Active NPI
Jeffrey Lee Garnett
- Audiologist
- Vancouver, WA
National Provider Identifier
1649521899
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- Legal business name
- JEFFREY LEE GARNETT
- Practice address
- 16209 SE McGillivray Blvd
Ste M
Vancouver, WA 98683-9034 - Phone
- (360) 892-3445
- NPI assigned
- Sep 27, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jeffrey Lee Garnett
- Title
- Owner
- Phone
- (360) 892-3445
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | Primary |
Addresses
Primary practice location
16209 SE McGillivray Blvd
Ste M
Vancouver, WA 98683-9034
Mailing address
16209 SE McGillivray Blvd
Ste M
Vancouver, WA 98683-9034
Other names 1
- EVERGREEN AUDIOLOGY CLINIC
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1348704000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1348704000000",
"number": "1649521899",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16209 SE MCGILLIVRAY BLVD",
"address_2": "STE M",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986839034"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16209 SE MCGILLIVRAY BLVD",
"address_2": "STE M",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986839034",
"telephone_number": "360-892-3445"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JEFFREY LEE GARNETT",
"organizational_subpart": "NO",
"enumeration_date": "2012-09-27",
"last_updated": "2012-09-27",
"status": "A",
"authorized_official_last_name": "GARNETT",
"authorized_official_first_name": "JEFFREY",
"authorized_official_middle_name": "LEE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "360-892-3445"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Audiologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "EVERGREEN AUDIOLOGY CLINIC",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Vancouver, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.