Active NPI
Jazminn Simpson, CM60786110
- Registered Nurse
- Inchelium, WA
National Provider Identifier
1114748027
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- CM60786110
- Practice address
- 39 Short Cut Rd
Inchelium, WA 99138 - Phone
- (509) 722-7006
- Fax
- (509) 722-3652
- NPI assigned
- Oct 23, 2024
- Last updated
- Oct 23, 2024
- 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 | CM60786110 | WA | Primary |
Addresses
Primary practice location
39 Short Cut Rd
Inchelium, WA 99138
Mailing address
PO Box 290
Inchelium, WA 99138-0290
Phone (509) 722-7006
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CM60786110 | WA | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1729641600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1729641600000",
"number": "1114748027",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 290",
"city": "INCHELIUM",
"state": "WA",
"postal_code": "991380290",
"telephone_number": "509-722-7006",
"fax_number": "509-722-3652"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "39 SHORT CUT RD",
"city": "INCHELIUM",
"state": "WA",
"postal_code": "99138",
"telephone_number": "509-722-7006",
"fax_number": "509-722-3652"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIMPSON",
"first_name": "JAZMINN",
"credential": "CM60786110",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-10-23",
"last_updated": "2024-10-23",
"certification_date": "2024-10-18",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "WA",
"license": "CM60786110",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Inchelium, WA
- Mia Lynn Pakootas, MA-P,MA-R
- Kim Rosenthal, PHARMD
- Jenna Russell, PT, DPT, CLT
- Jeremiah Johnson Salmond, PHARMD
- Emily Lorraine Sardual, NP
- Kimberly Rose Simpson, MA
- Susan Dawn Solomon-Hopkins, APRN
- Shad Burnett St Paul, MSW, SUDP, LICSW
- Brenda Christine Starkey, NAC, X-RAY TECH
- Crystal Gale Stensgar, RN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 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.