Active NPI
Jill Bujnevicie, PA
- Physician Assistant
- Burien, WA
National Provider Identifier
1487679502
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA60043087
- Practice address
- 16251 Sylvester Rd SW
Burien, WA 98166-3017 - Phone
- (206) 431-5314
- NPI assigned
- Jul 12, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | C0003078 | MD | |
| Physician Assistant | 363A00000X | PA60043087 | WA | Primary |
Addresses
Primary practice location
16251 Sylvester Rd SW
Burien, WA 98166-3017
Mailing address
PO Box 94391
Ms/LB 310054
Seattle, WA 98124-6691
Phone (800) 579-7777
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: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1295 | MA | MD | Marriage & Family Therapist |
| C0003078 | MD | MD | Medical Physician Assistant |
Organizations & group practices 3
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.
-
- Emergency Medicine Physician
- Burien, WA
- NPI 1669757290
-
- Emergency Medicine Physician
- Puyallup, WA
- NPI 1538104476
-
- Emergency Medicine Physician
- Parkland, WA
- NPI 1801352505
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152662400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1332201600000",
"number": "1487679502",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 94391",
"address_2": "MS/LB 310054",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981246691",
"telephone_number": "800-579-7777"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16251 SYLVESTER RD SW",
"city": "BURIEN",
"state": "WA",
"postal_code": "981663017",
"telephone_number": "206-431-5314"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUJNEVICIE",
"first_name": "JILL",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-12",
"last_updated": "2012-03-20",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "MD",
"license": "C0003078",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "WA",
"license": "PA60043087",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Burien, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.