JENNIFER W KOOISTRA (NPI# 1710471065) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710471065 |
| Entity Type | Individual |
| Full Name | JENNIFER W KOOISTRA |
| Credential | RN, BSN |
| Practice Address |
2009 Ne 117th St Ste 101 Vancouver WA 98686-4022 |
| Practice Telephone | 3605669112 |
| Practice Fax Number | 3605669133 |
| Mailing Telephone | 3605669112 |
| Mailing Fax Number | 3605669133 |
| Enumeration Date | 2018-06-20 |
| Last Update Date | 2018-06-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163W00000X | Registered Nurse | RN60758434 | WA | Nursing Service Providers |
| Street Address |
2009 NE 117TH ST STE 101 |
| City | VANCOUVER |
| State | WA |
| Zip Code | 98686-4022 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427276252 | Linda Beth Fowler | Licensed Practical Nurse | 2009 Ne 117th St Ste 101, Vancouver, WA 98686-4022 | 2007-04-24 |
| 1770113052 | Abra Afoutou Todo | Licensed Practical Nurse | 2009 Ne 117th St Ste 101, Vancouver, WA 98686-4022 | 2020-01-25 |
| 1497385660 | Lesley Remington | Licensed Practical Nurse | 2009 Ne 117th St Ste 101, Vancouver, WA 98686-4022 | 2020-01-16 |
| 1669002838 | Brittney Grace Kyle | Licensed Practical Nurse | 2009 Ne 117th St Ste 101, Vancouver, WA 98686-4022 | 2020-01-16 |
| 1841833407 | Danielle Gardner | Licensed Practical Nurse | 2009 Ne 117th St Ste 101, Vancouver, WA 98686-4022 | 2019-10-25 |
| 1710531991 | Mandy Boge | Registered Nurse | 2009 Ne 117th St Ste 101, Vancouver, WA 98686-4022 | 2019-07-26 |
| 1194384032 | William Franklin Cooley IIi | Counselor | 2009 Ne 117th St Ste 101, Vancouver, WA 98686-4022 | 2019-06-12 |
| 1295291946 | James Aden Jones | Registered Nurse | 2009 Ne 117th St Ste 101, Vancouver, WA 98686-4022 | 2019-02-19 |
| 1104300276 | Brittany Jean Fraidenburg | Registered Nurse | 2009 Ne 117th St Ste 101, Vancouver, WA 98686-4022 | 2018-09-24 |
| 1750875795 | Paula Verean Knight | Licensed Practical Nurse | 2009 Ne 117th St Ste 101, Vancouver, WA 98686-4022 | 2018-06-21 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154891117 | Dorota Bozena Barton | Speech-Language Pathologist | 2121 Ne 139th Street Mob A, Suite 200, Vancouver, WA 98686 | 2018-12-03 |
| 1881161818 | Michelle Wolfe | Dental Assistant | A101, 1484, 14313 Ne 20th Ave, Vancouver, WA 98686 | 2018-10-29 |
| 1306321237 | Rainier Springs Physician Group, LLC | General Practice | 2805 Ne 129th Street, Vancouver, WA 98686 | 2018-09-26 |
| 1801382387 | Kristopher K Kostenko | Dentist | 14201 Ne 20th Ave Ste A101, Vancouver, WA 98686 | 2018-07-08 |
| 1689164071 | Tegan Mills | Occupational Therapist | 7101 Ne 109th Street, Apt 64, Vancouver, WA 98686 | 2018-05-11 |
| 1164924122 | Kate Kristin Lawrence | Speech-Language Pathologist | 2215 Ne 104th St, Vancouver, WA 98686 | 2018-03-06 |
| 1437609567 | Elina Baranets | Registered Nurse | 14204 Ne Salmon Creek Avenue, Vancouver, WA 98686 | 2016-10-13 |
| 1386039550 | Sean Vikram Bhatia | Internal Medicine | Kaiser Salmon Creek, 14406 Ne 20th Ave, Vancouver, WA 98686 | 2015-04-03 |
| 1376988642 | Lindsay Hussey-andersen | Orthopaedic Surgery | 2525 Ne 139th St Ste 140, Vancouver, WA 98686 | 2013-05-01 |
| 1710253109 | Legacy Salmon Creek Hospital | Speech-Language Pathologist | 2121 Ne 139th St., Mob A, Ste 200, Vancouver, WA 98686 | 2012-03-29 |
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| Taxonomy Code | 163W00000X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.’s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span. |
| Notes: Sources: (2) American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue, and 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 |
|---|---|---|---|---|
| 1316544711 | Rachel Skiles | Registered Nurse | 11328 Ne 51st Cir Apt J96, Vancouver, WA 98682-1209 | 2020-10-08 |
| 1184230625 | Helen Trinidad Uy | Registered Nurse | 15814 Ne 72nd St., Vancouver, WA 98682 | 2020-09-21 |
| 1184235095 | Chandra Marie Zichterman | Registered Nurse | 8605 Ne 86th St, Vancouver, WA 98662-2452 | 2020-08-13 |
| 1548879083 | Trisha Ilene Uy Lee | Registered Nurse | 16307 Ne 81st St, Vancouver, WA 98682-3624 | 2020-07-30 |
| 1548883358 | Feliks Polyakov | Registered Nurse | 7117 Ne Fairway Ave, Vancouver, WA 98662-3691 | 2020-05-27 |
| 1396365912 | Chloe Raylene Altenburg | Registered Nurse | 306 W 35th St, Vancouver, WA 98660-1919 | 2020-04-23 |
| 1013540467 | Sherri Hanson | Registered Nurse | 1300 Columbia St Apt 407, Vancouver, WA 98660-2939 | 2020-02-13 |
| 1326687062 | Jennifer Jeanne Reisner | Registered Nurse | 5203 Nw Lincoln Ave, Vancouver, WA 98663-1537 | 2019-12-28 |
| 1639724594 | Melanie Rae Kingsbury | Registered Nurse | 3507 Ne 152nd Ave, Vancouver, WA 98682-7325 | 2019-08-07 |
| 1972158418 | Arleen Frances A Inhumang | Registered Nurse | 1709 Se 158th Ave, Vancouver, WA 98683-4633 | 2019-08-01 |
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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.