Active NPI
Jill Ann Denny, M.D.
- Internal Medicine Physician
- Federal Way, WA
National Provider Identifier
1619990132
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- MD00046575
- Practice address
- 505 S 336TH St Ste 500
Federal Way, WA 98003-8300 - Phone
- (206) 962-3535
- NPI assigned
- Jul 25, 2006
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MD00046575 | WA | Primary |
Addresses
Primary practice location
505 S 336TH St Ste 500
Federal Way, WA 98003-8300
Mailing address
PO Box 34036
Seattle, WA 98124-1036
Phone (425) 899-3292
Other practice location 1
12040 NE 128th St
Ms 105
Kirkland, WA 98034-3013
Phone (425) 899-2560
Other practice location 2
7755 Center Ave Ste 630
Huntington Beach, CA 92647-9152
Phone (657) 237-2450
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8458358 | Medicaid | WA |
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
Interoperability endpoints
- jdenny@landmarkhealth-direct.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153785600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1572307200000",
"number": "1619990132",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 34036",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981241036",
"telephone_number": "425-899-3292",
"fax_number": "425-899-3269"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "505 S 336TH ST STE 500",
"city": "FEDERAL WAY",
"state": "WA",
"postal_code": "980038300",
"telephone_number": "206-962-3535"
}
],
"practiceLocations": [
{
"address_1": "12040 NE 128th St",
"address_2": "MS 105",
"address_purpose": "LOCATION",
"city": "Kirkland",
"state": "WA",
"postal_code": "980343013",
"country_code": "US",
"telephone_number": "425-899-2560",
"fax_number": "425-899-2079",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "7755 Center Ave Ste 630",
"address_purpose": "LOCATION",
"city": "Huntington Beach",
"state": "CA",
"postal_code": "926479152",
"country_code": "US",
"telephone_number": "657-237-2450",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DENNY",
"first_name": "JILL",
"middle_name": "ANN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-25",
"last_updated": "2019-10-29",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "WA",
"license": "MD00046575",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8458358",
"state": "WA"
}
],
"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 Oct 29, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.