Active NPI
Jeanne Bakker
- School Registered Nurse
- Kennewick, WA
National Provider Identifier
1215651799
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Registered Nurse
- License
- RN00086563
- Practice address
- 3500 S Vancouver St
Kennewick, WA 99337-3749 - Phone
- (509) 222-6803
- NPI assigned
- Sep 28, 2022
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| School Registered Nurse | 163WS0200X | RN00086563 | WA | Primary |
Addresses
Primary practice location
3500 S Vancouver St
Kennewick, WA 99337-3749
Mailing address
3500 S Vancouver St
Kennewick, WA 99337-3749
Other practice location 1
1315 W 4th Ave
Kennewick, WA 99336-5032
Phone (509) 222-7400
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 |
|---|---|---|---|
| RN00086563 | WA | MD | School Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1664323200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1664323200000",
"number": "1215651799",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3500 S VANCOUVER ST",
"city": "KENNEWICK",
"state": "WA",
"postal_code": "993373749"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3500 S VANCOUVER ST",
"city": "KENNEWICK",
"state": "WA",
"postal_code": "993373749",
"telephone_number": "509-222-6803"
}
],
"practiceLocations": [
{
"address_1": "1315 W 4th Ave",
"address_purpose": "LOCATION",
"city": "Kennewick",
"state": "WA",
"postal_code": "993365032",
"country_code": "US",
"telephone_number": "509-222-7400",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BAKKER",
"first_name": "JEANNE",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-09-28",
"last_updated": "2022-09-28",
"certification_date": "2022-09-28",
"status": "A"
},
"taxonomies": [
{
"code": "163WS0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, School",
"state": "WA",
"license": "RN00086563",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kennewick, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.