Individual provider Active NPI

Linda Jurca, LMP, RYT

  • Community Health Worker
  • Federal Way, WA
National Provider Identifier
1497176259
Registry record updated Dec 21, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health WorkerTaxonomy code 172V00000X
License
MA 60284682 Issued in WA
Practice address
31637 1St PL S
Federal Way, WA 98003-5224
Phone
(206) 669-1284
NPI assigned
Dec 21, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 21, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Worker 172V00000X MA 60284682 WA Primary

Addresses

Primary practice location

31637 1St PL S
Federal Way, WA 98003-5224

Mailing address

31637 1St PL S
Federal Way, WA 98003-5224
Phone (206) 669-1284

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
MA 60284682WAMDCommunity Health Worker

NPI Registry JSON

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

{
    "created_epoch": "1387584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1387584000000",
    "number": "1497176259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31637 1ST PL S",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980035224",
            "telephone_number": "206-669-1284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31637 1ST PL S",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980035224",
            "telephone_number": "206-669-1284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JURCA",
        "first_name": "LINDA",
        "name_prefix": "Prof.",
        "credential": "LMP, RYT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-12-21",
        "last_updated": "2013-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "WA",
            "license": "MA 60284682",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Federal Way, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2013; 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.