Individual provider Active NPI

Christina M Jennings, PA-C

  • Physician Assistant
  • Burien, WA
National Provider Identifier
1114167954
Registry record updated Mar 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA60058371 Issued in WA
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

Updated by the provider on Mar 20, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Care-West Seattle, Inc. CurrentSince Oct 17, 2018 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.

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

Verify at the official NPI Registry.