Provider Demographics
NPI:1477177475
Name:WINTER, JANIELLE (URM)
Entity Type:Individual
Prefix:
First Name:JANIELLE
Middle Name:
Last Name:WINTER
Suffix:
Gender:F
Credentials:URM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 111297
Mailing Address - Street 2:
Mailing Address - City:TACOMA
Mailing Address - State:WA
Mailing Address - Zip Code:98411-1297
Mailing Address - Country:US
Mailing Address - Phone:253-471-0890
Mailing Address - Fax:253-284-0316
Practice Address - Street 1:4301 S PINE ST STE 112
Practice Address - Street 2:
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98409-7204
Practice Address - Country:US
Practice Address - Phone:253-471-0890
Practice Address - Fax:253-471-0891
Is Sole Proprietor?:No
Enumeration Date:2020-06-04
Last Update Date:2020-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246YC3302XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, Health InformationCoding Specialist, Physician Office Based
No171M00000XOther Service ProvidersCase Manager/Care Coordinator