Active NPI
Jennifer L. Meyer, MD
- Pediatrics Physician
- Seattle, WA
National Provider Identifier
1528146107
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- MD60014004
- Practice address
- 1401 NW 46TH St FL 5
Seattle, WA 98107-4635 - Phone
- (206) 297-5360
- NPI assigned
- Nov 1, 2006
- Last updated
- Jun 29, 2021
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | A80000 | CA | |
| Pediatrics Physician | 208000000X | MD60014004 | WA | Primary |
Addresses
Primary practice location
1401 NW 46TH St FL 5
Seattle, WA 98107-4635
Mailing address
1401 NW 46TH St FL 5
Seattle, WA 98107-4635
Phone (206) 297-5360
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A800000 | Medicaid | CA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | https://careepicwa.kp.org:14430/Interconnect-CE-PRD/wcf/epic.community.hie/xcpdrespondinggatewaysync | Health Information Exchange (HIE) |
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A80000 | CA | MD | Pediatrics Physician |
| MD60014004 | WA | MD | Pediatrics Physician |
Interoperability endpoints
- jmeyer37010@ghc.direct-ci.net
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1624924800000",
"number": "1528146107",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1401 NW 46TH ST FL 5",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981074635",
"telephone_number": "206-297-5360"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1401 NW 46TH ST FL 5",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981074635",
"telephone_number": "206-297-5360"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEYER",
"first_name": "JENNIFER",
"middle_name": "L.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-01",
"last_updated": "2021-06-29",
"certification_date": "2021-06-29",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CA",
"license": "A80000",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "WA",
"license": "MD60014004",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A800000",
"state": "CA"
}
],
"endpoints": [
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "https://careepicwa.kp.org:14430/Interconnect-CE-PRD/wcf/epic.community.hie/xcpdrespondinggatewaysync",
"affiliation": "N",
"endpointDescription": "Carequality",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "C-CDA",
"address_1": "1401 NW 46th St Fl 5",
"city": "Seattle",
"state": "WA",
"country_code": "US",
"postal_code": "981074635",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
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 Jun 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.