Individual provider Active NPI

Jeri Lou Shantz, ED.D.

  • Specialist
  • Bellevue, WA
National Provider Identifier
1396949855
Registry record updated Dec 8, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
1349 Issued in WA
Practice address
1300 114TH Ave SE
Suite 102
Bellevue, WA 98004-6942
Phone
(425) 454-2835
Fax
(425) 454-2315
NPI assigned
Jun 11, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 8, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 1349 WA Primary

Addresses

Primary practice location

1300 114TH Ave SE
Suite 102
Bellevue, WA 98004-6942

Mailing address

1300 114TH Ave SE
Suite 102
Bellevue, WA 98004-6942
Phone (425) 454-2835

Other names 1

  • Dr. Jeri Lou Schweigler Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071004000025 WA Practitioner - Clinical Psychologist 3870688088 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

8363 E Mercer Way
Mercer Island, WA 98040-5622
Phone (425) 454-2835

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Jeri L Schweigler Edd Inc PS CurrentSince Dec 2, 2008 Accepting new patients

Locations

1300 114th Ave SE
Ste 102
Bellevue, WA 98004
Phone (425) 454-2835

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.

NPI Registry JSON

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

{
    "created_epoch": "1181520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1417996800000",
    "number": "1396949855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 114TH AVE SE",
            "address_2": "SUITE 102",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980046942",
            "telephone_number": "425-454-2835",
            "fax_number": "425-454-2315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 114TH AVE SE",
            "address_2": "SUITE 102",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980046942",
            "telephone_number": "425-454-2835",
            "fax_number": "425-454-2315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHANTZ",
        "first_name": "JERI",
        "middle_name": "LOU",
        "name_prefix": "Dr.",
        "credential": "ED.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-11",
        "last_updated": "2014-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "WA",
            "license": "1349",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JERI",
            "last_name": "SCHWEIGLER",
            "middle_name": "LOU",
            "prefix": "DR.",
            "credential": "ED.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Bellevue, WA

Sources for this page

Verify at the official NPI Registry.