ADREIA JENICE JESSOP


Address: 300 Oak St, Kelso, WA 98626
Phone: 3603535511

ADREIA JENICE JESSOP (NPI# 1972021087) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1972021087
Entity Type Individual
Full Name ADREIA JENICE JESSOP
Credential ARNP, CNM, IBCLC
Practice Address 300 Oak St
Kelso
WA 98626
Mailing Address 14414 Ne 8th Ct
Vancouver
WA 98685-5799
Practice Telephone 3603535511
Practice Fax Number 3603535502
Mailing Telephone 3604314901
Enumeration Date 2017-09-08
Last Update Date 2020-02-21
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 163WL0100X Registered Nurse
Specialization: Lactation Consultant
RN00157790 WA Nursing Service Providers
N 363LW0102X Nurse Practitioner
Specialization: Women's Health
AP60799447 WA Physician Assistants & Advanced Practice Nursing Providers
Y 367A00000X Advanced Practice Midwife AP60799447 WA Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
WA WASHINGTON STATE DEPARTMENT OF HEALTH AP60799447 01
WA WASHINGTON STATE DEPARTMENT OF HEALTH RN00157790 01

Provider Secondary Practice Location

Address Telephone Number Fax Number
211 Cunningham Rd, Kelso, WA 986269611 3607490010
326 Basswood Dr, Silverlake, WA 986459754 3604314901

Office Location

Street Address 300 OAK ST
City KELSO
State WA
Zip Code 98626

Providers in the same location

NPI Name Taxonomy Address Enumeration
1861869802 Connie Liu Registered Nurse 300 Oak St, Kelso, WA 98626-2304 2015-08-25
1558780528 Ezy Hanbyul Yoo Nurse Practitioner 300 Oak St, Suite B, Kelso, WA 98626-2304 2014-04-07

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1730581877 Wrothell Funchess Counselor 1645 Bowmont Ave, Kelso, WA 98626 2014-09-19
1427457688 Julie Dalen Counselor 309 Oak Street, Kelso, WA 98626 2014-08-13
1033468822 Rene Kerry Bohannon-oxford Counselor 2707 Pacific Ave North, Kelso, WA 98626 2012-09-07
1447535737 Nichole Kathleen Allee Massage Therapist 109 Nw 1st St., Kelso, WA 98626 2011-10-18
1689991655 Zachariah Kramer Radiology 700 Lincoln Street Suite 100, Longview Radiologists, Kelso, WA 98626 2010-04-29
1508007071 Robert Lee Blair Registered Nurse 119 Blackburn Lane, Kalama, WA 98626 2009-03-13
1942318829 Imholte & Anderson Pllc Dentist 409 West Main Street, Kelso, WA 98626 2006-08-29
1922088723 James Bevan Hollingsworth Pharmacist 204 S Pacific Ave, Kelso, WA 98626 2006-01-18
1023567310 Charlene Han Pharmacist 205 Three Rivers Dr, Kelso, WA 98626 2016-09-27
1033467725 Mccown Chiropractic Chiropractor 1710 Allen Street, Kelso, WA 98626-0070 2012-08-28
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Taxonomy Information

Taxonomy Code 367A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Advanced Practice Midwife

Taxonomy Definition

Midwifery practice as conducted by certified nurse-midwives (CNMs) and certified midwives (CMs) is the independent management of women's health care, focusing particularly on pregnancy, childbirth, the post partum period, care of the newborn, and the family planning and gynecologic needs of women. The CNM and CM practice within a health care system that provides for consultation, collaborative management, or referral, as indicated by the health status of the client. CNMs and CMs practice in accord with the Standards for the Practice of Midwifery, as defined by the American College of Nurse-Midwives (ACNM).
Notes: Source: American College of Nurse-Midwives, 2008 [7/1/2008: title changed, defintion changed, source changed] Additional Resources: American College of Nurse-Midwives www.acnm.org. The American Midwifery Certification Board, Inc. [AMCB, formerly the ACNM Certification Council, Inc. (ACC)] opened its national certification exam to non-nurse graduates of midwifery education programs and issued the first certified midwife (CM) credential in 1997. Certified midwives are educated to meet the same high standards that certified nurse-midwives must meet. These are the standards that every state in the U.S. has recognized as the legal basis for nurse-midwifery practice. All education programs for CMs, like CNMs, award a post-baccalaureate certificate or higher degree. CMs take the same AMCB certification exam as CNMs and study side by side with nurse-midwifery students in some education programs. As an organization, ACNM supports efforts to legally recognize CMs as qualified midwifery practitioners granted the same rights and responsibilities as CNMs.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1114548534 Quilted Health Professional Services Corporation Advanced Practice Midwife 4311 11th Ave Ne Fl 5, Seattle, WA 98105-6366 2020-04-27
1215561105 Bailey Faye Padilla Advanced Practice Midwife 336 Chardonnay Ave Bldg B, Prosser, WA 99350-9515 2020-02-28
1649814658 Hallie Granville Advanced Practice Midwife 924 W Hazel St, Mount Vernon, WA 98273-9513 2019-11-01
1366098956 Alisha Renee Wedding-lambert Advanced Practice Midwife 1107 W Simpson Ave, Mccleary, WA 98557-9670 2019-08-11
1427610682 Dalillah Bernal Nord Advanced Practice Midwife 5300 Tallman Ave Nw Ste 420, Seattle, WA 98107 2019-07-08
1376072587 Deanna Lynn Diulio Advanced Practice Midwife 303 Bradley Blvd Ste 202, Richland, WA 99352-4497 2017-06-09
1780124370 Rebecca Managan Advanced Practice Midwife 12303 Ne 130th Ln Ste Coral225, Kirkland, WA 98034 2017-03-01
1861862518 Ana Baker Advanced Practice Midwife 17510 8th Ave Ne, Shoreline, WA 98155-3604 2015-10-06
1306216650 Katie Elizabeth Schulz Advanced Practice Midwife 4013 Ne Luxury Ln, Bremerton, WA 98311-9673 2015-09-30
1134500127 Christine Topinka Advanced Practice Midwife 2821 107th Ave Ne, Bellevue, WA 98004-2033 2015-06-15
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Competitor

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City KELSO
Zip Code 98626

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Dataset Information

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.

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