Individual provider Active NPI

Jenifer J Nirschl

  • Specialist
  • Auburn, WA
National Provider Identifier
1366795585
Registry record updated Oct 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MA 60253856
Practice address
820 Harvey Rd Ste a
Auburn, WA 98002-4247
Phone
(253) 332-2279
NPI assigned
Oct 25, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 25, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X MA 60253856 Primary

Addresses

Primary practice location

820 Harvey Rd Ste a
Auburn, WA 98002-4247

Mailing address

561 Beaver Blvd
Pacific, WA 98047-1375
Phone (253) 332-2279

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

NPI Registry JSON

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

{
    "created_epoch": "1351123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1351123200000",
    "number": "1366795585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "561 BEAVER BLVD",
            "city": "PACIFIC",
            "state": "WA",
            "postal_code": "980471375",
            "telephone_number": "253-332-2279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 HARVEY RD STE A",
            "city": "AUBURN",
            "state": "WA",
            "postal_code": "980024247",
            "telephone_number": "253-332-2279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIRSCHL",
        "first_name": "JENIFER",
        "middle_name": "J",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-10-25",
        "last_updated": "2012-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": "MA 60253856",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Auburn, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2012; 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.