Active NPI
Jennifer Han, M.D.
- Neurology Physician
- Renton, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- MD60807276
- Practice address
- 4033 Talbot Rd S Ste 520
Renton, WA 98055-5774 - Phone
- (425) 656-5566
- Fax
- (425) 656-5596
- NPI assigned
- Apr 23, 2010
- Last updated
- Jan 9, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | MD452478 | PA | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Neurology Physician | 2084N0400X | MD60807276 | WA | Primary |
| Neurology Physician | 2084N0400X | 0101259773 | VA |
Addresses
Primary practice location
4033 Talbot Rd S Ste 520
Renton, WA 98055-5774
Mailing address
3600 Lind Ave SW Ste 1
Renton, WA 98057-4934
Phone (425) 228-3440
Other practice location 1
3300 Gallows Rd
Falls Church, VA 22042-3307
Phone (703) 776-4001
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC, VA, WA, NV, NM, CA, MT, TN, MD, TX, AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 11
Care Compare profile
Medicare Care Compare- Specialty
- Neurology
- Education
- University of Maryland School of Medicine, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
Spring, TX 77382
Phone (972) 449-0540
Shenandoah, TX 77384
Phone (972) 449-0540
San Antonio, TX 78255
Phone (972) 449-0540
San Mateo, CA 94402
Phone (972) 449-0540
101 Civic Ctr LN
Lake Havasu City, AZ 86403-5607
Phone (972) 449-0540
10820 Parkside Dr
Knoxville, TN 37934-1956
Phone (972) 449-0540
11890 Healing Way
Silver Spring, MD 20904-7917
Phone (972) 449-0540
1205 E N St
Manteca, CA 95336-4932
Phone (972) 449-0540
1310 Paluxy Rd
Granbury, TX 76048-5655
Phone (972) 449-0540
13314 Sunny Brooke PL
Potomac, MD 20854-6392
Phone (972) 449-0540
13855 E 14TH St
San Leandro, CA 94578-2611
Phone (972) 449-0540
1411 E 31St St
Oakland, CA 94602-1018
Phone (972) 449-0540
1441 Florida Ave
Modesto, CA 95350-4404
Phone (972) 449-0540
15 E Audubon Dr
Fresno, CA 93720-1542
Phone (972) 449-0540
1501 Burnet Rd
Brownwood, TX 76801-8520
Phone (972) 449-0540
1601 W Saint Marys Rd
Tucson, AZ 85745-2623
Phone (972) 449-0540
16850 SE 272ND St
Covington, WA 98042-4931
1700 E Saunders St
Laredo, TX 78041-5474
Phone (972) 449-0540
1900 Pine St
Abilene, TX 79601-2432
Phone (972) 449-0540
2 Calle Final
Placitas, NM 87043-9214
Phone (972) 449-0540
2000 S Palestine St
Athens, TX 75751-5610
Phone (972) 449-0540
2070 Clinton Ave
Alameda, CA 94501-4399
Phone (972) 449-0540
2430 W Pierce St
Carlsbad, NM 88220-3553
Phone (972) 449-0540
2450 S Telshor Blvd
Las Cruces, NM 88011-5069
Phone (972) 449-0540
2720 45TH Ave SW
Seattle, WA 98116-2415
Phone (972) 449-0540
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD452478 | PA | MD | Neurology Physician |
| 0101259773 | VA | MD | Neurology Physician |
| MD60807276 | WA | MD | Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Inova Health Care Services | Current | Accepting new patients | |
| Valley Medical Group-Renton | Family Medicine | Current | Accepting new patients |
| Inova Health Care Services | Current | Accepting new patients | |
| Inova Health Care Services | Current | Accepting new patients | |
| Access Telecare California, P.C. | Family Medicine | Current | Accepting new patients |
| Access Telecare, PLLC | Family Medicine | Current | Accepting new patients |
Locations
3269 N Stockton Hill Rd
Kingman, AZ 86409
Phone (928) 757-0626
5700 E Highway 90
Sierra Vista, AZ 85635
Phone (520) 263-2000
400 Old River Rd
Bakersfield, CA 93311
Phone (661) 663-6000
1150 N Indian Canyon Dr
Palm Springs, CA 92262
Phone (760) 323-6251
450 E Romie Ln
Salinas, CA 93901
Phone (831) 372-7844
2020 Genesee Ave
San Diego, CA 92123
Phone (619) 268-9500
13855 E 14th St
San Leandro, CA 94578
Phone (510) 357-6500
825 Delbon Ave
Turlock, CA 95382
Phone (209) 664-2744
1 Medical Park Blvd
Bristol, TN 37620
Phone (423) 390-0451
1717 Main St
Ste 5850
Dallas, TX 75201
Phone (469) 694-5512
4320 Seminary Rd
Alexandria, VA 22304
Phone (703) 504-3000
3300 Gallows Rd
Falls Church, VA 22042
Phone (703) 352-9395
224D Cornwall St NW
Leesburg, VA 20176
Phone (571) 291-3458
44045 Riverside Pkwy
Leesburg, VA 20176
Phone (703) 858-6040
224B Cornwall St NW
Leesburg, VA 20176
Phone (703) 771-2894
16850 SE 272nd St
Ste 100
Covington, WA 98042
Phone (253) 395-1971
4033 Talbot Rd S
Ste 520
Renton, WA 98055
Phone (425) 255-1999
3600 Lind Ave SW
Ste 100
Renton, WA 98057
7356 15th Ave NW
Seattle, WA 98117
Interoperability endpoints
- jhan1136897@ahs.direct-ci.com
- jhan70460@direct.valleymed.org
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Internal Medicine Physician
- Dallas, TX
- NPI 1013303080
AZ, DC, Family Medicine, MD, MT, NM, NV, TN, WA
-
dba Inova Juniper Program
- Multi-Specialty Clinic/Center
- Fairfax, VA
- NPI 1669511051
-
dba Inova Blood Donor Services
- Medical Technologist
- Sterling, VA
- NPI 1699655589
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Valley Medical Center
- General Acute Care Hospital
- Renton, WA
- NPI 1649209230
-
- General Acute Care Hospital
- Renton, WA
- NPI 1619209574
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1271980800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1515456000000",
"number": "1154648608",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3600 LIND AVE SW STE 1",
"city": "RENTON",
"state": "WA",
"postal_code": "980574934",
"telephone_number": "425-228-3440"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4033 TALBOT RD S STE 520",
"city": "RENTON",
"state": "WA",
"postal_code": "980555774",
"telephone_number": "425-656-5566",
"fax_number": "425-656-5596"
}
],
"practiceLocations": [
{
"address_1": "3300 Gallows Rd",
"address_purpose": "LOCATION",
"city": "Falls Church",
"state": "VA",
"postal_code": "220423307",
"country_code": "US",
"telephone_number": "703-776-4001",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HAN",
"first_name": "JENNIFER",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-04-23",
"last_updated": "2018-01-09",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "PA",
"license": "MD452478",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "WA",
"license": "MD60807276",
"primary": true
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "VA",
"license": "0101259773",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Renton, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.