Active NPI
Jennifer Lange Martinson, ARNP
- Nurse Practitioner
- Seattle, WA
National Provider Identifier
1497080139
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- AP60075685
- Practice address
- 509 Olive Way,
Suite 1607 Qliance Medical Group of Washington PC
Seattle, WA 98101 - Phone
- (206) 913-4700
- Fax
- (206) 913-4710
- NPI assigned
- Oct 14, 2009
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | AP60075685 | WA | Primary |
Addresses
Primary practice location
509 Olive Way,
Suite 1607 Qliance Medical Group of Washington PC
Seattle, WA 98101
Mailing address
509 Olive Way,
Suite 1607 Qliance Medical Group of Washington PC
Seattle, WA 98101
Phone (206) 913-4700
Other names 1
- Jennifer Colleen Lange
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Polyclinic PLLC | Past | Accepting new patients | |
| Qliance Medical Group of Washington | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Family Medicine Physician
- Seattle, WA
- NPI 1417194317
-
- Durable Medical Equipment & Medical Supplies
- Tacoma, WA
- NPI 1831411487
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1255478400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1255478400000",
"number": "1497080139",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "509 OLIVE WAY,",
"address_2": "SUITE 1607 QLIANCE MEDICAL GROUP OF WASHINGTON PC",
"city": "SEATTLE",
"state": "WA",
"postal_code": "98101",
"telephone_number": "206-913-4700",
"fax_number": "206-913-4710"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "509 OLIVE WAY,",
"address_2": "SUITE 1607 QLIANCE MEDICAL GROUP OF WASHINGTON PC",
"city": "SEATTLE",
"state": "WA",
"postal_code": "98101",
"telephone_number": "206-913-4700",
"fax_number": "206-913-4710"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTINSON",
"first_name": "JENNIFER",
"middle_name": "LANGE",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-10-14",
"last_updated": "2009-10-14",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "WA",
"license": "AP60075685",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JENNIFER",
"last_name": "LANGE",
"middle_name": "COLLEEN",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.