Jessica Laraine Panza, ND

Primary specialty

NaturopathTaxonomy code 175F00000X

Practice address

504 E 8TH St. Ste a.
Port Angeles, WA 98362-3319

Phone

(360) 452-5000

Fax

(360) 452-0228

NPI assigned

Apr 12, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Jessica Laraine West Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Clinicare of Port Angeles Inc

  • Primary Care Clinic/Center
  • Port Angeles, WA
  • NPI 1467610972
  NPD (past)

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

{
    "created_epoch": "1555027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680566400000",
    "number": "1669935979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "504 E 8TH ST. STE A.",
            "city": "PORT ANGELES",
            "state": "WA",
            "postal_code": "983623319",
            "telephone_number": "360-452-5000",
            "fax_number": "360-452-0228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "504 E 8TH ST. STE A.",
            "city": "PORT ANGELES",
            "state": "WA",
            "postal_code": "983623319",
            "telephone_number": "360-452-5000",
            "fax_number": "360-452-0228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANZA",
        "first_name": "JESSICA",
        "middle_name": "LARAINE",
        "credential": "ND",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-12",
        "last_updated": "2023-04-04",
        "certification_date": "2023-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "WA",
            "license": "NT60943992",
            "primary": false
        },
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2148760",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "WEST",
            "middle_name": "LARAINE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Earl Otis
• Alexis Ottaway-Chung
• Pacific Vascular Incorporated
• Dan Palacios, M.S., CCC-SLP
• Anne Marie Palzer, N.D.
• Ji-Young Park
• Mary Park, MD
• Selby J Parker, PAC
• Justin Ray Parks, PT
• Dana Patton, DO

• Naturopath in Port Angeles, WA
• Providers in Port Angeles, WA by specialty
• Naturopath in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2023; 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.