Active NPI
Jamie Lynn Kelley, F.N.P.
- Family Nurse Practitioner
- Spokane, WA
National Provider Identifier
1407244395
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP61158161
- Practice address
- 212 E Central Ave Ste 360
Spokane, WA 99208-4502 - Phone
- (509) 553-0565
- NPI assigned
- Dec 31, 2014
- Last updated
- Apr 26, 2023
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | R879610 | MS | |
| Family Nurse Practitioner | 363LF0000X | AP61158161 | WA | Primary |
| Registered Nurse | 163W00000X | R879610 | MS | |
| Registered Nurse | 163W00000X | RN61158154 | WA |
Addresses
Primary practice location
212 E Central Ave Ste 360
Spokane, WA 99208-4502
Mailing address
212 E Central Ave Ste 360
Spokane, WA 99208-4502
Phone (509) 553-0565
Other names 1
- Mrs. Jamie Lynn Wendling
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
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN61158154 | WA | MD | Registered Nurse |
| AP61158161 | WA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Direct Primary Care | Current | Accepting new patients |
Locations
212 E Central Ave
Ste 360
Spokane, WA 99208
Phone (509) 489-6757
Interoperability endpoints
- jamie.wendling@114099081379844.direct.elationemr.com
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Family Medicine Physician
- Spokane, WA
- NPI 1407487648
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1419984000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1682467200000",
"number": "1407244395",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "212 E CENTRAL AVE STE 360",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992084502",
"telephone_number": "509-553-0565"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "212 E CENTRAL AVE STE 360",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992084502",
"telephone_number": "509-553-0565"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KELLEY",
"first_name": "JAMIE",
"middle_name": "LYNN",
"name_prefix": "Mrs.",
"credential": "F.N.P.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-12-31",
"last_updated": "2023-04-26",
"certification_date": "2023-04-26",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MS",
"license": "R879610",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "WA",
"license": "AP61158161",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "MS",
"license": "R879610",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "WA",
"license": "RN61158154",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JAMIE",
"last_name": "WENDLING",
"middle_name": "LYNN",
"prefix": "MRS.",
"credential": "F.N.P.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Spokane, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.