JORDAN E HAIRE (NPI# 1780129064) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780129064 |
| Entity Type | Individual |
| Full Name | JORDAN E HAIRE |
| Practice Address |
100 Wellness Way 410 Neah Bay WA 98357-9835 |
| Mailing Address |
474 N Yellow Springs St Springfield OH 45504-2463 |
| Practice Telephone | 3606453010 |
| Practice Fax Number | 3606453343 |
| Mailing Telephone | 9373999500 |
| Mailing Fax Number | 9373424242 |
| Enumeration Date | 2016-12-22 |
| Last Update Date | 2018-12-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
LH60728422 | WA | Behavioral Health & Social Service Providers |
| N | 101YP2500X |
Counselor Specialization: Professional |
C.1200640 | OH | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205444171 | Jordan Russell Haire | Student in an Organized Health Care Education/Training Program | 4101 Main St Ste D, Hilton Head Island, SC 29926-4609 | 2020-07-16 |
| Street Address |
100 WELLNESS WAY 410 |
| City | NEAH BAY |
| State | WA |
| Zip Code | 98357-9835 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104242270 | Daleena Jean Lyons | Massage Therapist | 100 Wellness Way, Neah Bay, WA 98357 | 2014-03-12 |
| 1679900922 | Brian Buckingham | Physician Assistant | 100 Wellness Way, Box 410, Neah Bay, WA 98357 | 2013-10-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942823232 | Christie Heath Woolard | Pharmacist | Sophie Trettevick Indian Health Center, 250 Fort St, Neah Bay, WA 98357 | 2020-05-21 |
| 1750877437 | Sophie Trettevick Indian Health Center | Clinic/Center | 250 Fort St., Neah Bay, WA 98357 | 2018-07-06 |
| 1417321266 | Brook Cherith Conwell | Specialist | 1720 East Nursery Ave, Neah Bay, WA 98357 | 2015-11-17 |
| 1538552070 | William D Pratt Jr. | Nurse Practitioner | 136 Coast Guard Dr, Box 435, Neah Bay, WA 98357 | 2015-03-09 |
| 1194092395 | Todd M. Davidson | Counselor | 1001 Bay View Ave., Neah Bay, WA 98357 | 2011-11-17 |
| 1598994675 | Betty Jean Poffenbarger | Counselor | 111 Resort Dr, Neah Bay, WA 98357 | 2009-07-09 |
| 1609068170 | Makah Tribe | Clinic/Center | 171 Makah Bay Dr, Neah Bay, WA 98357 | 2007-08-17 |
| 1306037767 | Makah Tribal Council | Ambulance | 141 2nd Ave, Neah Bay, WA 98357 | 2007-08-09 |
| 1033319496 | David A Kaikaka | Counselor | 1001 Bayview Avenue, Neah Bay, WA 98357 | 2007-07-23 |
| 1497707715 | David R Cundiff | Family Medicine | 250 Fort St, Neah Bay, WA 98357 | 2006-05-16 |
| Find all providers in zip 98357 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598994675 | Betty Jean Poffenbarger | Counselor | 111 Resort Dr, Neah Bay, WA 98357 | 2009-07-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902407745 | Julie Mcgowan | Counselor | 9222 12th Ave Sw, Seattle, WA 98106-2908 | 2020-11-06 |
| 1255932216 | Marinah Juarez | Counselor | 42304 E Ridgecrest Dr Ne, Benton City, WA 99320-8402 | 2020-11-05 |
| 1043811292 | Satya Wellness Collective, LLC | Counselor | 5608 17th Ave Nw # 1063, Seattle, WA 98107-5232 | 2020-11-04 |
| 1366043960 | Nidhi Amy Rastogi | Counselor | 7004 Murray Ave Sw Apt 103, Seattle, WA 98136-1763 | 2020-11-02 |
| 1124628797 | Krista P Marceron | Counselor | 1421 34th Ave Ste 207, Seattle, WA 98122-3634 | 2020-10-31 |
| 1053911735 | Laura S Garcia | Counselor | 603 N Anderson St, Ellensburg, WA 98926-3148 | 2020-10-30 |
| 1326648064 | Taylor Ferry | Counselor | 3954 1st Ave Ne Apt 3, Seattle, WA 98105-6863 | 2020-10-30 |
| 1710587969 | Brenton Brooks Page Jr. | Counselor | 819 N 49th St Ste 303, Seattle, WA 98103-6577 | 2020-10-27 |
| 1255931416 | Lauren Dudugjian | Counselor | 1160 140th Ave Ne Ste E-f, Bellevue, WA 98005-2978 | 2020-10-27 |
| 1215536719 | Jessica Aarsvold | Counselor | 1 Ward St Unit 5, Seattle, WA 98109-3627 | 2020-10-26 |
| Find all providers with the same taxonomy | ||||
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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.