Flu Shots by Nurse Janet, Inc.

Primary specialty

Community Health Clinic/CenterTaxonomy code 261QC1500X

Legal business name

FLU SHOTS BY NURSE JANET, INC.

Practice address

2720 28TH Ave SW
Tumwater, WA 98512-7868

Phone

(360) 754-6270

NPI assigned

Apr 20, 2007

Organization subpart

No

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

Authorized official

Name

Mr. G. Alan Parker

Title

Secretary and Chairman of the Board

Phone

(360) 754-6270

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

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

{
    "created_epoch": "1177027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1124245808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2720 28TH AVE SW",
            "city": "TUMWATER",
            "state": "WA",
            "postal_code": "985127868",
            "telephone_number": "360-754-6270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2720 28TH AVE SW",
            "city": "TUMWATER",
            "state": "WA",
            "postal_code": "985127868",
            "telephone_number": "360-754-6270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLU SHOTS BY NURSE JANET, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PARKER",
        "authorized_official_first_name": "G.",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "SECRETARY AND CHAIRMAN OF THE BOARD",
        "authorized_official_telephone_number": "360-754-6270",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": "WA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE PIN",
            "identifier": "P00324616",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Megan E Fitzgerald, A.T.C.
• Rose Kristin Flickinger, AAC 61405052
• Nate A Floding, DC
• Andrew M Flojo, LMP
• Alex Flores, L.AC, EAMP
• Abraham Gamanga Foday
• Jason David Fodeman, MD
• Foot and Ankle Surgical Associates Inc PS
• Mark A Forstrom Sr.
• Eric William Forsythe, A.T.C.

• Community Health Clinic/Center in Tumwater, WA
• Providers in Tumwater, WA by specialty
• Community Health Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.