Active NPI
Jessica Meredith, ARNP
- Family Nurse Practitioner
- Pasco, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP61529986
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Atomic Dermatology LLC | Current | Accepting new patients | |
| Atomic2 Dermatology PLLC | Current | 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.