Individual provider Active NPI

Jason Kimble Whitson, R.N.

  • Gastroenterology Registered Nurse
  • Vancouver, WA
National Provider Identifier
1134412059
Registry record updated May 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology Registered NurseTaxonomy code 163WG0100X
License
201042388RN Issued in OR
Practice address
2616 NE 68TH St
Vancouver, WA 98665-0323
Phone
(360) 693-0493
NPI assigned
May 25, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 25, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 201042388RN OR
Gastroenterology Registered Nurse 163WG0100X 201042388RN OR Primary

Addresses

Primary practice location

2616 NE 68TH St
Vancouver, WA 98665-0323

Mailing address

2616 NE 68TH St
Vancouver, WA 98665-0323
Phone (360) 693-0493

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

LicenseStateTypeSpecialty
201042388RNORMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1306281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1306281600000",
    "number": "1134412059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2616 NE 68TH ST",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986650323",
            "telephone_number": "360-693-0493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2616 NE 68TH ST",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986650323",
            "telephone_number": "360-693-0493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITSON",
        "first_name": "JASON",
        "middle_name": "KIMBLE",
        "name_prefix": "Mr.",
        "credential": "R.N.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-05-25",
        "last_updated": "2011-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OR",
            "license": "201042388RN",
            "primary": false
        },
        {
            "code": "163WG0100X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Gastroenterology",
            "state": "OR",
            "license": "201042388RN",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vancouver, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.