Jessica Ann Pierce, SUDP-T

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

License

61041304 Issued in WA

Practice address

113 23Rd Ave S
Seattle, WA 98144-2309

Phone

(206) 219-8950

Fax

(206) 812-6161

NPI assigned

Mar 22, 2021

Last updated

May 7, 2021By the provider in NPPES

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Sea Mar Community Health Centers

  • Federally Qualified Health Center (FQHC)
  • Seattle, WA
  • NPI 1881062362
  NPD

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

{
    "created_epoch": "1616371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620345600000",
    "number": "1427634385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 23RD AVE S",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981442309",
            "telephone_number": "206-219-8950",
            "fax_number": "206-812-6161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 23RD AVE S",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981442309",
            "telephone_number": "206-219-8950",
            "fax_number": "206-812-6161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIERCE",
        "first_name": "JESSICA",
        "middle_name": "ANN",
        "credential": "SUDP-T",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-22",
        "last_updated": "2021-05-07",
        "certification_date": "2021-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "WA",
            "license": "61041304",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brant Pierce, RN
• Damon Scott Pierce, MD
• Ian Taylor Pierce, CPHT
• Jason Pierce, PARAMEDIC
• Jason Joseph Pierce, MD
• Kathleen Pierce, PHARMD
• Mark James Pierce, MS, ATC
• Melinda June Rogers Ross Pierce, MD
• Renee Pierce
• Renee D Pierce, B.A.

• Student in an Organized Health Care Education/Training Program in Seattle, WA
• Providers in Seattle, WA by specialty
• Student in an Organized Health Care Education/Training Program in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2021; 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.