Courtney Jane Jahay, NAR

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

License

755295 Issued in WA

Practice address

10717 N Skyline Dr
Spokane, WA 99208-6403

Phone

(509) 944-5345

Fax

(509) 290-6464

NPI assigned

Dec 9, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1670544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670544000000",
    "number": "1184335101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10717 N SKYLINE DR",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992086403",
            "telephone_number": "509-944-5345",
            "fax_number": "509-290-6464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10717 N SKYLINE DR",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992086403",
            "telephone_number": "509-944-5345",
            "fax_number": "509-290-6464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAHAY",
        "first_name": "COURTNEY",
        "middle_name": "JANE",
        "credential": "NAR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-12-09",
        "last_updated": "2022-12-09",
        "certification_date": "2022-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "WA",
            "license": "755295",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2200995",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• David Lee Jacques, PTA
• Alexa Marie Jaeger, MD
• April R Jaeger, MD
• Judy Corrinne Jagiello, PSY.D.
• Marisity Arrin Jagim-Kern, LICSWA
• Julie M Jahn, M.S., CCC-SLP
• Araceli Jaime
• Mohit Jain, MD
• Ebony Jaiteh, HOME CARE AIDE
• Omar Jaiteh, REGISTERED NURSE

• Adult Care Home Facility in Spokane, WA
• Providers in Spokane, WA by specialty
• Adult Care Home Facility in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2022; 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.