JESSICA M WALLACE


Address: 1959 Ne Pacific St, Seattle, WA 98195-0001
Phone: 2065205000

JESSICA M WALLACE (NPI# 1710507371) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1710507371
Entity Type Individual
Full Name JESSICA M WALLACE
Credential CRNA
Practice Address 1959 Ne Pacific St
Seattle
WA 98195-0001
Mailing Address Po Box 50095
Seattle
WA 98145-5095
Practice Telephone 2065205000
Mailing Telephone 2065205700
Enumeration Date 2020-04-23
Last Update Date 2020-08-12
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 367500000X Nurse Anesthetist, Certified Registered AP61087180 WA Physician Assistants & Advanced Practice Nursing Providers
N 367500000X Nurse Anesthetist, Certified Registered RN61055454 WA Physician Assistants & Advanced Practice Nursing Providers

Other Providers JESSICA WALLACE

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1821517210 Jessica Wallace Behavioral Analyst 43835 Timber Sq Unit 203, Leesburg, VA 20176-3432 2017-09-17
1548639560 Jessica Ann Wallace Physician Assistant 1890 Us Highway 131 Unit 4, Petoskey, MI 49770-8344 2015-09-21
1285031682 Jessica Wallace Speech-Language Pathologist 2900 Knox School Rd, Alliance, OH 44601-9021 2014-12-01
1073940888 Jessica Wallace Marriage & Family Therapist 15611 Pomerado Rd Ste 535, Poway, CA 92064-2437 2013-10-11
1245577907 Jessica Wallace Pharmacist 6175 Hickory Flat Hwy, Suite 140, Canton, GA 30115-7207 2013-01-14
1659637478 Jessica Lynn Wallace Community/Behavioral Health 26652 Muse Road, Muse, OK 74949 2012-04-05
1669751418 Jessica Leigh Wallace Physical Therapist 224 Old River Rd, Bluffton, SC 29909-3952 2011-08-11
1689846164 Jessica Nicole Wallace Registered Nurse 655 Front St, Middleport, OH 45760 2008-03-25
1306483359 Jessica Wallace Behavior Technician 3130 S Durango Dr Ste 425, Las Vegas, NV 89117-4455 2019-12-09

