Active NPI
Jeanine M Webb, NAC
- Nurse's Aide
- Spokane, WA
National Provider Identifier
1063602977
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse's Aide
- License
- NC10091501
- Practice address
- 212 E Wedgewood Ave
Apt#47
Spokane, WA 99208-5385 - Phone
- (509) 879-9598
- Fax
- (509) 325-0491
- NPI assigned
- Jul 26, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Nurse's Aide | 376K00000X | NC10091501 | WA | Primary |
Addresses
Primary practice location
212 E Wedgewood Ave
Apt#47
Spokane, WA 99208-5385
Mailing address
212 E Wedgewood Ave
Apt#47
Spokane, WA 99208-5385
Phone (509) 879-9598
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NC10091501 | WA | MD | Nurse's Aide |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1185408000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1185408000000",
"number": "1063602977",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "212 E WEDGEWOOD AVE",
"address_2": "APT#47",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992085385",
"telephone_number": "509-879-9598",
"fax_number": "509-325-0491"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "212 E WEDGEWOOD AVE",
"address_2": "APT#47",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992085385",
"telephone_number": "509-879-9598",
"fax_number": "509-325-0491"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEBB",
"first_name": "JEANINE",
"middle_name": "M",
"name_prefix": "Miss",
"credential": "NAC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-07-26",
"last_updated": "2007-07-26",
"status": "A"
},
"taxonomies": [
{
"code": "376K00000X",
"taxonomy_group": "",
"desc": "Nurse's Aide",
"state": "WA",
"license": "NC10091501",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Spokane, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.