Active NPI
Jennifer Kaufman, Arnp, PLLC
- Clinic/Center
- Clarkston, WA
National Provider Identifier
1457778045
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- License
- 603381941
- Legal business name
- JENNIFER KAUFMAN, ARNP, PLLC
- Practice address
- 625 6TH St
Clarkston, WA 99403-2010 - Phone
- (509) 758-2200
- NPI assigned
- Mar 21, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Michelle Marie Hastings
- Title
- Office Manager
- Phone
- (509) 758-2200
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | 603381941 | WA | Primary |
Addresses
Primary practice location
625 6TH St
Clarkston, WA 99403-2010
Mailing address
625 6TH St
Clarkston, WA 99403-2010
Phone (509) 758-2200
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
625 6th St
Clarkston, WA 99403
Phone (509) 758-2200
302 5th St
Ste 3
Clarkston, WA 99403
Phone (509) 758-2200
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Nurse Practitioner
- Clarkston, WA
- NPI 1750405767
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1395360000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1704758400000",
"number": "1457778045",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "625 6TH ST",
"city": "CLARKSTON",
"state": "WA",
"postal_code": "994032010",
"telephone_number": "509-758-2200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "625 6TH ST",
"city": "CLARKSTON",
"state": "WA",
"postal_code": "994032010",
"telephone_number": "509-758-2200"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JENNIFER KAUFMAN, ARNP, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2014-03-21",
"last_updated": "2024-01-09",
"certification_date": "2024-01-09",
"status": "A",
"authorized_official_last_name": "HASTINGS",
"authorized_official_first_name": "MICHELLE",
"authorized_official_middle_name": "MARIE",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "509-758-2200"
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": "WA",
"license": "603381941",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Clarkston, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.