Active NPI
Catherine Dinelle Jerome, LMP
- Mechanotherapist
- University Place, WA
National Provider Identifier
1548471790
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mechanotherapist
- License
- MA00008241
- Practice address
- 2603 Bridgeport Way W
Suite a
University Place, WA 98466-4724 - Phone
- (253) 566-1232
- Fax
- (253) 566-3164
- NPI assigned
- May 26, 2007
- Last updated
- Jul 8, 2007
- 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 |
|---|---|---|---|---|
| Mechanotherapist | 172M00000X | MA00008241 | WA | Primary |
Addresses
Primary practice location
2603 Bridgeport Way W
Suite a
University Place, WA 98466-4724
Mailing address
2603 Bridgeport Way W
Suite a
University Place, WA 98466-4724
Phone (253) 566-1232
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
- Credentials
- Master of Theology
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA00008241 | WA | MD | Mechanotherapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180137600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1548471790",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2603 BRIDGEPORT WAY W",
"address_2": "SUITE A",
"city": "UNIVERSITY PLACE",
"state": "WA",
"postal_code": "984664724",
"telephone_number": "253-566-1232",
"fax_number": "253-566-3164"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2603 BRIDGEPORT WAY W",
"address_2": "SUITE A",
"city": "UNIVERSITY PLACE",
"state": "WA",
"postal_code": "984664724",
"telephone_number": "253-566-1232",
"fax_number": "253-566-3164"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JEROME",
"first_name": "CATHERINE",
"middle_name": "DINELLE",
"credential": "LMP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-26",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "172M00000X",
"taxonomy_group": "",
"desc": "Mechanotherapist",
"state": "WA",
"license": "MA00008241",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in University Place, WA
- Joseph Eric Janaszak
- Joseph F Jasper, MD
- Shannon Jean, DDS
- Melanie Jean Jenkins, DMD
- Carrie L Jenner, MD
- Jessica M White Nursing Inc (Unpc Family Medicine Clinic)
- Jessica M White, Arnp, Inc (UNPC Family Medicine Clinic)
- Shelley Jette-Kelly, PMHNP
- JMS Corporate Services Group (Homewatch Caregivers of Tacoma)
- Jessica Rose Johns, MS, CCC-SLP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.