Individual provider Active NPI

Jennifer Han, M.D.

  • Neurology Physician
  • Renton, WA
National Provider Identifier
1154648608
Registry record updated Jan 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
MD60807276 Issued in WA
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, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 9, 2018

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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, AZ11 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 11

Enrollment IDStateProvider typePAC IDDetails
I20160322002030 DC Practitioner - Neurology 3870813678 Reassigns benefits to 2 organizations
I20160425001053 VA Practitioner - Neurology 3870813678 Reassigns benefits to 1 organization
I20180112001725 WA Practitioner - Neurology 3870813678 Reassigns benefits to 2 organizations
I20250123000893 NV Practitioner - Neurology 3870813678 Reassigns benefits to 1 organization
I20250128004290 NM Practitioner - Neurology 3870813678 Reassigns benefits to 1 organization
I20250129000788 CA Practitioner - Neurology 3870813678 Reassigns benefits to 1 organization
I20250219002738 MT Practitioner - Neurology 3870813678 Reassigns benefits to 1 organization
I20250304001305 TN Practitioner - Neurology 3870813678 Reassigns benefits to 1 organization
I20250305003585 MD Practitioner - Neurology 3870813678 Reassigns benefits to 1 organization
I20250312001675 TX Practitioner - Neurology 3870813678 Reassigns benefits to 1 organization
I20250509001208 AZ Practitioner - Neurology 3870813678 Reassigns benefits to 1 organization

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
Access Telecare PLLCGroup PAC ID 7810204831, 409 clinicians
Access Telecare California PCGroup PAC ID 8325373525, 86 clinicians
Valley Medical Group-RentonGroup PAC ID 4183753965, 419 clinicians

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

LicenseStateTypeSpecialty
MD452478PAMDNeurology Physician
0101259773VAMDNeurology Physician
MD60807276WAMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Inova Health Care Services CurrentSince Mar 14, 2016 Accepting new patients
Valley Medical Group-Renton Family Medicine CurrentSince Jan 1, 2018 Accepting new patients
Inova Health Care Services CurrentSince Mar 14, 2016 Accepting new patients
Inova Health Care Services CurrentSince Mar 14, 2016 Accepting new patients
Access Telecare California, P.C. Family Medicine CurrentSince Jan 22, 2025 Accepting new patients
Access Telecare, PLLC Family Medicine CurrentSince Apr 15, 2024 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

  • Direct secure messaging: jhan1136897@ahs.direct-ci.com
  • Direct secure messaging: 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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.