Jaime Pedeferri, MSN, APRN, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

RN00161150 Issued in WA

Practice address

2411 199TH Avenue CT E
Lake Tapps, WA 98391-9025

Phone

(425) 466-8089

NPI assigned

Mar 4, 2025

Last updated

Mar 27, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science - Nursing

State licenses

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

{
    "created_epoch": "1741046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743033600000",
    "number": "1073311288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2411 199TH AVENUE CT E",
            "city": "LAKE TAPPS",
            "state": "WA",
            "postal_code": "983919025",
            "telephone_number": "425-466-8089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2411 199TH AVENUE CT E",
            "city": "LAKE TAPPS",
            "state": "WA",
            "postal_code": "983919025",
            "telephone_number": "425-466-8089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEDEFERRI",
        "first_name": "JAIME",
        "credential": "MSN, APRN, FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-03-04",
        "last_updated": "2025-03-27",
        "certification_date": "2025-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "RN00161150",
            "primary": true
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "WA",
            "license": "RN00161150",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James L Nicolaus, MA
• Kelly O'Connor, LMHC, NCC
• Nicole O'Mahoney, LMHC
• Joan Ottinger, OTR/L
• Calla Parmly
• Charlotte Noel Pope
• Sara Rakaric
• Paula J Rider, LMP
• Heather Roland, MA, LMHCA
• Mohamed H Saber, B.D.S

• Family Nurse Practitioner in Lake Tapps, WA
• Providers in Lake Tapps, 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 Mar 27, 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.