Active NPI
Nouveau Jeunesse Associates, PLLC
- Phlebology Physician
- Kennewick, WA
National Provider Identifier
1124257720
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Phlebology Physician
- Legal business name
- NOUVEAU JEUNESSE ASSOCIATES, PLLC
- Practice address
- 7211 W Deschutes Ave Ste D202
Kennewick, WA 99336-7728 - Phone
- (509) 736-9989
- NPI assigned
- Jul 6, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Ginette Gauvin
- Title
- Practice Manager
- Phone
- (509) 736-9989
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Phlebology Physician | 202K00000X | Primary |
Addresses
Primary practice location
7211 W Deschutes Ave Ste D202
Kennewick, WA 99336-7728
Mailing address
7211 W Deschutes Ave Ste D202
Kennewick, WA 99336-7728
Phone (509) 736-9989
Other names 1
- Nouveau Jeunesse
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Emergency Medicine Physician
- Marysville, CA
- NPI 1669578357
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1246838400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1249430400000",
"number": "1124257720",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7211 W DESCHUTES AVE STE D202",
"city": "KENNEWICK",
"state": "WA",
"postal_code": "993367728",
"telephone_number": "509-736-9989"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7211 W DESCHUTES AVE STE D202",
"city": "KENNEWICK",
"state": "WA",
"postal_code": "993367728",
"telephone_number": "509-736-9989"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NOUVEAU JEUNESSE ASSOCIATES, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2009-07-06",
"last_updated": "2009-08-05",
"status": "A",
"authorized_official_last_name": "GAUVIN",
"authorized_official_first_name": "GINETTE",
"authorized_official_title_or_position": "PRACTICE MANAGER",
"authorized_official_telephone_number": "509-736-9989",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "202K00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Phlebology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Nouveau Jeunesse",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Kennewick, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.