Active NPI
Jessica Ruth Hanford, M.D., MPH
- Preventive Medicine/Occupational Environmental Medicine Physician
- Bellingham, WA
National Provider Identifier
1023157948
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Preventive Medicine/Occupational Environmental Medicine Physician
- License
- MD00017457
- 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, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MD00017457 | Other | WA | LICSENSE |
| G5670641205 | Other | UT | UT LICENSE |
Other names 1
- Dr. Ruth Jessica Hanford
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
| License | State | Type | Specialty |
|---|---|---|---|
| MD00017457 | WA | MD | Family Medicine Physician |
| 6567064-1205 | UT | MD | Preventive Medicine/Occupational Environmental Medicine Physician |
| G5670641205 | UT | MD | Occupational 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.