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 1:9100 BRIDGEPORT WAY SW
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:WA
Mailing Address - Zip Code:98499-2418
Mailing Address - Country:US
Mailing Address - Phone:253-302-3826
Mailing Address - Fax:253-267-5212
Practice Address - Street 1:9100 BRIDGEPORT WAY SW
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:WA
Practice Address - Zip Code:98499-2418
Practice Address - Country:US
Practice Address - Phone:253-302-3826
Practice Address - Fax:253-267-5212
Is Sole Proprietor?:No
Enumeration Date:2020-06-04
Last Update Date:2025-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
No246YC3302XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, Health InformationCoding Specialist, Physician Office Based
No171M00000XOther Service ProvidersCase Manager/Care Coordinator