Active NPI
Brittany Ann Jensen
- Health Service Clinic/Center
- Federal Way, WA
National Provider Identifier
1346678364
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Service Clinic/Center
- License
- MA 60412968
- Practice address
- 33650 6TH Avenue South-Suite 100
Federal Way, WA 98003 - Phone
- (253) 942-3303
- NPI assigned
- Oct 30, 2013
- 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 |
|---|---|---|---|---|
| Health Service Clinic/Center | 261QH0100X | MA 60412968 | WA | Primary |
Addresses
Primary practice location
33650 6TH Avenue South-Suite 100
Federal Way, WA 98003
Mailing address
3914 SW 321St St
Federal Way, WA 98023-2412
Phone (208) 220-4534
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA 60412968 | WA | MD | Health Service Clinic/Center |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1383091200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1383091200000",
"number": "1346678364",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3914 SW 321ST ST",
"city": "FEDERAL WAY",
"state": "WA",
"postal_code": "980232412",
"telephone_number": "208-220-4534"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "33650 6TH AVENUE SOUTH-SUITE 100",
"city": "FEDERAL WAY",
"state": "WA",
"postal_code": "98003",
"telephone_number": "253-942-3303"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JENSEN",
"first_name": "BRITTANY",
"middle_name": "ANN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-10-30",
"last_updated": "2013-10-30",
"status": "A"
},
"taxonomies": [
{
"code": "261QH0100X",
"taxonomy_group": "",
"desc": "Clinic/Center, Health Service",
"state": "WA",
"license": "MA 60412968",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Federal Way, WA
- Katherine Dayanna Jaramillo-Cilio, PHARMD
- Jeffrey Donovan Hart MD PS Inc (Clinic for Counseling and Psychotherapy)
- Stefanie Elizabeth Jemison
- Celena Jenne, RN, LMP
- Jennifer Croke Psychotherapy (South Sound Counseling)
- John Martin Jensen III, LMT
- Lindsay Annmarie Jensen, LMP
- Sarah E. Jensen, OT
- Christina Dahee Jeong, DE60762062
- Hannah Hyeryeon Jeong
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 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.