Individual provider Active NPI

Jessica Garcia

  • General Practice Registered Nurse
  • Nine Mile Falls, WA
National Provider Identifier
1689223885
Registry record updated Sep 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice Registered NurseTaxonomy code 163WG0000X
License
RN60585655 Issued in WA
Practice address
12402 Osprey Rd
Nine Mile Falls, WA 99026-5000
Phone
(509) 488-3500
Fax
(509) 488-3600
NPI assigned
Sep 10, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Registered Nurse 163WG0000X RN60585655 WA Primary

Addresses

Primary practice location

12402 Osprey Rd
Nine Mile Falls, WA 99026-5000

Mailing address

2455 W Bench Rd
Othello, WA 99344-8901
Phone (509) 488-3500

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

LicenseStateTypeSpecialty
RN60585655WAMDGeneral Practice Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Weeping Ridge West, Inc. PastSince Sep 15, 2019 Accepting new patients
Weeping Ridge Estate Adult Family Home Inc PastSince Sep 15, 2019 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1568073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568073600000",
    "number": "1689223885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2455 W BENCH RD",
            "city": "OTHELLO",
            "state": "WA",
            "postal_code": "993448901",
            "telephone_number": "509-488-3500",
            "fax_number": "509-488-3600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12402 OSPREY RD",
            "city": "NINE MILE FALLS",
            "state": "WA",
            "postal_code": "990265000",
            "telephone_number": "509-488-3500",
            "fax_number": "509-488-3600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARCIA",
        "first_name": "JESSICA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-10",
        "last_updated": "2019-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "WA",
            "license": "RN60585655",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nine Mile Falls, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 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.

Verify at the official NPI Registry.