Active NPI
Jennifer Lee Pogue, LMP
- Community Health Worker
- Spokane, WA
National Provider Identifier
1679876189
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Worker
- License
- MA 60132970
- Practice address
- 10709 N Division St
Spokane, WA 99218-1631 - Phone
- (509) 466-9008
- NPI assigned
- Dec 6, 2010
- 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 |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | MA 60132970 | WA | Primary |
Addresses
Primary practice location
10709 N Division St
Spokane, WA 99218-1631
Mailing address
8505 E Valleyway Ave
Spokane Valley, WA 99212-2820
Phone (509) 385-6015
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 |
|---|---|---|---|
| MA 60132970 | WA | MD | Community Health Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1291593600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1291593600000",
"number": "1679876189",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8505 E VALLEYWAY AVE",
"city": "SPOKANE VALLEY",
"state": "WA",
"postal_code": "992122820",
"telephone_number": "509-385-6015"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10709 N DIVISION ST",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992181631",
"telephone_number": "509-466-9008"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POGUE",
"first_name": "JENNIFER",
"middle_name": "LEE",
"credential": "LMP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-12-06",
"last_updated": "2010-12-06",
"status": "A"
},
"taxonomies": [
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": "WA",
"license": "MA 60132970",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Spokane, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.