Individual provider Active NPI

Jamie Eileen Gerity, AAS, LMP

  • Specialist
  • Blaine, WA
National Provider Identifier
1255507315
Registry record updated Sep 27, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MA60002503 Issued in WA
Practice address
7943 E Golf Course Dr
Blaine, WA 98230-6819
Phone
(360) 393-9375
NPI assigned
May 7, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 27, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X MA60002503 WA Primary

Addresses

Primary practice location

7943 E Golf Course Dr
Blaine, WA 98230-6819

Mailing address

7943 E Golf Course Dr
Blaine, WA 98230-6819
Phone (360) 393-9375

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
Associate of Applied Science

State licenses

LicenseStateTypeSpecialty
MA60002503WAMDSpecialist

NPI Registry JSON

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

{
    "created_epoch": "1210118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317081600000",
    "number": "1255507315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7943 E GOLF COURSE DR",
            "city": "BLAINE",
            "state": "WA",
            "postal_code": "982306819",
            "telephone_number": "360-393-9375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7943 E GOLF COURSE DR",
            "city": "BLAINE",
            "state": "WA",
            "postal_code": "982306819",
            "telephone_number": "360-393-9375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GERITY",
        "first_name": "JAMIE",
        "middle_name": "EILEEN",
        "credential": "AAS, LMP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-05-07",
        "last_updated": "2011-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "WA",
            "license": "MA60002503",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Blaine, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2011; 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.