Jodie Nicole Van Diest, PHARMD, BCCCP

Primary specialty

PharmacistTaxonomy code 183500000X

License

PH60438818 Issued in WA

Practice address

1700 13TH St
Everett, WA 98201-1689

Phone

(425) 261-3532

NPI assigned

Jan 7, 2021

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

Credentials

Doctor of Pharmacy

State licenses

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

{
    "created_epoch": "1609977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609977600000",
    "number": "1629666375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1426 136TH ST SE",
            "city": "MILL CREEK",
            "state": "WA",
            "postal_code": "980125303",
            "telephone_number": "614-483-8831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 13TH ST",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982011689",
            "telephone_number": "425-261-3532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN DIEST",
        "first_name": "JODIE",
        "middle_name": "NICOLE",
        "credential": "PHARMD, BCCCP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-07",
        "last_updated": "2021-01-07",
        "certification_date": "2021-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WA",
            "license": "PH60438818",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shelly Vallem, LMT
• Trisha Raelynn Valley, OT/L
• Amanda Vallone
• Juliana Caitlin Van de Krol, NP
• Carolyn Van Der Meulen, OTD, OTR
• Patrice Marie Van Duine, ARNP, M.ED, PMHNP-BC
• Rachel Van Duker, BA
• Karen E Van Hoose, RD CD
• Dustin Van Horn
• Erin Elizabeth Van Nieulande, ARNP

• Pharmacist in Everett, WA
• Providers in Everett, WA by specialty
• Pharmacist in Washington

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