Active NPI
Yessica Yasmin Gaxiola
- Dental Assistant
- Lynnwood, WA
National Provider Identifier
1831680974
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Assistant
- License
- GAXIOYY049OJ
- Practice address
- 17425 Wa-99 Suite D
Lynnwood, WA 98037 - Phone
- (425) 329-7259
- NPI assigned
- May 24, 2018
- 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 |
|---|---|---|---|---|
| Dental Assistant | 126800000X | GAXIOYY049OJ | WA | Primary |
Addresses
Primary practice location
17425 Wa-99 Suite D
Lynnwood, WA 98037
Mailing address
17425 Wa-99 Suite D
Lynnwood, WA 98037
Phone (206) 519-9598
Other practice location 1
901 E Marine View Dr Unit 206
Everett, WA 98201-1438
Phone (206) 519-9598
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GAXIOYY049OJ | Medicaid | WA |
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 |
|---|---|---|---|
| GAXIOYY049OJ | WA | MD | Dental Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1527120000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1527120000000",
"number": "1831680974",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17425 WA-99 SUITE D",
"city": "LYNNWOOD",
"state": "WA",
"postal_code": "98037",
"telephone_number": "206-519-9598"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17425 WA-99 SUITE D",
"city": "LYNNWOOD",
"state": "WA",
"postal_code": "98037",
"telephone_number": "425-329-7259"
}
],
"practiceLocations": [
{
"address_1": "901 E Marine View Dr Unit 206",
"address_purpose": "LOCATION",
"city": "Everett",
"state": "WA",
"postal_code": "982011438",
"country_code": "US",
"telephone_number": "206-519-9598",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GAXIOLA",
"first_name": "YESSICA",
"middle_name": "YASMIN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-05-24",
"last_updated": "2018-05-24",
"status": "A"
},
"taxonomies": [
{
"code": "126800000X",
"taxonomy_group": "",
"desc": "Dental Assistant",
"state": "WA",
"license": "GAXIOYY049OJ",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GAXIOYY049OJ",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lynnwood, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.