JENNIFER GUSTAFSON (NPI# 1861848814) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861848814 |
| Entity Type | Individual |
| Full Name | JENNIFER GUSTAFSON |
| Practice Address |
5649 University Way Ne Seattle WA 98105-2619 |
| Mailing Address |
11510 38th Ave Ne Seattle WA 98125-5706 |
| Practice Telephone | 2066786196 |
| Mailing Telephone | 2066786196 |
| Enumeration Date | 2016-05-09 |
| Last Update Date | 2016-05-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | 60602194 | WA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487997664 | Jennifer K Gustafson | Obstetrics & Gynecology | 5673 Peachtree Dunwoody Rd Ste 700, Atlanta, GA 30342-1752 | 2013-04-05 |
| 1043554405 | Jennifer Helen Gustafson | Occupational Therapist | 3 Whittier Way, York, ME 03909 | 2012-11-24 |
| 1922384940 | Jennifer Lynn Gustafson | Occupational Therapist | 3101 Less Traveled Trl, Indian Trail, NC 28079-7801 | 2011-10-24 |
| 1679180145 | Jennifer Renee Gustafson | Behavior Technician | 109 Doctors Park, Saint Cloud, MN 56303-1207 | 2020-09-28 |
| 1013479609 | Jennifer Lynn Gustafson | Nurse Practitioner | 55 Lake Ave N, Worcester, MA 01655-0002 | 2019-04-02 |
| 1396154985 | Jennifer Lisa Gustafson | Nurse Practitioner | 1600 W 38th St, Suite 300, Austin, TX 78731-6400 | 2014-08-07 |
| 1386923175 | Jennifer Christine Gustafson | Counselor | 1215 Sw G St, Grants Pass, OR 97526-2544 | 2011-08-10 |
| 1639475254 | Jennifer Lee Gustafson | Nurse Practitioner | 2767 Olive Hwy, Oroville, CA 95966-6118 | 2011-01-28 |
| 1801037601 | Jennifer Lynd Mosey Gustafson | Marriage & Family Therapist | 6425 Nicollet Ave, Richfield, MN 55423-1675 | 2009-03-09 |
| 1578717112 | Jennifer Gustafson | Occupational Therapist | 305 S State St, Aberdeen, SD 57401-4527 | 2008-11-10 |
| Street Address |
5649 UNIVERSITY WAY NE |
| City | SEATTLE |
| State | WA |
| Zip Code | 98105-2619 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871662239 | David P. Johnston | Counselor | 5649 University Way Ne, Seattle, WA 98105-2619 | 2006-11-07 |
| 1306050125 | Jennifer Carole Kuduk | Massage Therapist | 5649 University Way Ne, Seattle, WA 98105-2619 | 2007-05-10 |
| 1356566335 | Lisa Eileen Lentz | Massage Therapist | 5649 University Way Ne, Seattle, WA 98105-2619 | 2007-04-16 |
| 1477697704 | Kira A Sipler | Massage Therapist | 5649 University Way Ne, Seattle, WA 98105-2619 | 2007-02-19 |
| 1194875559 | Adam David Wexler | Massage Therapist | 5649 University Way Ne, Seattle, WA 98105-2619 | 2007-01-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326662396 | Dale Justin Podolsky | Student in an Organized Health Care Education/Training Program | 4800 Sand Point Way Ne, Ob.9.520, Seattle Children's, Seattle, WA 98105 | 2020-06-04 |
| 1376170878 | Andrew Crompton Yazman | Pediatrics | 4800 Sand Point Way, Ne Oc.7.830, Seattle, WA 98105 | 2020-03-25 |
| 1427688845 | Daniela Michell Zepeda | Behavioral Analyst | 4616 25th Ave Ne Pmb 437, Seattle, WA 98105 | 2020-01-24 |
| 1255981189 | Emily King | Student in an Organized Health Care Education/Training Program | Mark Hawkins, Pa-c, Mpas, 4311 11th Ave Ne Suite 200, WA 98105 | 2019-09-12 |
| 1821659327 | Sara Katherine Horne | Student in an Organized Health Care Education/Training Program | 4800 Sand Point Way Ne, Mb.11.500, Department of Anesthesiology and Pain Medicine, Seattle, Seattle, WA 98105 | 2019-06-25 |
| 1881252575 | Darryl Lee Wright | Peer Specialist | Gossett Place, 4719 12th Ave Ne, Seattle, WA 98105 | 2019-05-29 |
| 1487117891 | Nirupama Madhavan | Behavioral Analyst | 5001 25th Ave Ne, Seattle, WA 98105 | 2019-04-11 |
| 1780155648 | Eryn R Mcentee | Naturopath | 2216 Ne46th St, Seattle, WA 98105 | 2018-12-17 |
| 1356811921 | Kyle Leland Bernbach | Massage Therapist | 5224 Ravenna Ave Ne, Seattle, WA 98105 | 2018-11-27 |
| 1548742380 | Janal Kim | Physician Assistant | 4726 11th Ave Ne, Apt 511, Seattle, WA 98105 | 2018-08-29 |
| Find all providers in zip 98105 | ||||
| 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 |
| Find all providers in SEATTLE | ||||
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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.