MICHELLE JERVIS (NPI# 1801390588) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801390588 |
| Entity Type | Individual |
| Full Name | MICHELLE JERVIS |
| Credential | RN |
| Practice Address |
15675 Ambaum Blvd Sw Burien WA 98166-2523 |
| Mailing Address |
6458 Radiance Blvd E Fife WA 98424-3822 |
| Practice Telephone | 2066313000 |
| Mailing Telephone | 6025505954 |
| Enumeration Date | 2018-03-19 |
| Last Update Date | 2018-03-19 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WS0200X |
Registered Nurse Specialization: School |
RN60344633 | WA | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801956602 | Michelle Andrea Jervis | Social Worker | 2727 University Ave, 1e, Bronx, NY 10468-3307 | 2006-12-11 |
| Street Address |
15675 AMBAUM BLVD SW |
| City | BURIEN |
| State | WA |
| Zip Code | 98166-2523 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710099478 | Highline School District | Local Education Agency (LEA) | 15675 Ambaum Blvd Sw, Burien, WA 98166-2523 | 2006-08-31 |
| 1023617636 | Gillian Marie Grimsrud | Occupational Therapist | 15675 Ambaum Blvd Sw, Burien, WA 98166-2523 | 2020-10-23 |
| 1154920973 | Littlepage Taliaferro | Occupational Therapist | 15675 Ambaum Blvd Sw, Burien, WA 98166-2523 | 2020-10-22 |
| 1700408952 | Jeanine Totten | Registered Nurse | 15675 Ambaum Blvd Sw, Burien, WA 98166-2523 | 2020-05-11 |
| 1861032872 | Christina Lajoie | Registered Nurse | 15675 Ambaum Blvd Sw, Burien, WA 98166-2523 | 2020-01-08 |
| 1720639651 | Olivia Antunes Cukierman | Registered Nurse | 15675 Ambaum Blvd Sw, Burien, WA 98166-2523 | 2019-09-23 |
| 1265082572 | Madeline Patten | Registered Nurse | 15675 Ambaum Blvd Sw, Burien, WA 98166-2523 | 2019-09-18 |
| 1205483153 | Roxanne Caple | Registered Nurse | 15675 Ambaum Blvd Sw, Burien, WA 98166-2523 | 2019-08-23 |
| 1922655943 | Soo Jee Lee | Licensed Practical Nurse | 15675 Ambaum Blvd Sw, Burien, WA 98166-2523 | 2019-08-23 |
| 1891342820 | Shina Oh | Licensed Practical Nurse | 15675 Ambaum Blvd Sw, Burien, WA 98166-2523 | 2019-08-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508341488 | Robert James Woodland Sr. | Counselor | 1210 Sw 136th St., Burien, WA 98166 | 2018-09-26 |
| 1215467329 | Amy Elizabeth Castillo | Massage Therapist | 1204 Sw 168th St, Normandy Park, WA 98166 | 2017-06-13 |
| 1053856070 | Michael David Blackledge | Physical Therapist | 15811 Ambaum Blvd Sw Ste 140, Burien, WA 98166 | 2016-12-29 |
| 1114372232 | Maris Gibson | Massage Therapist | 801 S.w. 150thst, #110, Burien, WA 98166 | 2016-04-26 |
| 1649642992 | Navos | Community/Behavioral Health | 31408 28th Ave South, 1201 Sw 136th Street, Burien, WA 98166 | 2015-10-27 |
| 1154790798 | Han Nguyen | Chiropractor | 15811 Ambaum Blvd Sw Suite 110, Burien, WA 98166 | 2015-09-24 |
| 1497163778 | Maria Garvey-caruso | Physical Therapist | 1511 Ambaum Blvd South West, Suite 140, Burien, WA 98166 | 2014-07-30 |
| 1427495274 | Mohammed Nayeemuddin | Internal Medicine | 16259 Sylvester Rd Sw Ste 404, Burien, WA 98166 | 2013-06-03 |
| 1023362753 | Donna Shaman | Occupational Therapist | 15675 Ambaum Blvd, Burien, WA 98166 | 2012-11-02 |
| 1366707010 | Tracy C Saephanh | Pharmacy Technician | 14901 4th Ave Sw Ste 100, Burien, WA 98166 | 2012-07-09 |
| Find all providers in zip 98166 | ||||
| Taxonomy Code | 163WS0200X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | School |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174867741 | Dorothy Winkler Phelps | Registered Nurse | 2725 Sw116th Street, Burien, WA 98146 | 2012-11-20 |
| 1861032872 | Christina Lajoie | Registered Nurse | 15675 Ambaum Blvd Sw, Burien, WA 98166-2523 | 2020-01-08 |
| 1720639651 | Olivia Antunes Cukierman | Registered Nurse | 15675 Ambaum Blvd Sw, Burien, WA 98166-2523 | 2019-09-23 |
| 1265082572 | Madeline Patten | Registered Nurse | 15675 Ambaum Blvd Sw, Burien, WA 98166-2523 | 2019-09-18 |
| 1225684996 | Angela Schudlt | Registered Nurse | 15675 Ambaum Blvd Sw, Burien, WA 98166-2523 | 2019-08-17 |
| 1740751197 | David Darryl Abrams | Registered Nurse | 15675 Ambaum Blvd Sw, Burien, WA 98166-2523 | 2018-12-11 |
| 1558862698 | Shawna Marie Vert | Registered Nurse | 15675 Ambaum Blvd Sw, Burien, WA 98166-2523 | 2018-02-23 |
| 1154830248 | Jacquie Marie Stanton | Registered Nurse | 15675 Ambaum Blvd Sw, Burien, WA 98166-2523 | 2017-09-21 |
| 1881149979 | Nancy Stocks Boldt | Registered Nurse | 15675 Ambaum Blvd Sw, Burien, WA 98166-2523 | 2016-08-18 |
| 1477911873 | Stephanie Adams | Registered Nurse | 15675 Ambaum Blvd Sw, Burien, WA 98166-2523 | 2016-02-01 |
| Find all providers in BURIEN | ||||
Please comment or provide details below to improve the information on MICHELLE JERVIS.
| 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.