DR. JENNIFER KRISTIN THILL (NPI# 1770666281) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770666281 |
| Entity Type | Individual |
| Full Name | DR. JENNIFER KRISTIN THILL |
| Credential | MD |
| Practice Address |
810 Jasmine St Omak WA 98841-9578 |
| Mailing Address |
Po Box 793 Omak WA 98841-9578 |
| Practice Telephone | 5098261760 |
| Practice Fax Number | 5098267211 |
| Mailing Telephone | 5098261760 |
| Mailing Fax Number | 5098267211 |
| Enumeration Date | 2006-10-21 |
| Last Update Date | 2013-09-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | MD00047900 | WA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 8484529 | 05 | |
| WA | CV | 8944672 | 01 |
| WA | L&I | 0222348 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669952578 | Jennifer E Thill | Occupational Therapist | 5285 Lewiston Rd, Lewiston, NY 14092-1942 | 2018-08-20 |
| 1093827305 | Jennifer Thill | Physical Therapist | 5595 County Road Z, West Bend, WI 53095-9224 | 2006-08-31 |
| Street Address |
810 JASMINE ST |
| City | OMAK |
| State | WA |
| Zip Code | 98841-9578 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366491508 | Okanogan Emergency Physicians | Emergency Medicine | 810 Jasmine St, Omak, WA 98841-9578 | 2006-05-06 |
| 1770121089 | Bradley Goll | Nurse Anesthetist, Certified Registered | 810 Jasmine St, Omak, WA 98841-9578 | 2019-12-17 |
| 1609419183 | Brian Scott Bonewell | Nurse Practitioner | 810 Jasmine St, Omak, WA 98841-9578 | 2019-10-28 |
| 1427505155 | Elizabeth A Tateoka | Nurse Practitioner | 810 Jasmine St, Omak, WA 98841-9578 | 2016-09-11 |
| 1467851360 | Kellee P Orr | Physical Therapist | 810 Jasmine St, Omak, WA 98841-0793 | 2014-08-15 |
| 1649680620 | Brian R. Knopp | Nurse Anesthetist, Certified Registered | 810 Jasmine St, Omak, WA 98841 | 2014-04-30 |
| 1588086722 | Daniel Garrison Crosby | Nurse Anesthetist, Certified Registered | 810 Jasmine St, Omak, WA 98841-9578 | 2014-01-07 |
| 1881936052 | Charlene Marie Desautel | Physical Therapist | 810 Jasmine St, Omak, WA 98841-9578 | 2013-03-26 |
| 1962744177 | Julianne E Ayika | Physical Therapy Assistant | 810 Jasmine St, Omak, WA 98841-9578 | 2013-03-26 |
| 1114233731 | Elizabeth Anne Swift | Nurse Practitioner | 810 Jasmine St, Omak, WA 98841-9578 | 2010-08-19 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093210908 | Kellie Davies | Registered Nurse | 34 Valley View Dr, Omak, WA 98841 | 2018-03-24 |
| 1356860399 | In-home Care of Central Washington | In Home Supportive Care | 130 N. Main St, Ste 2, Omak, WA 98841 | 2017-09-11 |
| 1538615158 | J.r. Craig Webster D.d.s. | Preferred Provider Organization | 204 West 1st. Street, Omak, WA 98841 | 2016-09-01 |
| 1346638855 | Katie Mae Sommers | Counselor | 1007 Koala Dr, Omak, WA 98841 | 2015-01-06 |
| 1659702157 | Omak Audiology Center, LLC | Audiologist-Hearing Aid Fitter | 506 Riverside Drive, # B, Omak, WA 98841 | 2013-12-09 |
| 1265878417 | Stephen Cavender | Counselor | 1007 Koala Dr., Omak, WA 98841 | 2013-05-15 |
| 1467793497 | Kenari Breshem | Massage Therapist | 25 Ash St, Omak, WA 98841 | 2013-03-15 |
| 1710282645 | Jodie Dawn Field | Counselor | 17 N. Ash, Omak, WA 98841 | 2011-01-25 |
| 1720391659 | Providence Health & Services | Internal Medicine | 629 Jasmine St, Omak, WA 98841 | 2010-07-20 |
| 1871826453 | Stephanie Dawn Swezey | Specialist | 670 Riverside Drive, Omak, WA 98841 | 2009-09-14 |
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| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316047574 | Raul A Rodriguez Jr. | Family Medicine | 617 Benton St, Omak, WA 98841-9636 | 2006-09-25 |
| 1538162854 | James Ivan Maeda | Family Medicine | 529 Jasmine St, Omak, WA 98841-9589 | 2005-05-31 |
| 1255860086 | Caleb Gillham | Family Medicine | 916 Koala Dr, Omak, WA 98841-9759 | 2017-06-06 |
| 1003347550 | Alana Jean Jackson | Family Medicine | 916 Koala Dr, Omak, WA 98841-9759 | 2017-03-27 |
| 1033560701 | Sarah Marie Campbell | Family Medicine | 916 Koala Dr, Omak, WA 98841-9759 | 2016-06-23 |
| 1003263617 | Dominique Nguyen | Family Medicine | 916 Koala Dr, Omak, WA 98841-9759 | 2016-05-24 |
| 1699120246 | Gabriel Kane Williams | Family Medicine | 916 Koala Dr, Omak, WA 98841-9759 | 2016-05-02 |
| 1407264468 | Jules Sleiman | Family Medicine | 529 Jasmine St, Omak, WA 98841 | 2014-07-22 |
| 1932514429 | Guila M Hall | Family Medicine | 916 Koala Dr, Omak, WA 98841-9759 | 2014-06-24 |
| 1104188598 | Sara J. Norris | Family Medicine | 916 Koala Ave, Omak, WA 98841-9576 | 2012-06-12 |
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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.