Individual provider Active NPI

Jamila Presnell, AAC

  • Peer Specialist
  • Seattle, WA
National Provider Identifier
1346899556
Registry record updated Apr 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Peer SpecialistTaxonomy code 175T00000X
License
CAAR.CG.60998115 Issued in WA
Practice address
2200 Rainier Ave S
Suite 201
Seattle, WA 98144-4642
Phone
(206) 417-9904
Fax
(206) 260-7464
NPI assigned
Sep 10, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Peer Specialist 175T00000X CAAR.CG.60998115 WA Primary

Addresses

Primary practice location

2200 Rainier Ave S
Suite 201
Seattle, WA 98144-4642

Mailing address

2200 Rainier Ave S Ste 201
Seattle, WA 98144-4642
Phone (206) 417-9904

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
CAAR.CG.60998115WAMDPeer Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
You Grow Girl Peer Specialist CurrentSince Oct 1, 2019 Accepting new patients

Locations

10215 Lake City Way NE
Ste H
Seattle, WA 98125
Phone (206) 403-0402

2200 Rainier Ave S
#201
Seattle, WA 98144
Phone (206) 417-9904

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1568073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714435200000",
    "number": "1346899556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 RAINIER AVE S STE 201",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981444642",
            "telephone_number": "206-417-9904",
            "fax_number": "206-260-7464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 RAINIER AVE S",
            "address_2": "SUITE 201",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981444642",
            "telephone_number": "206-417-9904",
            "fax_number": "206-260-7464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRESNELL",
        "first_name": "JAMILA",
        "credential": "AAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-10",
        "last_updated": "2024-04-30",
        "certification_date": "2021-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "WA",
            "license": "CAAR.CG.60998115",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 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.