Individual provider Active NPI

Jessica Ester Anenko, RN BSN

  • Registered Nurse
  • Washougal, WA
National Provider Identifier
1235949215
Registry record updated Mar 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
RN61085910 Issued in WA
Practice address
1702 C St
Washougal, WA 98671-2334
Phone
(360) 852-9092
Fax
(360) 397-4368
NPI assigned
Jan 10, 2025
Last updated
Mar 24, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN61085910 WA Primary
Case Manager/Care Coordinator 171M00000X RN61085910 WA

Addresses

Primary practice location

1702 C St
Washougal, WA 98671-2334

Mailing address

PO Box 34703
Seattle, WA 98124-1703

Other practice location 1

6100 NE Fourth Plain Blvd
Vancouver, WA 98661-6830
Phone (360) 947-2550

Other identifiers 1

IdentifierTypeStateIssuer
2317633MedicaidWA

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
Credentials
Bachelor on Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN61085910WAMDCase Manager/Care Coordinator

Practice roles

OrganizationSpecialtyStatusNew patients
Sea-Mar Community Health Center Case Manager/Care Coordinator PastSince Mar 20, 2025 Accepting new patients
Sea Mar Community Health Centers Case Manager/Care Coordinator PastSince Mar 20, 2025 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1736467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774310400000",
    "number": "1235949215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 34703",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981241703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1702 C ST",
            "city": "WASHOUGAL",
            "state": "WA",
            "postal_code": "986712334",
            "telephone_number": "360-852-9092",
            "fax_number": "360-397-4368"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6100 NE Fourth Plain Blvd",
            "address_purpose": "LOCATION",
            "city": "Vancouver",
            "state": "WA",
            "postal_code": "986616830",
            "country_code": "US",
            "telephone_number": "360-947-2550",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANENKO",
        "first_name": "JESSICA",
        "middle_name": "ESTER",
        "credential": "RN BSN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-10",
        "last_updated": "2026-03-24",
        "certification_date": "2026-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WA",
            "license": "RN61085910",
            "primary": true
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "WA",
            "license": "RN61085910",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2317633",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Washougal, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 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.