Tanya Nan Young Jackins

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP61620108 Issued in WA

Practice address

370 S Market Blvd
Chehalis, WA 98532-3042

Phone

(360) 748-6693

Fax

(360) 748-3619

NPI assigned

Oct 23, 2024

Last updated

Oct 23, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Tanya Nan Young Jenkins Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: tanya.jackins.1@23980.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Chehalis Children's Clinic PS

  • Rural Health Clinic/Center
  • Chehalis, WA
  • NPI 1609957612
  NPD
• Etherton, Inc

  dba Olympia Integrative Medicine

  • Adult Medicine Physician
  • Olympia, WA
  • NPI 1518599273
  NPD (past)
• Multicare Health System

  dba MultiCare Deaconess Retail Pharmacy

  • Community/Retail Pharmacy
  • Spokane, WA
  • NPI 1396594875
  NPD (past)
• Premier Health, LLC

  dba Capital Men's Clinic

  • Health Service Clinic/Center
  • Olympia, WA
  • NPI 1972197655
  NPD (past)
• Providence Health & Services Washington

  dba Providence Centralia Hospital

  • General Acute Care Hospital
  • Centralia, WA
  • NPI 1376624981
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1729641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729641600000",
    "number": "1659192417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 CRAFTSMAN DR NW",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985022639",
            "telephone_number": "360-669-9479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "370 S MARKET BLVD",
            "city": "CHEHALIS",
            "state": "WA",
            "postal_code": "985323042",
            "telephone_number": "360-748-6693",
            "fax_number": "360-748-3619"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2610 Yelm Hwy SE",
            "address_purpose": "LOCATION",
            "city": "Olympia",
            "state": "WA",
            "postal_code": "985014826",
            "country_code": "US",
            "telephone_number": "360-915-9389",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JACKINS",
        "first_name": "TANYA",
        "middle_name": "NAN YOUNG",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-23",
        "last_updated": "2024-10-23",
        "certification_date": "2024-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP61620108",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TANYA",
            "last_name": "JENKINS",
            "middle_name": "NAN YOUNG",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Christa M Huntsberry, SUDP
• Annie Hoang-an Huynh, PHARMD
• Connie Hylton, SUDPT
• Inner Peace Counseling, Inc
• Internal Acceptance, PLLC
• Sheldon Anthony James, PHARM.D., BSC
• Lindsay Janke, BS, MA, LMHC
• Genevic Lagat Japos, CNA
• Lauren Leigh Jarvis
• Ravneet Jaura, MD

• Family Nurse Practitioner in Chehalis, WA
• Providers in Chehalis, WA by specialty
• Family Nurse Practitioner in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.