NPIMap

Individual provider Active NPI

Jennifer R. Abrams, M.D.

  • Family Medicine Physician
  • Seattle, WA
National Provider Identifier
1497066161
Registry record updated May 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ML 60165242 Issued in WA
Practice address
550 16TH Ave
Professional BLDG Suite #100
Seattle, WA 98122-5699
Phone
(206) 320-2484
NPI assigned
Jun 28, 2010
Last updated
May 15, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ML 60165242 WA Primary

Addresses

Primary practice location

550 16TH Ave
Professional BLDG Suite #100
Seattle, WA 98122-5699

Mailing address

550 16TH Ave
Professional BLDG Suite #100
Seattle, WA 98122-5699
Phone (206) 320-2484

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, TX2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20130927000523 WA Practitioner - Family Practice 2264666585 Reassigns benefits to 1 organization
I20250203002994 TX Practitioner - Family Practice 2264666585 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Rochester School of Medicine and Dentistry, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Kodiak Area Native AssociationGroup PAC ID 8426959297, 36 clinicians

Practice addresses (Care Compare)

2414 Mill Bay Rd
Kodiak, AK 99615-6654
Phone (907) 486-9800

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ML 60165242WAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
International Community Health Services Family Medicine Current Accepting new patients
Kodiak Area Native Association CurrentSince Dec 1, 2024 Accepting new patients
International Community Health Services CurrentSince Oct 21, 2014 Accepting new patients
International Community Health Services Family Medicine CurrentSince Oct 21, 2014 Accepting new patients
Kodiak Area Native Association PastSince Dec 1, 2024 Accepting new patients

Locations

2414 Mill Bay Rd
Kodiak, AK 99615
Phone (907) 486-4042

3449 E Rezanof Dr
Kodiak, AK 99615
Phone (907) 486-9800

3815 S Othello St
Fl 2
Seattle, WA 98118
Phone (206) 788-3500

550 16th Ave
Ste 100
Seattle, WA 98122
Phone (206) 299-1900

720 8th Ave S
Seattle, WA 98104
Phone (206) 788-3757

Organizations & group practices 5

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.

Hospital & facility affiliations 14

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1277683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1400112000000",
    "number": "1497066161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 16TH AVE",
            "address_2": "PROFESSIONAL BLDG SUITE #100",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981225699",
            "telephone_number": "206-320-2484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 16TH AVE",
            "address_2": "PROFESSIONAL BLDG SUITE #100",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981225699",
            "telephone_number": "206-320-2484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABRAMS",
        "first_name": "JENNIFER",
        "middle_name": "R.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-28",
        "last_updated": "2014-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "ML 60165242",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

Verify at the official NPI Registry.