Organization Active NPI

Convenient Medical Care

  • Clinic/Center
  • Auburn, WA
National Provider Identifier
1114118072
Registry record updated Aug 6, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
AP30004015 Issued in WA
Legal business name
CONVENIENT MEDICAL CARE
Practice address
316 B St NE
Auburn, WA 98002-4001
Phone
(253) 431-9334
Fax
(253) 735-8833
NPI assigned
Aug 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2007

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

Authorized official

Name
Ms. Jacqui Letran, ARNP
Title
Arnp/Owner
Phone
(253) 431-9334

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X AP30004015 WA Primary

Addresses

Primary practice location

316 B St NE
Auburn, WA 98002-4001

Mailing address

316 B St NE
Auburn, WA 98002-4001
Phone (253) 431-9334

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1186358400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186358400000",
    "number": "1114118072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "316 B ST NE",
            "city": "AUBURN",
            "state": "WA",
            "postal_code": "980024001",
            "telephone_number": "253-431-9334",
            "fax_number": "253-735-8833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "316 B ST NE",
            "city": "AUBURN",
            "state": "WA",
            "postal_code": "980024001",
            "telephone_number": "253-431-9334",
            "fax_number": "253-735-8833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONVENIENT MEDICAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-06",
        "last_updated": "2007-08-06",
        "status": "A",
        "authorized_official_last_name": "LETRAN",
        "authorized_official_first_name": "JACQUI",
        "authorized_official_title_or_position": "ARNP/OWNER",
        "authorized_official_telephone_number": "253-431-9334",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "ARNP"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "WA",
            "license": "AP30004015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Auburn, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 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.

Verify at the official NPI Registry.