Active NPI
Jennie McLaurin, MD
- Pediatrics Physician
- Bellingham, WA
National Provider Identifier
1366816753
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- MD60546515
- Practice address
- 220 Unity St
Bellingham, WA 98225 - Phone
- (360) 676-6177
- Fax
- (360) 671-3574
- NPI assigned
- Nov 23, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | MD-18403 | HI | |
| Pediatrics Physician | 208000000X | 32579 | NC | |
| Pediatrics Physician | 208000000X | MD60546515 | WA | Primary |
Addresses
Primary practice location
220 Unity St
Bellingham, WA 98225
Mailing address
1616 Cornwall Ave Ste 205
Bellingham, WA 98225-4642
Phone (360) 676-6177
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2098865 | Medicaid | WA |
Other names 1
- Jennie Smith
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 |
|---|---|---|---|
| MD-18403 | HI | MD | Pediatrics Physician |
| 32579 | NC | MD | Pediatrics Physician |
| MD60546515 | WA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Molokai Ohana Health Care, Inc. | Past | Accepting new patients |
Interoperability endpoints
- jennie.mclaurin@hawaiihie.medicity.net
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Federally Qualified Health Center (FQHC)
- Kaunakakai, HI
- NPI 1336805621
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1448236800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1529020800000",
"number": "1366816753",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1616 CORNWALL AVE STE 205",
"city": "BELLINGHAM",
"state": "WA",
"postal_code": "982254642",
"telephone_number": "360-676-6177",
"fax_number": "360-671-3574"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "220 UNITY ST",
"city": "BELLINGHAM",
"state": "WA",
"postal_code": "98225",
"telephone_number": "360-676-6177",
"fax_number": "360-671-3574"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCLAURIN",
"first_name": "JENNIE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-11-23",
"last_updated": "2018-06-15",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "HI",
"license": "MD-18403",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NC",
"license": "32579",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "WA",
"license": "MD60546515",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2098865",
"state": "WA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "JENNIE",
"last_name": "SMITH",
"credential": "MD",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Bellingham, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.