Active NPI
Jennifer Claire, PHD DD
- Health & Wellness Coach
- Port Orchard, WA
National Provider Identifier
1083442859
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health & Wellness Coach
- License
- 271996
- Practice address
- 1998 Advantage Ave
Port Orchard, WA 98366-2009 - Phone
- (360) 801-8067
- NPI assigned
- Jul 23, 2024
- Last updated
- Jul 23, 2024
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Public Health or Welfare Agency | 251K00000X | 23101280 | WA | |
| Health & Wellness Coach | 171400000X | 271996 | WA | Primary |
Addresses
Primary practice location
1998 Advantage Ave
Port Orchard, WA 98366-2009
Mailing address
1998 Advantage Ave
Port Orchard, WA 98366-2009
Phone (360) 801-8067
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 271996 | WA | MD | Health & Wellness Coach |
| 23101280 | WA | MD | Public Health or Welfare Agency |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1721692800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721692800000",
"number": "1083442859",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1998 ADVANTAGE AVE",
"city": "PORT ORCHARD",
"state": "WA",
"postal_code": "983662009",
"telephone_number": "360-801-8067"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1998 ADVANTAGE AVE",
"city": "PORT ORCHARD",
"state": "WA",
"postal_code": "983662009",
"telephone_number": "360-801-8067"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLAIRE",
"first_name": "JENNIFER",
"name_prefix": "Dr.",
"credential": "PHD DD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-07-23",
"last_updated": "2024-07-23",
"certification_date": "2024-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "251K00000X",
"taxonomy_group": "",
"desc": "Public Health or Welfare",
"state": "WA",
"license": "23101280",
"primary": false
},
{
"code": "171400000X",
"taxonomy_group": "",
"desc": "Health & Wellness Coach",
"state": "WA",
"license": "271996",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Port Orchard, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.