Juliette Eileen Pohl-Y-Baca, PHYCIAN ASST. -CERT

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA1003502 Issued in WA

Practice address

233 2ND Ave S
Kent, WA 98032-5852

Phone

(206) 436-6380

Fax

(206) 436-6385

NPI assigned

Jan 6, 2007

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NV

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Diabetes Management Consultants LLC

  • Registered Dietitian
  • Las Vegas, NV
  • NPI 1073791851
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1168041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1003964271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31116 5TH WAY S",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980034049",
            "telephone_number": "253-839-8326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "233 2ND AVE S",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980325852",
            "telephone_number": "206-436-6380",
            "fax_number": "206-436-6385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POHL-Y-BACA",
        "first_name": "JULIETTE",
        "middle_name": "EILEEN",
        "name_prefix": "Mrs.",
        "credential": "PHYCIAN ASST. -CERT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-06",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "WA",
            "license": "PA1003502",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lester Pittle, MD
• Aaron Joseph Placke, DC
• Victor R Plavsky, LD
• Michael Robert Benjamin Poch
• Charlotte Poe
• Gillian Raine Poland
• Pollard Chiropractic P.L.L.C.
• Corrie L Pollard, DC
• Ruth Carolina Polo Jimenez
• Philipp Popp

• Medical Physician Assistant in Kent, WA
• Providers in Kent, WA by specialty
• Medical Physician Assistant in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.