Organization Active NPI

Jeanne Elliott NP PS

  • Primary Care Clinic/Center
  • Hoquiam, WA
National Provider Identifier
1003947300
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
AP30007337 Issued in WA
Legal business name
JEANNE ELLIOTT NP PS
Practice address
2555 Sumner Ave
Hoquiam, WA 98550-3930
Phone
(360) 537-8802
Fax
(310) 634-1706
NPI assigned
Mar 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Jeanne Noel Elliott, ARNPNPI 1518996826
Title
NP PS
Phone
(360) 537-8802

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X AP30007337 WA Primary

Addresses

Primary practice location

2555 Sumner Ave
Hoquiam, WA 98550-3930

Mailing address

2555 Sumner Ave
Hoquiam, WA 98550-3930
Phone (360) 537-8802

Other names 1

  • Affordable Healthcare Other name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1003947300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2555 SUMNER AVE",
            "city": "HOQUIAM",
            "state": "WA",
            "postal_code": "985503930",
            "telephone_number": "360-537-8802",
            "fax_number": "310-634-1706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2555 SUMNER AVE",
            "city": "HOQUIAM",
            "state": "WA",
            "postal_code": "985503930",
            "telephone_number": "360-537-8802",
            "fax_number": "310-634-1706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEANNE ELLIOTT NP PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ELLIOTT",
        "authorized_official_first_name": "JEANNE",
        "authorized_official_middle_name": "NOEL",
        "authorized_official_title_or_position": "NP PS",
        "authorized_official_telephone_number": "360-537-8802",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "ARNP"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "WA",
            "license": "AP30007337",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Affordable Healthcare",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Hoquiam, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.