JESSICA CANONIZADO LPN
NPI 1902554116
Licensed Practical Nurse in Fife, WA

Active since March 16, 2022
2150 FREEMAN RD E, FIFE, WA 98424(253) 942-5644(253) 922-4722 Get Directions Write a Review

NPPES record last updated: March 16, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jessica Canonizado Lpn NPPES

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

JESSICA CANONIZADO LPN (NPI 1902554116) is an individual licensed practical nurse in Fife, Washington, licensed in Washington (LP61095545) and active in the NPI registry since March 2022.

NPPES Registry Identity

NPI1902554116
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameJESSICA CANONIZADOCredential: LPN
Location Address2150 FREEMAN RD EFife, WA 98424-3776
Mailing Address4821 Yew Ln SwLakewood, WA 98499-3848 · (253) 232-5154
Fax(253) 922-4722
Sole ProprietorNo
Enumeration DateMarch 16, 2022
NPPES CertifiedMarch 16, 2022
NPI 1902554116 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License Licensed in WA · LP61095545
Definition
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
2150 FREEMAN RD E, Fife, WA 98424

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.

Counselor
2150 FREEMAN RD E
FIFE, WA 98424
Counselor (Mental Health)
2150 FREEMAN RD E
FIFE, WA 98424
Registered Nurse
2150 FREEMAN RD E
FIFE, WA 98424
Licensed Practical Nurse
2150 FREEMAN RD E
FIFE, WA 98424
Peer Specialist
2150 FREEMAN RD E
FIFE, WA 98424
Counselor (Mental Health)
2150 FREEMAN RD E
FIFE, WA 98424
Peer Specialist
2150 FREEMAN RD E
FIFE, WA 98424
Counselor
2150 FREEMAN RD E
FIFE, WA 98424

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 Jessica Canonizado's NPI number?

The NPI number for Jessica Canonizado is 1902554116. It was assigned to this individual provider in the NPPES registry on March 16, 2022.

Where is Jessica Canonizado located?

Jessica Canonizado practices at 2150 Freeman Rd E, Fife, WA 98424. The listed phone number is (253) 942-5644.

What is Jessica Canonizado's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Jessica Canonizado was last updated on March 16, 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.