Office Location

Street Address 1959 NE PACIFIC ST
City SEATTLE
State WA
Zip Code 98195-0001

Providers in the same location

NPI Name Taxonomy Address Enumeration
1285637298 Divis Kaur Khaira Internal Medicine 1959 Ne Pacific St, Seattle, WA 98195 2005-05-23
1225639628 Alexandra Christina Schenck Speech-Language Pathologist 1959 Ne Pacific St, 3rd Floor, Ne 300, Seattle, WA 98195 2020-11-03
1245831692 Lindsey Marie Graff Registered Nurse 1959 Ne Pacific St, Seattle, WA 98195-0001 2020-11-03
1841891165 Yip Han Lee Nurse Anesthetist, Certified Registered 1959 Ne Pacific St, Seattle, WA 98195-0001 2020-11-03
1003415316 Thuy Duong Hoang Nguyen Pharmacist 1959 Ne Pacific St, Seattle, WA 98195-0001 2020-10-19
1982201968 Timothy Shan Pharmacist 1959 Ne Pacific St, Seattle, WA 98195-0001 2020-10-03
1245847326 Erika Patterson Registered Nurse 1959 Ne Pacific St, Seattle, WA 98195-5063 2020-09-23
1932716032 Poonam Gill Registered Nurse 1959 Ne Pacific St, Seattle, WA 98195-7263 2020-09-23
1962018119 Vivian Dao Pharmacist 1959 Ne Pacific St, Seattle, WA 98195-0001 2020-09-22
1558977843 Angela Schwartz Registered Nurse 1959 Ne Pacific St, Seattle, WA 98195-0001 2020-09-22
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1730700741 Christian Van Rooyen Student in an Organized Health Care Education/Training Program 1951 Pacific Street, Seattle, WA 98195 2020-04-30
1720608235 Alexander John Arnold Psychiatry & Neurology 1959 Ne Pacific St, Rr650, Seattle, WA 98195 2020-04-24
1588127138 Scott Boop Student in an Organized Health Care Education/Training Program Department of Neurological Surgery, 1959 Ne Pacific St, Box Number 356470, Seattle, WA 98195 2019-04-10
1275093973 Elizabeth Grace Knoff Floodeen Oral & Maxillofacial Surgery University of Washington Department of Surgery, 1959 Ne Pacific Street, Seattle, WA 98195 2019-03-20
1780174722 Matias Eduardo Czerwonko Pupi Student in an Organized Health Care Education/Training Program 1959 Ne Pacific Street (university of Washington Depart, Seattle, WA 98195 2018-05-15
1235636143 Caitlin Aiko Harrington Student in an Organized Health Care Education/Training Program University of Washington Internal Medicine Residency, Seattle, WA 98195 2018-04-07
1851897243 Natalie Miller Student in an Organized Health Care Education/Training Program University of Washington Medical Center 1959 Ne Pacific, Seattle, WA 98195 2018-04-04
1386140978 Elena Luisa Pellicer Student in an Organized Health Care Education/Training Program Univ of Washington Dept of Obgyn, 1959 Ne Pacific St., Seattle, WA 98195 2018-04-02
1407386824 Sherry S Wang Radiology Uw Radiology, 1959 Ne Pacific Street, Box 357115, Seattle, WA 98195 2017-06-18
1932638137 Maziar Riazy Student in an Organized Health Care Education/Training Program 1959 Ne Pacific Street, Rm Ne110, University of Washington Medical Center - Pathology, Seattle, WA 98195 2017-06-09
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Taxonomy Information

Taxonomy Code 367500000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Anesthetist, Certified Registered

Taxonomy Definition

(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
Notes: Sources: (1) Council on Certification of Nurse Anesthetists, Park Ridge, IL, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. (2) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 548.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1063043982 Jose Daniel Olivera Nurse Anesthetist, Certified Registered 4800 Sand Point Way Ne Ste 100, Seattle, WA 98105-3901 2020-01-29
1942765359 Ethereal Anesthesia Pllc Nurse Anesthetist, Certified Registered 9730 3rd Ave Ne Ste 200, Seattle, WA 98115-2023 2019-02-11
1275933962 Ally Anesthesia Services Pllc Nurse Anesthetist, Certified Registered 914 N 70th St, Seattle, WA 98103-5335 2014-08-29
1174822977 Sentinel Anesthesia, LLC Nurse Anesthetist, Certified Registered 8120 23rd Ct Ne, Seattle, WA 98115-4534 2011-03-18
1053622720 Ashley Elizabeth Fedan Nurse Anesthetist, Certified Registered 215 1st Ave W Apt 711, Seattle, WA 98119-4257 2010-06-28
1508086422 N W Eye Surgeons P C Nurse Anesthetist, Certified Registered 10330 Meridian Ave N Ste 370, Seattle, WA 98133 2007-04-26
1104049915 Level One Anesthesia,pllc Nurse Anesthetist, Certified Registered 317 Ne 75th St, Seattle, WA 98115-4023 2007-04-10
1700923026 Patrick Ludwig Klimczyk Nurse Anesthetist, Certified Registered 2801 Nw 93rd St, Seattle, WA 98117-2936 2007-01-30
1821140062 Adrienne S. Pape Nurse Anesthetist, Certified Registered 700 Minor Ave, Seattle, WA 98104-2146 2007-01-17
1700815578 Erica J Mccall Nurse Anesthetist, Certified Registered Uwmc, 1959 Ne Pacific Mail Code 356118, Seattle, WA 98195-0001 2006-07-02
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City SEATTLE
Zip Code 98195

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Dataset Information

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.

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