JENNIFER WADDELLL.M. (NPI# 1770836421) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770836421 |
| Entity Type | Individual |
| Full Name | JENNIFER WADDELLL.M. |
| Credential | LMP |
| Practice Address |
2100 E Union St Seattle WA 98122-2954 |
| Mailing Address |
5063 Renton Ave S Seattle WA 98118-1932 |
| Practice Telephone | 2063292060 |
| Mailing Telephone | 2064278884 |
| Enumeration Date | 2012-10-18 |
| Last Update Date | 2012-10-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | MA 00011541 | WA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
2100 E UNION ST |
| City | SEATTLE |
| State | WA |
| Zip Code | 98122-2954 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487873287 | Victoria F Summerquist | Acupuncturist | 2100 E Union St, Seattle, WA 98122-2954 | 2007-04-24 |
| 1184260101 | Noelle Blanchard | Acupuncturist | 2100 E Union St, Seattle, WA 98122-2954 | 2019-11-25 |
| 1124681481 | Rebekah Anne Kreckman | Massage Therapist | 2100 E Union St, Seattle, WA 98122-2954 | 2019-04-22 |
| 1497229769 | Dylan Spencer | Acupuncturist | 2100 E Union St, Seattle, WA 98122-2954 | 2019-01-18 |
| 1598200750 | Robin Anderson | Acupuncturist | 2100 E Union St, Seattle, WA 98122-2954 | 2016-12-27 |
| 1245612852 | Wilson Michael Shook | Massage Therapist | 2100 E Union St, Seattle, WA 98122-2954 | 2015-06-19 |
| 1003219106 | David Schleiffers | Specialist | 2100 E Union St, Seattle, WA 98122-2954 | 2014-10-02 |
| 1396146916 | Julia Hohn | Massage Therapist | 2100 E Union St, Seattle, WA 98122-2954 | 2014-09-15 |
| 1225456320 | Nancy Ray | Massage Therapist | 2100 E Union St, Seattle, WA 98122-2954 | 2014-04-04 |
| 1235575424 | Katherine Mulholland | Massage Therapist | 2100 E Union St, Seattle, WA 98122-2954 | 2013-05-15 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053938506 | Quality Counseling and Consultation Service LLC | Counselor | 1525 Harvard Ave #509, Seattle, WA 98122 | 2020-07-01 |
| 1912535626 | Cesar Andrade | Student in an Organized Health Care Education/Training Program | 550 16th Avenue #400, Seattle, WA 98122 | 2020-03-29 |
| 1366089666 | Peter Nguyen | Pharmacy Technician | 914 East Jefferson Street, Campion Hall, Seattle, WA 98122 | 2019-12-05 |
| 1356903140 | Jason Dandino | Specialist/Technologist | 550 14th Avenue, Seattle, WA 98122 | 2019-07-02 |
| 1962066415 | Seattle Colleges | Local Education Agency (LEA) | Mainstay At Seattle Central College, 1701 Broadway Ms Be3210, Seattle, WA 98122 | 2019-04-30 |
| 1538621412 | Mitchell R Ornelas | Student in an Organized Health Care Education/Training Program | Swedish Family Medicine Residency Cherry Hill; 550 16th, Avenue #400, Seattle, WA 98122 | 2019-04-01 |
| 1003374265 | Michael Russell | Surgery | 747 Broadway Heath Building 10th Floor, Seattle, WA 98122 | 2019-03-06 |
| 1639646821 | Maritza E Cajiao | Doula | 747 Broadway, Seattle, Seattle, WA 98122 | 2018-10-25 |
| 1336616762 | Suzanna M Lovin | Social Worker | 401 Broadway, 1st Floor, Seattle, WA 98122 | 2018-10-24 |
| 1184137770 | Walter Franklin Krengel Jr. | Orthopaedic Surgery | 2000 1st Ave Suite 2201, Seattle, WA 98122 | 2017-11-06 |
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| Taxonomy Code | 225700000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Massage Therapist |
| An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538769088 | Alison K Rostholder-harris | Massage Therapist | 1202 E Pine St Unit 101, Seattle, WA 98122-3929 | 2020-10-26 |
| 1982201976 | Ashley Beth Metzger | Massage Therapist | 9449 25th Ave Sw, Seattle, WA 98106-2633 | 2020-10-03 |
| 1639786379 | Tiana M. Duncan | Massage Therapist | 3250 Airport Way S Ste 322, Seattle, WA 98134-2167 | 2020-09-27 |
| 1073120937 | C Gale, Pllc | Massage Therapist | 3250 Airport Way S Ste 738, Seattle, WA 98134-2172 | 2020-09-24 |
| 1700491925 | Mizu Massage Seattle LLC | Massage Therapist | 3250 Airportway South, 740, Seattle, WA 98134 | 2020-09-14 |
| 1518572015 | Katrina A Gray | Massage Therapist | 918 S Horton St # 740, Seattle, WA 98134-1952 | 2020-09-11 |
| 1063026375 | Alycia Anne Lochridge | Massage Therapist | 313 27th Ave S, Seattle, WA 98144-2409 | 2020-09-03 |
| 1811508039 | Kathryn Steinfort | Massage Therapist | 4464 Fremont Ave N Ste 102, Seattle, WA 98103-7290 | 2020-08-11 |
| 1124645932 | Carl Wilson | Massage Therapist | 12345 Roosevelt Way Ne Apt 304, Seattle, WA 98125-4867 | 2020-06-26 |
| 1235755927 | Jeremy Steward | Massage Therapist | 1908 E Republican St, Seattle, WA 98112-4001 | 2020-06-18 |
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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.