Individual provider Active NPI

Jennifer Abidemi Urune, FNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Longview, WA
National Provider Identifier
1073906038
Registry record updated Nov 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
AP127625 Issued in TX
Practice address
600 Broadway St
Longview, WA 98632-3256
Phone
(360) 414-2236
Fax
(360) 414-2024
NPI assigned
Mar 13, 2015
Last updated
Nov 13, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 13, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP127625 TX
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP61140422 WA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP127625 TX Primary

Addresses

Primary practice location

600 Broadway St
Longview, WA 98632-3256

Mailing address

8553 N Beach St
Suite 319
Fort Worth, TX 76244-4919
Phone (469) 733-4857

Other practice location 1

425 Alabama Ave
Fort Worth, TX 76104-1022
Phone (817) 820-3400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, WA, NE3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20150424000391 TX Practitioner - Nurse Practitioner 2769701762 Reassigns benefits to 10 organizations
I20210511002462 WA Practitioner - Nurse Practitioner 2769701762 Reassigns benefits to 3 organizations
I20220310000540 NE Practitioner - Nurse Practitioner 2769701762 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Border Region MH Mr Community CenterGroup PAC ID 0648207381, 19 clinicians
Texana CenterGroup PAC ID 7618963265, 23 clinicians
Jefferson Community Counseling CenterGroup PAC ID 6103715081, 14 clinicians

Practice addresses (Care Compare)

101 1St St
Zapata, TX 78076-3319
Phone (956) 794-9664

1500 Pappas St
Laredo, TX 78041-1701
Phone (956) 794-3000

4910 Airport Ave
Rosenberg, TX 77471-5759
Phone (281) 239-1300

884 W Park Ave
Port Townsend, WA 98368-2273
Phone (360) 385-0321

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
AP127625TXMDPsychiatric/Mental Health Nurse Practitioner
AP61140422WAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hawkins Psychiatry PC CurrentSince Apr 1, 2015 Accepting new patients
Jefferson Community Counseling Center CurrentSince Nov 17, 2025 Accepting new patients
Border Region MH Mr Community Center CurrentSince Sep 17, 2021 Accepting new patients
Mindful Therapy Group PC Psychiatric/Mental Health CurrentSince May 5, 2021 Accepting new patients
Burke Center CurrentSince Oct 1, 2024 Accepting new patients
Heart of Texas Region MHMR Center CurrentSince Feb 1, 2019 Accepting new patients
Behavioral Health of North Texas LLP CurrentSince Sep 1, 2019 Accepting new patients
J&U Psych and Medical Services Psychiatric/Mental Health CurrentSince Apr 1, 2022 Accepting new patients
Bexar County Board of Trustees for Mental Health Mental Retardation CurrentSince Jan 2, 2024 Accepting new patients
TP-Health Incorporated CurrentSince Sep 1, 2023 Accepting new patients
Tri City Psychiatric Services, P.a. CurrentSince Sep 4, 2015 Accepting new patients
Texana Center CurrentSince Dec 6, 2023 Accepting new patients
My Health My Resources of Tarrant County CurrentSince Mar 25, 2025 Accepting new patients
Hope Starts Here LLC PastSince Nov 12, 2023 Accepting new patients
Madrona Institute of Washington Past Accepting new patients
Burke Center PastSince Oct 1, 2024 Accepting new patients

Locations

800 W Randol Mill Rd
Arlington, TX 76012
Phone (817) 548-6100

8200 Walnut Hill Ln
Dallas, TX 75231
Phone (214) 345-6148

4232 Heritage Trace Pkwy
Fort Worth, TX 76244
Phone (817) 200-6680

5858 Main St
Ste 200
Frisco, TX 75033
Phone (214) 619-0721

3840 Hulen St
Ft Worth, TX 76107
Phone (817) 569-4395

503 W Harwood Rd
Hurst, TX 76054
Phone (817) 268-4404

2001 S Medford Dr
Lufkin, TX 75901
Phone (936) 633-5672

4810 Riverstone Blvd
Ste 100
Missouri City, TX 77459
Phone (832) 916-2677

4910 Airport Ave
Ste A
Rosenberg, TX 77471
Phone (281) 239-1300

4910 Airport Ave
Ste D
Rosenberg, TX 77471
Phone (281) 239-1300

601 N Frio St
#2
San Antonio, TX 78207
Phone (210) 246-1300

6800 Park Ten Blvd
Ste 200S
San Antonio, TX 78213
Phone 21026110001060

110 S 12th St
Waco, TX 76701
Phone (254) 297-7124

21907 64th Ave W
Ste 200
Mountlake Terrace, WA 98043
Phone (410) 258-3698

6505 216th St SW
Ste 100
Mountlake Terrace, WA 98043
Phone (425) 678-6463

884 W Park Ave
Port Townsend, WA 98368
Phone 3603850321201

320 NE 97th St
Ste A
Seattle, WA 98115
Phone (206) 323-8113

100 N Howard St
Spokane, WA 99201
Phone (206) 201-1163

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/discoverybh/r4/
  • Direct secure messaging: jennifer.urune.p1@direct.capwn.nextgenshare.com

Organizations & group practices 17

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

View all 17

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1426204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731456000000",
    "number": "1073906038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8553 N BEACH ST",
            "address_2": "SUITE 319",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "762444919",
            "telephone_number": "469-733-4857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 BROADWAY ST",
            "city": "LONGVIEW",
            "state": "WA",
            "postal_code": "986323256",
            "telephone_number": "360-414-2236",
            "fax_number": "360-414-2024"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "425 Alabama Ave",
            "address_purpose": "LOCATION",
            "city": "Fort Worth",
            "state": "TX",
            "postal_code": "761041022",
            "country_code": "US",
            "telephone_number": "817-820-3400",
            "fax_number": "817-820-3470",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "URUNE",
        "first_name": "JENNIFER",
        "middle_name": "ABIDEMI",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-03-13",
        "last_updated": "2024-11-13",
        "certification_date": "2024-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP127625",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WA",
            "license": "AP61140422",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "AP127625",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Longview, WA

Sources for this page

Verify at the official NPI Registry.