Jamesha Mical Jiles

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

PN5215377 Issued in FL

Practice address

3725 Providence Point Dr SE
Issaquah, WA 98029-7219

Phone

(425) 391-2800

NPI assigned

Dec 20, 2023

Last updated

Dec 20, 2023By 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

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

{
    "created_epoch": "1703030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703030400000",
    "number": "1538938360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "312 CHIPOLA DR",
            "city": "DELAND",
            "state": "FL",
            "postal_code": "327207790",
            "telephone_number": "612-458-7243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3725 PROVIDENCE POINT DR SE",
            "city": "ISSAQUAH",
            "state": "WA",
            "postal_code": "980297219",
            "telephone_number": "425-391-2800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JILES",
        "first_name": "JAMESHA",
        "middle_name": "MICAL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-12-20",
        "last_updated": "2023-12-20",
        "certification_date": "2023-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "FL",
            "license": "PN5215377",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tiann M. Jeffries, PT
• Jenmark
• Mark J Jensen, OD
• Elizabeth A. Jenson, MS, OTR/L, CHT
• Jessica Matthews, LLC
• Joannie Chu DMD PLLC
• Penny Johansen
• Sophia John Vega
• Danielle Katherine Johnson
• Emily Claire Johnson

• Licensed Practical Nurse in Issaquah, WA
• Providers in Issaquah, WA by specialty
• Licensed Practical Nurse in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2023; 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.