Active NPI
Jill Henry
- Critical Care Registered Respiratory Therapist
- Battle Ground, WA
National Provider Identifier
1649734674
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Critical Care Registered Respiratory Therapist
- License
- 5111
- Practice address
- 7901 NE 179TH St
Battle Ground, WA 98604-5298 - Phone
- (408) 316-8351
- NPI assigned
- Jan 23, 2019
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Critical Care Registered Respiratory Therapist | 2279C0205X | 5111 | CA | Primary |
Addresses
Primary practice location
7901 NE 179TH St
Battle Ground, WA 98604-5298
Mailing address
PO Box 2611
Battle Ground, WA 98604-2611
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
| License | State | Type | Specialty |
|---|---|---|---|
| 5111 | CA | MD | Critical Care Registered Respiratory Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1548201600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1548201600000",
"number": "1649734674",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2611",
"city": "BATTLE GROUND",
"state": "WA",
"postal_code": "986042611"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7901 NE 179TH ST",
"city": "BATTLE GROUND",
"state": "WA",
"postal_code": "986045298",
"telephone_number": "408-316-8351"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HENRY",
"first_name": "JILL",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-01-23",
"last_updated": "2019-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "2279C0205X",
"taxonomy_group": "",
"desc": "Respiratory Therapist, Registered, Critical Care",
"state": "CA",
"license": "5111",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Battle Ground, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 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.