Adultcare of Renton

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

602164615 Issued in WA

Legal business name

ADULTCARE OF RENTON

Practice address

3900 E Valley Rd
Ste 101
Renton, WA 98055-4954

Phone

(425) 251-0205

NPI assigned

Apr 4, 2007

Organization subpart

No

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

Authorized official

Name

Cynthia B Jensen, ARNPNPI 1932149937

Title

Clinical Director

Phone

(425) 251-0205

Specialties & licenses 1

Addresses

Other names 1

• Passport Health W. Washington Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Cynthia Jensen, ARNP

  • Adult Health Nurse Practitioner
  • Oroville, WA
  • NPI 1932149937
  NPD Authorized official

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

{
    "created_epoch": "1175644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213574400000",
    "number": "1467574855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3900 E VALLEY RD",
            "address_2": "STE 101",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980554954",
            "telephone_number": "425-251-0205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3900 E VALLEY RD",
            "address_2": "STE 101",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980554954",
            "telephone_number": "425-251-0205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADULTCARE OF RENTON",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-04",
        "last_updated": "2008-06-16",
        "status": "A",
        "authorized_official_last_name": "JENSEN",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "425-251-0205",
        "authorized_official_credential": "ARNP"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "WA",
            "license": "602164615",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Passport Health W. Washington",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Erin Virginia Adams, MD
• Grace Adams
• Lauren S Adams, PT
• Jasmine Ashley Adrian, LMP
• Jon Adriatico, PT
• Advanced Anesthesia PLLC
• Advanced Dentistry
• Advanced Endodontics
• Advanced Geriatric Care PLLC
• Advanced Occupational Health Services PLLC

• Medical Specialty Clinic/Center in Renton, WA
• Providers in Renton, WA by specialty
• Medical Specialty Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2008; 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.