Active NPI
Janet Marie Ness, ARNP
- Psychiatric/Mental Health Nurse Practitioner
- Yakima, WA
National Provider Identifier
1194817700
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- AP60095267
- Practice address
- 717 Fruitvale Blvd
Yakima Community Based Outpt. Clinic (Cboc)
Yakima, WA 98902 - Phone
- (509) 966-0199
- Fax
- (509) 966-4266
- NPI assigned
- Sep 29, 2006
- Last updated
- Dec 27, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 737 | AK | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | AP60095267 | WA | Primary |
Addresses
Primary practice location
717 Fruitvale Blvd
Yakima Community Based Outpt. Clinic (Cboc)
Yakima, WA 98902
Mailing address
77 Wainwright Dr.
Jonathan M. Wainwright Medical Center
Walla Walla, WA 99362
Phone (509) 525-5200
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MH0156 | Medicaid | AK | |
| RH177FQ | Medicaid | AK |
Other names 1
- Ms. Janet Marie Randa
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP60095267 | WA | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Peninsula Community Health Services of Alaska, Inc. | Past | Accepting new patients |
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/AEIFAA
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Community/Behavioral Health Agency
- Soldotna, AK
- NPI 1124110796
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159488000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1356566400000",
"number": "1194817700",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "77 WAINWRIGHT DR.",
"address_2": "JONATHAN M. WAINWRIGHT MEDICAL CENTER",
"city": "WALLA WALLA",
"state": "WA",
"postal_code": "99362",
"telephone_number": "509-525-5200",
"fax_number": "907-260-3697"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "717 FRUITVALE BLVD",
"address_2": "YAKIMA COMMUNITY BASED OUTPT. CLINIC (CBOC)",
"city": "YAKIMA",
"state": "WA",
"postal_code": "98902",
"telephone_number": "509-966-0199",
"fax_number": "509-966-4266"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NESS",
"first_name": "JANET",
"middle_name": "MARIE",
"name_prefix": "Ms.",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-29",
"last_updated": "2012-12-27",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "AK",
"license": "737",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "WA",
"license": "AP60095267",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "MH0156",
"state": "AK"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "RH177FQ",
"state": "AK"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "JANET",
"last_name": "RANDA",
"middle_name": "MARIE",
"prefix": "MS.",
"credential": "ARNP",
"code": "1",
"type": "Former Name"
}
]
}
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 Dec 27, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.