Jennifer Chamberlain, ARNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP30001056 Issued in WA

Practice address

12104 E Main Ave
Spokane Valley, WA 99206-6105

Phone

(866) 904-7721

Fax

(509) 576-8685

NPI assigned

Dec 22, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1135209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1385078400000",
    "number": "1285611905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1117 TIETON DR",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989023835",
            "telephone_number": "866-904-7727",
            "fax_number": "509-576-8685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12104 E MAIN AVE",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992066105",
            "telephone_number": "866-904-7721",
            "fax_number": "509-576-8685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAMBERLAIN",
        "first_name": "JENNIFER",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-22",
        "last_updated": "2013-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP30001056",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7148406",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7922404",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Centerwell Certified Healthcare Corp. (CenterWell Home Health)
• Centerwell Certified Healthcare Corp. (CenterWell Home Health)
• Central Valley School District
• Central Valley School District#356
• Cody Ross Chamberlain
• Ashley Chambers, CBT
• Lynda Jean Chambers
• Melissa Champagne
• Gen Chan, RPH
• Carolyn E Chandler

• Family Nurse Practitioner in Spokane Valley, WA
• Providers in Spokane Valley, WA by specialty
• Family Nurse Practitioner in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2013; 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.