Individual provider Active NPI

Jada Maureen Hebb

  • Community Health Worker
  • Tacoma, WA
National Provider Identifier
1982295333
Registry record updated Jan 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health WorkerTaxonomy code 172V00000X
License
CM60647222 Issued in WA
Practice address
610 Yakima Ave
Tacoma, WA 98405-4851
Phone
(253) 606-2098
NPI assigned
Jan 28, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Worker 172V00000X CM60647222 WA Primary

Addresses

Primary practice location

610 Yakima Ave
Tacoma, WA 98405-4851

Mailing address

1305 Tacoma Ave S Ste 201
Tacoma, WA 98402-1903
Phone (253) 396-5800

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

LicenseStateTypeSpecialty
CM60647222WAMDCommunity Health Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Comprehensive Mental Health Center of Tacoma-Pierce County CurrentSince Jan 31, 2021 Accepting new patients

Locations

1305 Tacoma Ave S
Ste 201
Tacoma, WA 98402
Phone (253) 396-5823

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1611792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611792000000",
    "number": "1982295333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1305 TACOMA AVE S STE 201",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984021903",
            "telephone_number": "253-396-5800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 YAKIMA AVE",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984054851",
            "telephone_number": "253-606-2098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEBB",
        "first_name": "JADA",
        "middle_name": "MAUREEN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-28",
        "last_updated": "2021-01-28",
        "certification_date": "2021-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "WA",
            "license": "CM60647222",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tacoma, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 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.