Jillian Diane Okumura, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

60606094 Issued in WA

Practice address

3714 19TH Avenue CT SE
Puyallup, WA 98372-4232

Phone

(808) 756-2108

NPI assigned

Jan 29, 2025

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 names 1

• Jillian Diane Antes Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1738108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738281600000",
    "number": "1043023401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3714 19TH AVENUE CT SE",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983724232",
            "telephone_number": "808-756-2108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3714 19TH AVENUE CT SE",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983724232",
            "telephone_number": "808-756-2108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OKUMURA",
        "first_name": "JILLIAN",
        "middle_name": "DIANE",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-29",
        "last_updated": "2025-01-31",
        "certification_date": "2025-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WA",
            "license": "60606094",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JILLIAN",
            "last_name": "ANTES",
            "middle_name": "DIANE",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Paul C Ogu Sr., BS PHARM
• Meeae Oh
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• Jeremiah V Ojeaburu, M.D.
• Myriah Shekinah Olakpe, MS, OTR/L
• Lindsey Oleck, LMT
• Josephine Louise Oleson
• Christina Oliver, PTA/L
• James A. Oliver, M.A.

• Registered Nurse in Puyallup, WA
• Providers in Puyallup, WA by specialty
• Registered Nurse in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2025; 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.