Organization Active NPI

Jason Berreman, Arnp, PS

  • Medical Specialty Clinic/Center
  • Yakima, WA
National Provider Identifier
1194049510
Registry record updated Jan 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
AP30006105 Issued in WA
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

Updated by the provider on Jan 16, 2023

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

Authorized official

Name
Mr. Jason Lee Berreman, ARNPNPI 1225149073
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)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
O20100316000571 WA Part B Supplier - Clinic/Group Practice 7315072303 Receives reassigned benefits from 3 practitioners
Practice locations: Yakima, WA

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.