Individual provider Active NPI

Jessica Ruth Hanford, M.D., MPH

  • Preventive Medicine/Occupational Environmental Medicine Physician
  • Bellingham, WA
National Provider Identifier
1023157948
Registry record updated Nov 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preventive Medicine/Occupational Environmental Medicine PhysicianTaxonomy code 2083P0500X
License
MD00017457 Issued in WA
Practice address
3015 Squalicum Parkway
Suite 220
Bellingham, WA 98225
Phone
(360) 676-1693
Fax
(360) 676-5458
NPI assigned
Feb 6, 2007
Last updated
Nov 16, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2009

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD00017457 WA
Occupational Medicine Physician 2083X0100X G5670641205 UT
Preventive Medicine/Occupational Environmental Medicine Physician 2083P0500X 6567064-1205 UT
Preventive Medicine/Occupational Environmental Medicine Physician 2083P0500X MD00017457 WA Primary

Addresses

Primary practice location

3015 Squalicum Parkway
Suite 220
Bellingham, WA 98225

Mailing address

921 Autumn Lane,
#253 Lake Samish Terrace Park
Bellingham, WA 98229
Phone (801) 638-7834

Other identifiers 2

IdentifierTypeStateIssuer
MD00017457OtherWALICSENSE
G5670641205OtherUTUT LICENSE

Other names 1

  • Dr. Ruth Jessica Hanford Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD00017457WAMDFamily Medicine Physician
6567064-1205UTMDPreventive Medicine/Occupational Environmental Medicine Physician
G5670641205UTMDOccupational Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1258329600000",
    "number": "1023157948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "921 AUTUMN LANE,",
            "address_2": "#253 LAKE SAMISH TERRACE PARK",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "98229",
            "telephone_number": "801-638-7834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3015 SQUALICUM PARKWAY",
            "address_2": "SUITE 220",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "98225",
            "telephone_number": "360-676-1693",
            "fax_number": "360-676-5458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANFORD",
        "first_name": "JESSICA",
        "middle_name": "RUTH",
        "name_prefix": "Dr.",
        "credential": "M.D., MPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-06",
        "last_updated": "2009-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "MD00017457",
            "primary": false
        },
        {
            "code": "2083X0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": "UT",
            "license": "G5670641205",
            "primary": false
        },
        {
            "code": "2083P0500X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine",
            "state": "UT",
            "license": "6567064-1205",
            "primary": false
        },
        {
            "code": "2083P0500X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine",
            "state": "WA",
            "license": "MD00017457",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICSENSE",
            "identifier": "MD00017457",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UT LICENSE",
            "identifier": "G5670641205",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RUTH",
            "last_name": "HANFORD",
            "middle_name": "JESSICA",
            "prefix": "DR.",
            "credential": "M.D., MPH",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Bellingham, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2009; 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.