JESSE PARK
NPI 1407502107
Case Manager/Care Coordinator in Tacoma, WA

Q: What is Jesse Park's NPI number?

The NPI number for Jesse Park is 1407502107. It was assigned to this individual provider in the NPPES registry on February 22, 2022.

Q: What is Jesse Park's specialty?

The primary specialty registered for this NPI is Case Manager/Care Coordinator with taxonomy code 171M00000X.

Q: When was this NPI record last updated?

The NPPES record for Jesse Park was last updated on February 25, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since February 22, 2022

610 S YAKIMA AVE, TACOMA, WA 98405(253) 396-5823 Get Directions Write a Review

NPPES record last updated: February 25, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Jesse Park NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JESSE PARK (NPI 1407502107) is an individual case manager/care coordinator provider in Tacoma, Washington and active in the NPI registry since February 2022.

NPPES Registry Identity

NPI1407502107

Entity TypeIndividualMale

Primary Taxonomy171M00000X

Provider Legal NameJESSE PARK

Location Address610 S YAKIMA AVETacoma, WA 98405-4851

Mailing Address605 10th AveMilton, WA 98354-8832 · (206) 960-0696

Phone(253) 396-5823

Sole ProprietorNo

Enumeration DateFebruary 22, 2022

Last NPPES UpdateFebruary 25, 2022

NPPES CertifiedFebruary 25, 2022

✔ NPI 1407502107 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCase Manager/Care CoordinatorOther Service Providers

Taxonomy Code171M00000X

Definition

A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.

610 S YAKIMA AVE, Tacoma, WA 98405

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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JAMIE BERG

Counselor (Mental Health)

610 S YAKIMA AVE
TACOMA, WA 98405

Pierce County (253) 396-5800

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jesse Park's NPI number?

The NPI number for Jesse Park is 1407502107. It was assigned to this individual provider in the NPPES registry on February 22, 2022.

Where is Jesse Park located?

Jesse Park practices at 610 S Yakima Ave, Tacoma, WA 98405. The listed phone number is (253) 396-5823.

What is Jesse Park's specialty?

The primary specialty registered for this NPI is Case Manager/Care Coordinator with taxonomy code 171M00000X.

When was this NPI record last updated?

The NPPES record for Jesse Park was last updated on February 25, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.