Active NPI
Amber Jennings, ARNP
- Nurse Practitioner
- Tacoma, WA
National Provider Identifier
1689024747
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- AP60639774
- Practice address
- 1708 Yakima Ave
Ste 300
Tacoma, WA 98405-5307 - Phone
- (253) 572-5140
- NPI assigned
- Jun 20, 2016
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | AP60639774 | WA | Primary |
Addresses
Primary practice location
1708 Yakima Ave
Ste 300
Tacoma, WA 98405-5307
Mailing address
1708 Yakima Ave
Ste 300
Tacoma, WA 98405-5307
Phone (253) 572-5140
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)
- Enrolled
- Credentials
- Nurse Practitioner
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1466380800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1466380800000",
"number": "1689024747",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1708 YAKIMA AVE",
"address_2": "STE 300",
"city": "TACOMA",
"state": "WA",
"postal_code": "984055307",
"telephone_number": "253-572-5140"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1708 YAKIMA AVE",
"address_2": "STE 300",
"city": "TACOMA",
"state": "WA",
"postal_code": "984055307",
"telephone_number": "253-572-5140"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JENNINGS",
"first_name": "AMBER",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-06-20",
"last_updated": "2016-06-20",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "WA",
"license": "AP60639774",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tacoma, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.