Individual provider Active NPI

Jessica Meredith, ARNP

  • Family Nurse Practitioner
  • Pasco, WA
National Provider Identifier
1043074743
Registry record updated Apr 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP61529986 Issued in WA
Practice address
9221 Sandifur Pkwy
Pasco, WA 99301-9241
Phone
(509) 233-7546
NPI assigned
Feb 13, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP61529986 WA Primary

Addresses

Primary practice location

9221 Sandifur Pkwy
Pasco, WA 99301-9241

Mailing address

10303 S Clearview LN
Kennewick, WA 99338-2061
Phone (509) 440-5612

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240521001018 WA Practitioner - Nurse Practitioner 4587006762 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Atomic Dermatology LLC 3 clinicians

Practice addresses (Care Compare)

9221 Sandifur Pkwy
Suite a
Pasco, WA 99301-9241
Phone (509) 233-7546

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Atomic Dermatology LLC CurrentSince Mar 24, 2024 Accepting new patients
Atomic2 Dermatology PLLC CurrentSince Apr 1, 2024 Accepting new patients

Locations

9221 Sandifur Pkwy
Pasco, WA 99301
Phone (509) 233-7546

9221 Sandifur Pkwy
Ste A
Pasco, WA 99301
Phone (509) 233-7546

105 S 3rd Ave
Walla Walla, WA 99362
Phone (509) 240-2554

103 E Poplar St
Walla Walla, WA 99362

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1707782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712275200000",
    "number": "1043074743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10303 S CLEARVIEW LN",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993382061",
            "telephone_number": "509-440-5612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9221 SANDIFUR PKWY",
            "city": "PASCO",
            "state": "WA",
            "postal_code": "993019241",
            "telephone_number": "509-233-7546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEREDITH",
        "first_name": "JESSICA",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-13",
        "last_updated": "2024-04-05",
        "certification_date": "2024-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP61529986",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasco, WA

Sources for this page

Verify at the official NPI Registry.