Active NPI
Jennifer Lynne Landon, RN
- Registered Nurse
- Tacoma, WA
National Provider Identifier
1114583168
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 171359
- Practice address
- 9040 Jackson Ave
Tacoma, WA 98431-1100 - Phone
- (253) 968-0982
- NPI assigned
- May 15, 2019
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 171359 | WA | Primary |
Addresses
Primary practice location
9040 Jackson Ave
Tacoma, WA 98431-1100
Mailing address
9040 Jackson Ave
Tacoma, WA 98431-1100
Phone (253) 968-0982
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 171359 | Other | WA | RN LICENSE |
| 67331 | Other | HI | RN LICENSE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | Dianne.scott2.civ@mail.mil | Direct |
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
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 171359 | WA | MD | Registered Nurse |
Interoperability endpoints
- dianne.scott2.civ@mail.mil
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1557878400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1557878400000",
"number": "1114583168",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9040 JACKSON AVE",
"city": "TACOMA",
"state": "WA",
"postal_code": "984311100",
"telephone_number": "253-968-0982"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9040 JACKSON AVE",
"city": "TACOMA",
"state": "WA",
"postal_code": "984311100",
"telephone_number": "253-968-0982"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LANDON",
"first_name": "JENNIFER",
"middle_name": "LYNNE",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-05-15",
"last_updated": "2019-05-15",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "WA",
"license": "171359",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RN LICENSE",
"identifier": "171359",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RN LICENSE",
"identifier": "67331",
"state": "HI"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "Dianne.scott2.civ@mail.mil",
"affiliation": "N",
"endpointDescription": "Contact person",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "None",
"address_1": "9040 Jackson Ave",
"city": "Tacoma",
"state": "WA",
"country_code": "US",
"postal_code": "984311100",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Tacoma, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.