Active NPI
Christina M Jennings, PA-C
- Physician Assistant
- Burien, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA60058371
- Practice address
- 16259 Sylvester Rd SW Ste 401
Burien, WA 98166 - Phone
- (206) 823-1004
- Fax
- (206) 309-3319
- NPI assigned
- Mar 5, 2009
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA60058371 | WA | Primary |
Addresses
Primary practice location
16259 Sylvester Rd SW Ste 401
Burien, WA 98166
Mailing address
16259 Sylvester Rd SW Ste 401
Burien, WA 98166-3059
Phone (206) 823-1004
Other practice location 1
1703 California Ave SW
Seattle, WA 98116
Phone (206) 937-9750
Other practice location 2
1703 California Ave SW
Seattle, WA 98116
Phone (206) 937-9750
Other practice location 3
1703 California Ave SW
Seattle, WA 98116
Phone (206) 937-9750
Other practice location 4
1703 California Ave SW
Seattle, WA 98116
Phone (206) 937-9750
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northwest Care-West Seattle, Inc. | Current | Accepting new patients | |
| Yakima Hma Physician Management LLC | Past | Accepting new patients |
Locations
1703 California Ave SW
Seattle, WA 98116
Phone (205) 937-9750
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
dba Park West Care Center
- Skilled Nursing Facility
- Seattle, WA
- NPI 1205811585
-
- Family Medicine Physician
- Yakima, WA
- NPI 1730139510
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1236211200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1553040000000",
"number": "1114167954",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16259 SYLVESTER RD SW STE 401",
"city": "BURIEN",
"state": "WA",
"postal_code": "981663059",
"telephone_number": "206-823-1004",
"fax_number": "206-309-3319"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16259 SYLVESTER RD SW STE 401",
"city": "BURIEN",
"state": "WA",
"postal_code": "98166",
"telephone_number": "206-823-1004",
"fax_number": "206-309-3319"
}
],
"practiceLocations": [
{
"address_1": "1703 California Ave SW",
"address_purpose": "LOCATION",
"city": "Seattle",
"state": "WA",
"postal_code": "98116",
"country_code": "US",
"telephone_number": "206-937-9750",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1703 California Ave SW",
"address_purpose": "LOCATION",
"city": "Seattle",
"state": "WA",
"postal_code": "98116",
"country_code": "US",
"telephone_number": "206-937-9750",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1703 California Ave SW",
"address_purpose": "LOCATION",
"city": "Seattle",
"state": "WA",
"postal_code": "98116",
"country_code": "US",
"telephone_number": "206-937-9750",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1703 California Ave SW",
"address_purpose": "LOCATION",
"city": "Seattle",
"state": "WA",
"postal_code": "98116",
"country_code": "US",
"telephone_number": "206-937-9750",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JENNINGS",
"first_name": "CHRISTINA",
"middle_name": "M",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-03-05",
"last_updated": "2019-03-20",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "WA",
"license": "PA60058371",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Burien, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.