Individual provider Active NPI

Jeunesse Micelle Jane Palma Calsado, ARNP

  • Family Nurse Practitioner
  • Renton, WA
National Provider Identifier
1174204465
Registry record updated Jul 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP.AP.70130515-NP Issued in WA
Practice address
604 Oakesdale Ave SW Ste 102
Renton, WA 98057-5204
Phone
(206) 678-5792
NPI assigned
Jul 28, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 24, 2026

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 RN60662625 WA
Family Nurse Practitioner 363LF0000X ARNP.AP.70130515-NP WA Primary

Addresses

Primary practice location

604 Oakesdale Ave SW Ste 102
Renton, WA 98057-5204

Mailing address

604 Oakesdale Ave SW Ste 102
Renton, WA 98057-5204
Phone (206) 678-5792

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN60662625WAMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1690502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784851200000",
    "number": "1174204465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "604 OAKESDALE AVE SW STE 102",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980575204",
            "telephone_number": "206-678-5792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "604 OAKESDALE AVE SW STE 102",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980575204",
            "telephone_number": "206-678-5792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALSADO",
        "first_name": "JEUNESSE MICELLE JANE",
        "middle_name": "PALMA",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-07-28",
        "last_updated": "2026-07-24",
        "certification_date": "2026-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WA",
            "license": "RN60662625",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "ARNP.AP.70130515-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Renton, WA

Sources for this page

Verify at the official NPI Registry.