Jeff Carlton Quigley

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

License

CG61610913 Issued in WA

Practice address

16715 Aurora Ave N
Shoreline, WA 98133-5310

Phone

(206) 546-9766

Fax

(206) 542-0326

NPI assigned

Dec 12, 2024

Last updated

Dec 12, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1733961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733961600000",
    "number": "1235946427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16715 AURORA AVE N",
            "city": "SHORELINE",
            "state": "WA",
            "postal_code": "981335310",
            "telephone_number": "206-546-9766",
            "fax_number": "206-542-0326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16715 AURORA AVE N",
            "city": "SHORELINE",
            "state": "WA",
            "postal_code": "981335310",
            "telephone_number": "206-546-9766",
            "fax_number": "206-542-0326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUIGLEY",
        "first_name": "JEFF",
        "middle_name": "CARLTON",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-12-12",
        "last_updated": "2024-12-12",
        "certification_date": "2024-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "WA",
            "license": "CG61610913",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Puget Sound Surgical Clinic Inc
• Sarah Alexis Pulliam, LICSW, MPH
• Gary David Pyfer, D.D.S.
• Quality Dental and Denture Care, Inc.
• Georgia Marie Quick, P.T.
• Arra Bianca Rael
• Rain City Therapy Associates, PLLC
• Rosalie Elsbeth Raine, MA, LMHCA, CDP, C.HT
• Kelly Rajotte
• Ravyn Ramos, N.D., A.R.N.P.

• Peer Specialist in Shoreline, WA
• Providers in Shoreline, WA by specialty
• Peer Specialist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.