Individual provider Active NPI

Jessica Schmeusser

  • Registered Nurse
  • La Center, WA
National Provider Identifier
1184055923
Registry record updated Dec 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
RN00146001 Issued in WA
Practice address
39000 NE 84TH CT
La Center, WA 98629-4852
Phone
(360) 931-5385
Fax
(360) 263-6220
NPI assigned
Dec 4, 2013
Last updated
Dec 4, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 4, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN00146001 WA Primary

Addresses

Primary practice location

39000 NE 84TH CT
La Center, WA 98629-4852

Mailing address

39000 NE 84TH CT
La Center, WA 98629-4852
Phone (360) 931-5385

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

State licenses

LicenseStateTypeSpecialty
RN00146001WAMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1386115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1386115200000",
    "number": "1184055923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39000 NE 84TH CT",
            "city": "LA CENTER",
            "state": "WA",
            "postal_code": "986294852",
            "telephone_number": "360-931-5385",
            "fax_number": "360-263-6220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39000 NE 84TH CT",
            "city": "LA CENTER",
            "state": "WA",
            "postal_code": "986294852",
            "telephone_number": "360-931-5385",
            "fax_number": "360-263-6220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHMEUSSER",
        "first_name": "JESSICA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-12-04",
        "last_updated": "2013-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WA",
            "license": "RN00146001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Center, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2013; 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.