Active NPI
Jason Berreman, Arnp, PS
- Medical Specialty Clinic/Center
- Yakima, WA
National Provider Identifier
1194049510
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Specialty Clinic/Center
- License
- AP30006105
- Legal business name
- JASON BERREMAN, ARNP, PS
- Practice address
- 3810 Kern Way
Suite D
Yakima, WA 98902-7805 - Phone
- (509) 248-4303
- Fax
- (509) 469-2441
- NPI assigned
- Mar 15, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Jason Lee Berreman, ARNP
- Title
- President/Arnp
- Phone
- (509) 248-4303
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Specialty Clinic/Center | 261QM2500X | AP30006105 | WA | Primary |
Addresses
Primary practice location
3810 Kern Way
Suite D
Yakima, WA 98902-7805
Mailing address
3810 Kern Way
Suite D
Yakima, WA 98902-7805
Phone (509) 248-4303
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
3810 Kern Rd
Ste D
Yakima, WA 98902
Phone (509) 248-4303
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Nurse Practitioner
- Yakima, WA
- NPI 1225149073
-
- Nurse Practitioner
- Yakima, WA
- NPI 1518649771
-
- Physician Assistant
- Yakima, WA
- NPI 1689865701
-
- Radiation Oncology Physician
- Newport Beach, CA
- NPI 1982675021
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1268611200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1673827200000",
"number": "1194049510",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3810 KERN WAY",
"address_2": "SUITE D",
"city": "YAKIMA",
"state": "WA",
"postal_code": "989027805",
"telephone_number": "509-248-4303",
"fax_number": "509-469-2441"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3810 KERN WAY",
"address_2": "SUITE D",
"city": "YAKIMA",
"state": "WA",
"postal_code": "989027805",
"telephone_number": "509-248-4303",
"fax_number": "509-469-2441"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JASON BERREMAN, ARNP, PS",
"organizational_subpart": "NO",
"enumeration_date": "2010-03-15",
"last_updated": "2023-01-16",
"certification_date": "2023-01-16",
"status": "A",
"authorized_official_last_name": "BERREMAN",
"authorized_official_first_name": "JASON",
"authorized_official_middle_name": "LEE",
"authorized_official_title_or_position": "PRESIDENT/ARNP",
"authorized_official_telephone_number": "509-248-4303",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "ARNP"
},
"taxonomies": [
{
"code": "261QM2500X",
"taxonomy_group": "",
"desc": "Clinic/Center, Medical Specialty",
"state": "WA",
"license": "AP30006105",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Yakima, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.