Kelly Ann Jensen, ARNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP60327115 Issued in WA

Practice address

3920 Outlook Rd
Sunnyside, WA 98944-9202

Phone

(509) 837-1676

NPI assigned

Dec 26, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1356480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1356480000000",
    "number": "1033455845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3920 OUTLOOK ROAD",
            "city": "SUNNYSIDE",
            "state": "WA",
            "postal_code": "98944",
            "telephone_number": "509-837-1676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3920 OUTLOOK RD",
            "city": "SUNNYSIDE",
            "state": "WA",
            "postal_code": "989449202",
            "telephone_number": "509-837-1676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENSEN",
        "first_name": "KELLY",
        "middle_name": "ANN",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-12-26",
        "last_updated": "2012-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP60327115",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WASHINGTON STATE ARNP LICENSE",
            "identifier": "AP60327115",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mahakit Inklab, MD
• Innovation Resource Center
• Becky Sue Isley, COTA/L
• Ashley Jackson, LMP
• Jared H Condie DMD Ms
• Beatriz Jimenez, RN
• Manuel Jimenez I, PHYSICIAN ASSISTANT
• Brianne M Johnson, PA-C
• Jaci Johnson, LMT
• Jeffrey Kim Johnson, PA-C

• Family Nurse Practitioner in Sunnyside, WA
• Providers in Sunnyside, WA by specialty
• Family Nurse Practitioner in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2012; 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.