Individual provider Active NPI

Jordanne Paige Todd, PA-C

  • Physician Assistant
  • Auburn, WA
National Provider Identifier
1285394759
Registry record updated Jun 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
61228215 Issued in WA
Practice address
7096 Lakeland Hills Way SE Ste 103
Auburn, WA 98092-8438
Phone
(253) 545-3650
NPI assigned
Dec 27, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 61228215 WA Primary

Addresses

Primary practice location

7096 Lakeland Hills Way SE Ste 103
Auburn, WA 98092-8438

Mailing address

2326 19TH Street PL SE
Puyallup, WA 98374-1461

Other names 1

  • Jordanne Paige Laky Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220210001630 WA Practitioner - Physician Assistant 0244623403 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Seattle Childrens HospitalGroup PAC ID 9032021050, 113 clinicians
Multicare Health SystemGroup PAC ID 7719899897, 2,312 clinicians

Practice addresses (Care Compare)

1780 NW Myhre Rd
Suite 2120
Silverdale, WA 98383-8676
Phone (360) 782-3100

1815 13TH St
Everett, WA 98201-1679
Phone (425) 783-6200

4700 Point Fosdick Dr
Gig Harbor, WA 98335-1706

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
61228215WAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Carbon Health Medical Group of Florida PA CurrentSince Jun 24, 2024 Accepting new patients
Seattle Childrens Hospital CurrentSince Aug 5, 2025 Accepting new patients
Multicare Health System CurrentSince Dec 27, 2021 Accepting new patients
Seattle Children'S Hospital CurrentSince Aug 5, 2025 Accepting new patients
Multicare Health System CurrentSince Dec 27, 2021 Accepting new patients
Seattle Children'S Hospital Past Accepting new patients

Locations

7096 Lakeland Hills Way SE
Ste 103
Auburn, WA 98092
Phone (253) 545-3650

1035 116th Ave NE
Bellevue, WA 98004
Phone (425) 451-4141

11100 NE 6th St
Bellevue, WA 98004
Phone (206) 350-7345

4700 Point Fosdick Dr
Ste 104
Gig Harbor, WA 98335
Phone (253) 459-7590

8232 W Grandridge Blvd
Kennewick, WA 99336
Phone (509) 582-1700

222 State Ave N
Kent, WA 98030
Phone (253) 372-7680

4800 Sand Point Way NE
Seattle, WA 98105
Phone (206) 526-2000

1780 NW Myhre Rd
Ste 2120
Silverdale, WA 98383
Phone (360) 782-3100

311 S L St
Tacoma, WA 98405
Phone (253) 403-1444

Interoperability endpoints

  • Direct secure messaging: jlaky618622@direct.multicare.org

Organizations & group practices 9

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1640563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718841600000",
    "number": "1285394759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2326 19TH STREET PL SE",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983741461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7096 LAKELAND HILLS WAY SE STE 103",
            "city": "AUBURN",
            "state": "WA",
            "postal_code": "980928438",
            "telephone_number": "253-545-3650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TODD",
        "first_name": "JORDANNE",
        "middle_name": "PAIGE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-27",
        "last_updated": "2024-06-20",
        "certification_date": "2024-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WA",
            "license": "61228215",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JORDANNE",
            "last_name": "LAKY",
            "middle_name": "PAIGE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Auburn, WA

Sources for this page

Verify at the official NPI Registry.