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JADE PARK
NPI 1417729138
Peer Specialist in Seattle, WA

Active since October 25, 2023
325 9TH AVE, SEATTLE, WA 98104(206) 744-9600 Get Directions Write a Review

NPPES record last updated: October 26, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jade Park NPPES

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

JADE PARK (NPI 1417729138) is an individual peer specialist in Seattle, Washington and active in the NPI registry since October 2023.

NPPES Registry Identity

NPI1417729138
Entity TypeIndividualMale
Primary Taxonomy175T00000X
Provider Legal NameJADE PARK
Location Address325 9TH AVESeattle, WA 98104-2420
Mailing Address325 9th AveSeattle, WA 98104-2420 · (206) 744-9600
Phone(206) 744-9600
Sole ProprietorNo
Enumeration DateOctober 25, 2023
Last NPPES UpdateOctober 26, 2023
NPPES CertifiedOctober 26, 2023
✔ NPI 1417729138 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
325 9TH AVE, Seattle, WA 98104
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Other Providers at the Same Location NPPES 20

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

SANDRA K WALKER ARNP
Nurse Practitioner (Acute Care)
325 9TH AVE
SEATTLE, WA 98104
King County (206) 598-0502
JULIA J VISSER DPT
Physical Therapist
325 9TH AVE, BOX 359920
SEATTLE, WA 98104
King County (206) 744-1675
GENIA J MONCADA
Pharmacist
325 9TH AVE, MAILSTOP 359912
SEATTLE, WA 98104
King County (206) 731-3219
JACQUELINE M. KIM LICSW, MSW
Social Worker (Clinical)
325 9TH AVE, BOX 359760
SEATTLE, WA 98104
King County (206) 744-8511
MS. DIANE E WHEELER MS, PA-C
Physician Assistant (Medical)
325 9TH AVE
SEATTLE, WA 98104
King County (206) 744-3000
AMELIA V. RIVERA
Physical Therapist
325 9TH AVE
SEATTLE, WA 98104
King County (206) 774-3300
TIMOTHY WILLIAM MENZA MD, PHD
Internal Medicine (Infectious Disease)
325 9TH AVE
SEATTLE, WA 98104
King County (206) 520-5000
DEMETRIOS TEREZAKIS
Occupational Therapist
325 9TH AVE
SEATTLE, WA 98104
King County (206) 744-6112

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 Jade Park's NPI number?

The NPI number for Jade Park is 1417729138. It was assigned to this individual provider in the NPPES registry on October 25, 2023.

Where is Jade Park located?

Jade Park practices at 325 9th Ave, Seattle, WA 98104. The listed phone number is (206) 744-9600.

What is Jade Park's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Jade Park was last updated on October 26, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.