NPIMap

Organization Active NPI

Jada Health Corporation

  • Gerontology Nurse Practitioner
  • Seattle, WA
National Provider Identifier
1811277924
Registry record updated Oct 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
AP30005254 Issued in WA
Legal business name
JADA HEALTH CORPORATION
Practice address
422 26TH Ave S
Seattle, WA 98144-2335
Phone
(206) 322-1050
Fax
(888) 248-5232
NPI assigned
Aug 19, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2011

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

Authorized official

Name
Dana Jacobson, RN, MSNNPI 1235416462
Title
Owner
Phone
(206) 322-1050

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse PractitionerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 363LG0600X AP30005254 WA Primary

Addresses

Primary practice location

422 26TH Ave S
Seattle, WA 98144-2335

Mailing address

PO Box 22355
Seattle, WA 98122-0355
Phone (206) 322-1050

Other names 1

  • Jada Health llc Former legal business name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1313712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1319155200000",
    "number": "1811277924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 22355",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981220355",
            "telephone_number": "206-322-1050",
            "fax_number": "888-248-5232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "422 26TH AVE S",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981442335",
            "telephone_number": "206-322-1050",
            "fax_number": "888-248-5232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JADA HEALTH CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-19",
        "last_updated": "2011-10-21",
        "status": "A",
        "authorized_official_last_name": "JACOBSON",
        "authorized_official_first_name": "DANA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "206-322-1050",
        "authorized_official_credential": "RN, MSN"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "WA",
            "license": "AP30005254",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jada Health llc",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 Oct 21, 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.

Verify at the official NPI Registry.