Active NPI
Thomas Jorgensen
- Registered Nurse
- Spokane, WA
National Provider Identifier
1184463671
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 72931
- Practice address
- 312 W 8TH Ave
Spokane, WA 99204-2506 - Phone
- (509) 324-1420
- NPI assigned
- May 23, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 72931 | ID | Primary |
Addresses
Primary practice location
312 W 8TH Ave
Spokane, WA 99204-2506
Mailing address
1101 W College Ave
Spokane, WA 99201-2010
Phone (509) 324-1420
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
| License | State | Type | Specialty |
|---|---|---|---|
| 72931 | ID | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Spokane Regional Health District | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Public Health or Welfare Agency
- Spokane, WA
- NPI 1811954373
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1716422400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1716422400000",
"number": "1184463671",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1101 W COLLEGE AVE",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992012010",
"telephone_number": "509-324-1420",
"fax_number": "509-327-0163"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "312 W 8TH AVE",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992042506",
"telephone_number": "509-324-1420"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JORGENSEN",
"first_name": "THOMAS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-05-23",
"last_updated": "2024-05-23",
"certification_date": "2024-05-23",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "ID",
"license": "72931",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Spokane, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.