Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1356968440 Individual Practitioner Female Practitioner

Jennifer Wallace

Technician, Pathology - Phlebotomy • Everett, WA

Professional Overview & Biography Verified Profile Summary

Jennifer Wallace is a certified Technician, Pathology - Phlebotomy practicing in Everett, WA. With approximately 10 years of clinical experience since completing medical education in 2016, Jennifer Wallace delivers high-quality medical care to the local community at 3409 MCDOUGALL AVE STE 200.

Jennifer Wallace does not directly accept Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

3409 Mcdougall Ave Ste 200

Everett, WA 982015040

Telephone 4806857530
Fax 4809008853
Associated Practice Facility / Clinic
🏢 Certified Lab Services Facility NPI 1568068609

Medicare Profile & Education

Medical School

Other

Graduation Year

2016

Medicare Assignment

Not Specified

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Technician, Pathology - Phlebotomy in Everett, WA

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
10 Yrs Matches City Avg
City Avg: 10.0 Yrs
State Avg: 10.0 Yrs
Regional Practice Density
1 Specialists

Practicing in Everett, WA (72 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Wallace (10 Years) 10 Yrs
Everett Specialty Average (10.0 Years) 10.0 Yrs

Medical Specialties & State Licenses

CMS Verified: 2026-04-14
Technician, Pathology - Phlebotomy Primary Specialty

NUCC Taxonomy Code: 246RP1900X

Definition to come...

Home Health

NUCC Taxonomy Code: 251E00000X

A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.

Clinical Medical Laboratory

NUCC Taxonomy Code: 291U00000X

State License AZ 1568068609

(1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology.

Technician, Pathology - Phlebotomy

NUCC Taxonomy Code: 246RP1900X

State License WA PC61547365

Definition to come...

Home Health Aide

NUCC Taxonomy Code: 374U00000X

State License AZ EXPERIENCED

A person trained to assist public health nurses, home health nurses, and other health professionals in the bedside care of patients in their homes.

Clinic/Center - Health Service

NUCC Taxonomy Code: 261QH0100X

Definition to come...

Clinic/Center

NUCC Taxonomy Code: 261Q00000X

A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

Technician, Other

NUCC Taxonomy Code: 247200000X

State License AZ 032016

A collective term for persons with specialized training in various narrow fields of expertise whose occupations require training and skills in specific technical processes and procedures; and where further classification is deemed unnecessary by the user.

Clinical Medical Laboratory

NUCC Taxonomy Code: 291U00000X

State License AZ 03D2197602

(1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology.

Nursing Care

NUCC Taxonomy Code: 251J00000X

State License AZ 03D2197602

A Nursing Care Agency is an entity that provides skilled nursing care through the services of a Registered Nurse (RN) or a Licensed Practical Nurse (LPN), by employees, contracted individuals, or via a registry, in a variety of settings. The agency may engage in providing private duty nursing and/or staffing services.

Driver

NUCC Taxonomy Code: 172A00000X

State License WA WDL722Z7B13B

A person employed to operate a motor vehicle as a carrier of persons or property.

Technician/Technologist

NUCC Taxonomy Code: 156F00000X

A broad category grouping different kinds of technologists and technicians. See individual definitions.

Home Health Aide

NUCC Taxonomy Code: 374U00000X

A person trained to assist public health nurses, home health nurses, and other health professionals in the bedside care of patients in their homes.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Clia
50D2322596 (WA)
Commercial Insurance / Payer ID Phlebotomy License
PC61547365 (WA)
Commercial Insurance / Payer ID Medical Test Site Clia
MTSW.FS.61686172 (WA)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
NPI 1477282416

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

15 Historical Events
📍
Updated Practice Location April 14, 2026

Registered at 3409 MCDOUGALL AVE STE 200, EVERETT, WA 982015040 (Tel: 4806857530)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 14, 2026

Home Health

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 24, 2025

Technician/Technologist

📍
Updated Business Mailing Address April 22, 2025

Registered at 3409 MCDOUGALL AVE STE 200, EVERETT, WA 982015040 (Tel: 4806857530)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 22, 2025

Driver (License #WDL722Z7B13B in WA)

📍
Updated Practice Location November 28, 2024

Registered at 3123 FAIRVIEW AVE E STE 200, SEATTLE, WA 981023051 (Tel: 4806857530)

📍
Updated Business Mailing Address November 28, 2024

Registered at 3123 FAIRVIEW AVE E STE 200, SEATTLE, WA 981023051 (Tel: 4806857530)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 28, 2024

Technician/Technologist

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 21, 2022

Technician/Technologist

NPI Profile Active July 06, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location July 06, 2020

Registered at 2041 E 3RD DR, MESA, AZ 852041401 (Tel: 4806857530)

📍
Updated Business Mailing Address July 06, 2020

Registered at 2041 E 3RD DR, MESA, AZ 852041401 (Tel: 4806857530)

👤
Provider Name / Credentials Updated July 06, 2020

Recorded as JENNIFER WALLACE

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 06, 2020

Technician/Technologist (License #$$$$$$$$$ in AZ)

🟢
Initial NPI Registration & Enumeration July 06, 2020

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1356968440
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 06, 2020
Last Update: April 14, 2026
Sole Proprietor: Yes

Mailing Address

3409 Mcdougall Ave Ste 200

Everett, WA 982015040

Phone: 4806857530

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.