credential | MS, LCGC |
| Practice Address |
311 S L St Tacoma WA 98405-4289 |
| Mailing Address |
402 Sw Bishop Ct Port Orchard WA 98367-7283 |
| Practice Telephone | 2534037483 |
| Practice Fax Number | 2534032757 |
| Mailing Telephone | 4193418006 |
| Enumeration Date | 2020-03-19 |
| Last Update Date | 2020-03-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 170300000X | Genetic Counselor, MS | GP60976161 | WA | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528690906 | Jessica Clark | Doula | 343 N Main Ave, Gresham, OR 97030-7246 | 2020-02-04 |
| 1962054387 | Jessica Lynn Clark | Nurse Practitioner | 7219 N Litchfield Rd Bldg 11302nd, Luke Air Force Base, AZ 85309-1529 | 2019-07-16 |
| 1568962306 | Jessica Lee Clark | Registered Nurse | 6011 Cielo Rnch, San Antonio, TX 78218-4161 | 2018-02-19 |
| 1811416076 | Jessica Clark | Counselor | 42189 Shadow Creek Ave, Gonzales, LA 70737-7241 | 2017-09-19 |
| 1124572821 | Jessica Clark | Specialist | 5664 Cahuenga Blvd, North Hollywood, CA 91601-2103 | 2016-08-10 |
| 1104286871 | Jessica Clark | Counselor | 2575 Westgate Bldg 2, Pendleton, OR 97801-9613 | 2016-02-24 |
| 1942612296 | Jessica Clark | Case Management | 620 John Austin Ln, Mt Washington, KY 40047-6354 | 2014-05-21 |
| 1154610269 | Jessica Clark | Social Worker | 55 Floyd Ave, Riverside, RI 02915-2927 | 2011-03-30 |
| 1346558780 | Jessica Clark | Dietitian, Registered | 187-191 Main Street, Ste 300, Emmaus, PA 18049-4017 | 2010-09-20 |
| 1760794309 | Jessica Michelle Clark | Dentist | 1300 Kempsville Rd Ste 5, Virginia Beach, VA 23464-6199 | 2010-07-12 |
| Street Address |
311 S L ST |
| City | TACOMA |
| State | WA |
| Zip Code | 98405-4289 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164412813 | Amy Lawson Yuen | Medical Genetics | 311 S L St, Tacoma, WA 98405-3720 | 2005-10-25 |
| 1629681192 | Valaree Schelhammer | Social Worker | 311 S L St, Tacoma, WA 98405-3720 | 2020-08-25 |
| 1508490160 | Stephanie Mavin | Registered Nurse | 311 S L St, Tacoma, WA 98405-3720 | 2020-02-22 |
| 1649776725 | Jenni Rebecca Bartlett | Social Worker | 311 S L St, Tacoma, WA 98405-3720 | 2018-04-05 |
| 1528576337 | Barbara Guerrero | Social Worker | 311 S L St, Ms: 315-c2-php, Tacoma, WA 98405-3720 | 2018-01-15 |
| 1205343910 | Allison Kay Bowen | Social Worker | 311 S L St, Tacoma, WA 98405-3720 | 2018-01-03 |
| 1134638976 | Denise Quinn Parra | Nurse Practitioner | 311 S L St, Tacoma, WA 98405-3720 | 2017-09-25 |
| 1255874186 | Alisha Murrin | Occupational Therapy Assistant | 311 S L St, Ms 311-1-otpt, Tacoma, WA 98405-3720 | 2016-11-26 |
| 1841664000 | Danielle Marie Gregg | Physician Assistant | 311 S L St, Tacoma, WA 98405-3720 | 2015-11-25 |
| 1710359344 | Multicare Health System | Pharmacy | 311 S L St, Ms: 311-1-rx, Tacoma, WA 98405-3720 | 2015-10-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609486026 | Joanna Christine Hope | Physician Assistant | 2502 S Union Avenue, Tacoma, WA 98405 | 2020-08-01 |
| 1467077891 | Richard Jimenez | Student in an Organized Health Care Education/Training Program | 1202 M.l.k. Jr Way Suite #310, Tacoma, WA 98405 | 2020-06-11 |
