JODY LYNN HELLER (NPI# 1962042184) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962042184 |
| Entity Type | Individual |
| Full Name | JODY LYNN HELLER |
| Credential | SUDP-T |
| Practice Address |
6700 Martin Way E Ste 117 Olympia WA 98516-5586 |
| Mailing Address |
418 N 10th St Elma WA 98541-9183 |
| Practice Telephone | 3604136910 |
| Mailing Telephone | 3607892437 |
| Enumeration Date | 2020-01-15 |
| Last Update Date | 2020-01-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | CO61015481 | WA | Student, Health Care |
| Street Address |
6700 MARTIN WAY E STE 117 |
| City | OLYMPIA |
| State | WA |
| Zip Code | 98516-5586 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871729491 | Evergreen Treatment Services | Clinic/Center | 6700 Martin Way E Ste 117, Olympia, WA 98516-5586 | 2009-06-10 |
| 1093369647 | Brandon A Thomas | Technician | 6700 Martin Way E Ste 117, Olympia, WA 98516-5586 | 2019-07-31 |
| 1588146005 | Brenda M Thorson | Counselor | 6700 Martin Way E Ste 117, Olympia, WA 98516-5586 | 2018-08-30 |
| 1366954471 | Tiffany P Woelfel | Social Worker | 6700 Martin Way E Ste 117, Olympia, WA 98516-5586 | 2017-10-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730744210 | Michael Oropeza | Behavioral Analyst | 8282 28th Court Northeast, Suite A, Lacey, WA 98516 | 2019-05-09 |
| 1902361330 | Amanda Jessica Mae Allen | Behavioral Analyst | Basics Nw LLC, 8282 28th Ct Ne Suite A, Lacey, WA 98516 | 2019-02-11 |
| 1619459393 | Kayla-renee Williams | Behavioral Analyst | Basics Nw LLC 8282 28th Ct Ne, Suite A, Lacey, WA 98516 | 2018-08-30 |
| 1174004303 | Julie Ann Lisowski | Massage Therapist | 3532 Cuddy Ln Ne, Lacey, WA 98516 | 2018-08-26 |
| 1740700145 | Joseph Brandon Kimmel | Denturist | 5032 Beverly Dr Ne, Olympia, WA 98516 | 2017-06-27 |
| 1649649880 | Katie Cole | Behavioral Analyst | 8282 28th Ct Ne, Suite A, Basics Nw, LLC, Lacey, WA 98516 | 2015-09-17 |
| 1306234166 | Reza Tahernia | Dentist | 8050 Freedon Lane Ne, Suite C, Lacey, WA 98516 | 2015-01-02 |
| 1770997603 | Qualified Surgical Services Pllc | Surgery | 3697 Cameron Dr Ne, Lacey, WA 98516 | 2014-06-18 |
| 1184048688 | Stephanie Renee Hjortedal | Specialist/Technologist | 8750 Tallon Lane Ne., Lacey, WA 98516 | 2014-02-05 |
| 1295169811 | Teasha Corrado | Behavioral Analyst | 8282 28th Court Ne, Suite A, Lacey, WA 98516 | 2013-08-30 |
| Find all providers in zip 98516 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346850070 | Daniel Muro | Student in an Organized Health Care Education/Training Program | 1318 Neil St Ne, Olympia, WA 98516-5532 | 2020-08-06 |
| 1942827035 | Olivia Anne Harris-bloom | Student in an Organized Health Care Education/Training Program | 300 Kenyon St Nw Apt G4, Olympia, WA 98502-2770 | 2020-07-06 |
| 1003443789 | Thu Le | Student in an Organized Health Care Education/Training Program | 1808 Meixner St Ne, Olympia, WA 98506-3567 | 2020-03-24 |
| 1205493996 | David Lin | Student in an Organized Health Care Education/Training Program | 3530 32nd Way Nw, Olympia, WA 98502-3230 | 2019-05-29 |
| 1821588039 | Namgu Kim | Student in an Organized Health Care Education/Training Program | 11321 Scott Creek Dr Sw, Olympia, WA 98512-9036 | 2018-05-14 |
| 1184072480 | Tracy Ta | Student in an Organized Health Care Education/Training Program | 4535 Trenton Loop Se, Olympia, WA 98501-4800 | 2016-05-26 |
| 1669784633 | Lindy Marie Holmes | Student in an Organized Health Care Education/Training Program | 8120 61st Ave Ne, Olympia, WA 98516-9140 | 2010-07-07 |
| 1780292714 | Paola Von Oelffen | Student in an Organized Health Care Education/Training Program | 413 Lilly Rd Ne, Olympia, WA 98506-5133 | 2020-07-15 |
| 1730702432 | Chanel Wood | Student in an Organized Health Care Education/Training Program | 525 Lilly Rd Ne, Suite 204, Olympia, WA 98506 | 2020-05-28 |
| 1982227062 | Jairo Enrigue Mendoza Briceno | Student in an Organized Health Care Education/Training Program | 525 Lilly Rd Ne, Suite 204, Olympia, WA 98506-5101 | 2020-05-22 |
| Find all providers in OLYMPIA | ||||
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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.