Individual provider Active NPI

Jessica Bond

  • Family Nurse Practitioner
  • Tacoma, WA
National Provider Identifier
1154774115
Registry record updated Dec 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP60671441 Issued in WA
Practice address
1708 Yakima Ave Ste 107
Tacoma, WA 98405-5300
Phone
(253) 207-4850
Fax
(206) 242-4437
NPI assigned
Jul 14, 2016
Last updated
Dec 1, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP60671441 WA Primary

Addresses

Primary practice location

1708 Yakima Ave Ste 107
Tacoma, WA 98405-5300

Mailing address

1708 Yakima Ave Ste 107
Tacoma, WA 98405-5300
Phone (253) 207-4850

Other practice location 1

118 Washington Ave N
Eatonville, WA 98328
Phone (360) 832-7300

Other identifiers 1

IdentifierTypeStateIssuer
2064318MedicaidWA

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address jbond144882@fhsce.catholichealth.net
Direct Messaging Address jbond144882@fhsce.catholichealth.net Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160928002529 WA Practitioner - Nurse Practitioner 3577850957 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Multicare Health System CurrentSince Jul 12, 2016 Accepting new patients
Multicare Health System CurrentSince Jul 12, 2016 Accepting new patients
Multicare Health System Current Accepting new patients

Locations

4700 Point Fosdick Dr
Ste 104
Gig Harbor, WA 98335
Phone (253) 459-7590

222 State Ave N
Kent, WA 98030
Phone (253) 372-7680

315 S K St
Tacoma, WA 98405
Phone (253) 403-1291

Interoperability endpoints

  • Direct secure messaging: jbond144882@fhsce.catholichealth.net

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1468454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606780800000",
    "number": "1154774115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1708 YAKIMA AVE STE 107",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984055300",
            "telephone_number": "253-207-4850",
            "fax_number": "206-242-4437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1708 YAKIMA AVE STE 107",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984055300",
            "telephone_number": "253-207-4850",
            "fax_number": "206-242-4437"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "118 Washington Ave N",
            "address_purpose": "LOCATION",
            "city": "Eatonville",
            "state": "WA",
            "postal_code": "98328",
            "country_code": "US",
            "telephone_number": "360-832-7300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOND",
        "first_name": "JESSICA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-14",
        "last_updated": "2020-12-01",
        "certification_date": "2020-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP60671441",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2064318",
            "state": "WA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jbond144882@fhsce.catholichealth.net",
            "affiliation": "N",
            "address_1": "1708 Yakima Ave Ste 107",
            "city": "Tacoma",
            "state": "WA",
            "country_code": "US",
            "postal_code": "984055300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jbond144882@fhsce.catholichealth.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1708 Yakima Ave Ste 107",
            "city": "Tacoma",
            "state": "WA",
            "country_code": "US",
            "postal_code": "984055300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Tacoma, WA

Sources for this page

Verify at the official NPI Registry.