| 1669008785 | Mariana Sanchez Corona | Behavior Technician | 1901 S Union Ave Allenmore Building B, Tacoma, WA 98405 | 2020-03-20 |
| 1811534845 | Jasmine Gregory | Social Worker | 311 Martin Luther King Jr. Way, Ms:315-c2-php, Tacoma, WA 98405 | 2019-12-10 |
| 1548807506 | Holly Rebecca Brezynski | Student in an Organized Health Care Education/Training Program | Fresenius Kindney Care - Home Therapies Department, 1717 South J Street, Tacoma, WA 98405 | 2019-12-09 |
| 1972064392 | Logan Brau | Student in an Organized Health Care Education/Training Program | 1202 M.l.k. Jr Way, Tacoma, WA 98405 | 2019-03-28 |
| 1629532536 | Preferred Orthotic and Prosthetic Services Inc | Prosthetic/Orthotic Supplier | 1708 Yakima Ave Ste 60, Tacoma, WA 98405 | 2019-01-24 |
| 1669945911 | Heidi Weakley | Counselor | 1001 S Yakima Ave, Suite 5, Tacoma, WA 98405 | 2019-01-09 |
| 1972074011 | Taviance Benet Laster | Behavior Technician | 1416 S 9th St, Tacoma, WA 98405 | 2018-12-16 |
| 1336618040 | Bailey Bangerter | Physician Assistant | 1901 South Union, A-233, Tacoma, WA 98405 | 2018-11-26 |
| Find all providers in zip 98405 | ||||
| Taxonomy Code | 170300000X |
| Grouping | Other Service Providers |
| Classification | Genetic Counselor, MS |
| A masters trained health care provider who collects and interprets genetic family histories; assesses the risk of disease occurrence or recurrence; identifies interventions to manage or ameliorate disease risk; educates about inheritance, testing, management, prevention, ethical issues, resources, and research; and counsels to promote informed choices and adaptation. Certification was established in 1993 by the American Board of Genetic Counseling and prior to that by the American Board of Medical Genetics. Requirements for experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: National Society of Genetic Counselors [7/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366865438 | Brittney Lynn Duerden | Genetic Counselor, MS | 311 South L St., Tacoma, WA 98405 | 2014-01-27 |
| 1902897150 | Maureen Elizabeth Cantwell | Genetic Counselor, MS | 1105 Division Ave, Suite 201, Tacoma, WA 98403-1646 | 2005-11-04 |
| 1396362604 | Valerie Kruger | Genetic Counselor, MS | 9040 Jackson Ave, Tacoma, WA 98431-0001 | 2020-07-02 |
| 1265057608 | Brynna Nguyenton | Genetic Counselor, MS | 1003 S 5th St, Tacoma, WA 98405-4210 | 2020-06-11 |
| 1376197095 | Melissa Susan Napoli | Genetic Counselor, MS | 315 Martin Luther King Jr Way, Tacoma, WA 98405-4234 | 2019-07-31 |
| 1699263764 | Cheyenne Dewey | Genetic Counselor, MS | 317 Martin Luther King Jr Way, Tacoma, WA 98405-4234 | 2018-04-24 |
| 1255843041 | Genevieve Nicole Canning St-martin | Genetic Counselor, MS | 1003 S 5th St, Tacoma, WA 98405-4210 | 2017-11-02 |
| 1558748616 | Franciscan Health System | Genetic Counselor, MS | 1617 S J St, Tacoma, WA 98405-4930 | 2015-04-28 |
| 1568870517 | Cortney M Morrow | Genetic Counselor, MS | 1105 Division Ave Ste 201, Tacoma, WA 98403-1646 | 2014-07-22 |
| 1093094971 | Julie M Simon | Genetic Counselor, MS | 311 S L St, Tacoma, WA 98405-3720 | 2011-08-10 |
| Find all providers in TACOMA | ||||
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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.