NPIMap

Organization Active NPI

Jensen Medical

Doing business as Sound Mobility

  • Customized Equipment (DME)
  • Kingston, WA
National Provider Identifier
1225215288
Registry record updated Dec 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Customized Equipment (DME)Taxonomy code 332BC3200X
License
602049582 Issued in WA
Legal business name
JENSEN MEDICAL
Doing business as
Sound Mobility
Practice address
26129 Calvary LN NE
Suite 200
Kingston, WA 98346-7404
Phone
(360) 881-0395
Fax
(360) 297-7772
NPI assigned
Jan 22, 2008
Last updated
Dec 27, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2016

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

Authorized official

Name
Mr. Bruce Timothy JensenNPI 1437108834
Title
Owner
Phone
(360) 881-0395

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 602049582 WA
Customized Equipment (DME) 332BC3200X 602049582 WA Primary

Addresses

Primary practice location

26129 Calvary LN NE
Suite 200
Kingston, WA 98346-7404

Mailing address

26129 Calvary LN NE
Suite 200
Kingston, WA 98346-7404
Phone (360) 881-0395

Other identifiers 2

IdentifierTypeStateIssuer
9049206MedicaidWA
1437108834OtherNPI

Other names 1

  • SOUND MOBILITY Doing business as

National Provider Directory

National Provider Directory

Locations

26119 Calvary Ln NE
Ste 200
Kingston, WA 98346
Phone (360) 437-0331

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1200960000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1482796800000",
    "number": "1225215288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26129 CALVARY LN NE",
            "address_2": "SUITE 200",
            "city": "KINGSTON",
            "state": "WA",
            "postal_code": "983467404",
            "telephone_number": "360-881-0395",
            "fax_number": "360-297-7772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26129 CALVARY LN NE",
            "address_2": "SUITE 200",
            "city": "KINGSTON",
            "state": "WA",
            "postal_code": "983467404",
            "telephone_number": "360-881-0395",
            "fax_number": "360-297-7772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENSEN MEDICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-22",
        "last_updated": "2016-12-27",
        "status": "A",
        "authorized_official_last_name": "JENSEN",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_middle_name": "TIMOTHY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "360-881-0395",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "WA",
            "license": "602049582",
            "primary": false
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "WA",
            "license": "602049582",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9049206",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1437108834",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SOUND MOBILITY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kingston, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2016; 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.