Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1780170399 Individual Practitioner Female Practitioner

Keira Jack

Physician Assistant • Seattle, WA

Professional Overview & Biography Verified Profile Summary

Keira Jack is a registered healthcare professional specializing in Physician Assistant in Seattle, WA. Practice services are available at 1701 18TH AVE S under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1701 18th Ave S

Seattle, WA 981444317

Telephone 2538337444
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Seattle, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.3 Yrs
State Avg: 12.1 Yrs
Regional Practice Density
833 Specialists

Practicing in Seattle, WA (3774 Statewide)

Telehealth Adoption Rate
18.8% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2020-04-24
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Physician Assistant

NUCC Taxonomy Code: 363A00000X

State License WA PA61041267

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID N/a
NA

Secondary Practice Locations

777 Bannock St

Denver, CO 802044507

Phone: 3034366000

Practice Associates & Co-Workers

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

40 Associated Practitioners
Janene Frost

Peer Specialist

NPI 1003460619
Anna Koback

Counselor

NPI 1003585225
Ryan Tackett

Counselor

NPI 1003647405
NPI 1003740440
Andrea John-Smith

Counselor - Mental Health

NPI 1003793944
Elizabeth Cotton , LMFT

Marriage & Family Therapist

NPI 1013135706

Licensed Marriage and Family Therapist

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Practice Location April 24, 2020

Registered at 1701 18TH AVE S, SEATTLE, WA 981444317 (Tel: 2538337444)

📍
Updated Business Mailing Address April 24, 2020

Registered at 1701 18TH AVE S, SEATTLE, WA 981444317 (Tel: 6162064359)

NPI Profile Active July 06, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location July 06, 2018

Registered at 777 BANNOCK ST, DENVER, CO 802044507 (Tel: 3034366000)

📍
Updated Business Mailing Address July 06, 2018

Registered at 1229 N CLARKSON ST APT 2, DENVER, CO 802181826 (Tel: 6162064359)

👤
Provider Name / Credentials Updated July 06, 2018

Recorded as KEIRA JACK

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 06, 2018

Physician Assistant

🟢
Initial NPI Registration & Enumeration July 06, 2018

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: 1780170399
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 06, 2018
Last Update: April 24, 2020
Sole Proprietor: No

Mailing Address

1701 18th Ave S

Seattle, WA 981444317

Phone: 6162064359

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.