Active NPI
Jessica Agada, LMP
- Community Health Worker
- Seattle, WA
National Provider Identifier
1487950366
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Worker
- License
- MA60152456
- Practice address
- 10030 15TH Ave SW
Seattle, WA 98146-3728 - Phone
- (206) 763-7464
- Fax
- (206) 763-8263
- NPI assigned
- Feb 9, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | MA60152456 | WA | Primary |
Addresses
Primary practice location
10030 15TH Ave SW
Seattle, WA 98146-3728
Mailing address
10030 15TH Ave SW
Seattle, WA 98146-3728
Phone (206) 763-7464
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
| License | State | Type | Specialty |
|---|---|---|---|
| MA60152456 | WA | MD | Community Health Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| White Center Chiropractic, PLLC | Past | Accepting new patients | |
| White Center Chiropractic | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Massage Therapist
- Seattle, WA
- NPI 1093189730
-
- Chiropractor
- Seattle, WA
- NPI 1780693085
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1297209600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1297209600000",
"number": "1487950366",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10030 15TH AVE SW",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981463728",
"telephone_number": "206-763-7464",
"fax_number": "206-763-8263"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10030 15TH AVE SW",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981463728",
"telephone_number": "206-763-7464",
"fax_number": "206-763-8263"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AGADA",
"first_name": "JESSICA",
"credential": "LMP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-02-09",
"last_updated": "2011-02-09",
"status": "A"
},
"taxonomies": [
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": "WA",
"license": "MA60152456",
"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 Feb 9, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.