Active NPI
Barbara Green Jessen, M.D.
- Neurology Physician
- Burien, WA
National Provider Identifier
1255595062
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- MD00026104
- Practice address
- 1847 SW Shoreview LN
Burien, WA 98146-3068 - Phone
- (206) 242-0201
- Fax
- (206) 242-3068
- NPI assigned
- Jul 11, 2008
- 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 |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | MD00026104 | WA | Primary |
Addresses
Primary practice location
1847 SW Shoreview LN
Burien, WA 98146-3068
Mailing address
1847 SW Shoreview LN
Burien, WA 98146-3068
Phone (206) 242-0201
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD00026104 | WA | MD | Neurology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1215734400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1215734400000",
"number": "1255595062",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1847 SW SHOREVIEW LN",
"city": "BURIEN",
"state": "WA",
"postal_code": "981463068",
"telephone_number": "206-242-0201",
"fax_number": "206-242-3068"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1847 SW SHOREVIEW LN",
"city": "BURIEN",
"state": "WA",
"postal_code": "981463068",
"telephone_number": "206-242-0201",
"fax_number": "206-242-3068"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JESSEN",
"first_name": "BARBARA",
"middle_name": "GREEN",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-07-11",
"last_updated": "2008-07-11",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "WA",
"license": "MD00026104",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Burien, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.