Jeremy Glenn Nugent, CM60686561

Primary specialty

Emergency Medical Services (Emergency Medicine) PhysicianTaxonomy code 207PE0004X

License

CM6066561 Issued in WA

Practice address

3510 Steelhammer Dr
Centralia, WA 98531-1532

Phone

(360) 623-8056

Fax

(360) 623-1072

NPI assigned

Jan 8, 2026

Last updated

Jan 8, 2026By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Jay Nugent Other name

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": "1767830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767830400000",
    "number": "1205793395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10503 CREEK ST SE UNIT 115",
            "city": "YELM",
            "state": "WA",
            "postal_code": "985978678",
            "telephone_number": "360-623-8056",
            "fax_number": "360-623-1072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3510 STEELHAMMER DR",
            "city": "CENTRALIA",
            "state": "WA",
            "postal_code": "985311532",
            "telephone_number": "360-623-8056",
            "fax_number": "360-623-1072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NUGENT",
        "first_name": "JEREMY",
        "middle_name": "GLENN",
        "credential": "CM60686561",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-01-08",
        "last_updated": "2026-01-08",
        "certification_date": "2026-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207PE0004X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": "WA",
            "license": "CM6066561",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JAY",
            "last_name": "NUGENT",
            "credential": "CM60686561",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Kyle O'Connor, DDS
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• Robert Francis Oatfield, D.O.
• Jamila Dahir Obsiye

• Emergency Medical Services (Emergency Medicine) Physician in Centralia, WA
• Providers in Centralia, WA by specialty
• Emergency Medical Services (Emergency Medicine) Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2026; 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.