Active NPI
Jamie L. Kirkman, HERBALIST
- Health & Wellness Coach
- Everson, WA
National Provider Identifier
1689407207
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health & Wellness Coach
- License
- NA
- Practice address
- 2096 Hampton Rd
Everson, WA 98247-9364 - Phone
- (360) 888-8799
- NPI assigned
- Aug 20, 2024
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Homemaker | 376J00000X | |||
| Health & Wellness Coach | 171400000X | NA | WA | Primary |
Addresses
Primary practice location
2096 Hampton Rd
Everson, WA 98247-9364
Mailing address
2096 Hampton Rd
Everson, WA 98247-9364
Phone (360) 888-8799
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1724112000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724803200000",
"number": "1689407207",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2096 HAMPTON RD",
"city": "EVERSON",
"state": "WA",
"postal_code": "982479364",
"telephone_number": "360-888-8799"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2096 HAMPTON RD",
"city": "EVERSON",
"state": "WA",
"postal_code": "982479364",
"telephone_number": "360-888-8799"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIRKMAN",
"first_name": "JAMIE",
"middle_name": "L.",
"name_prefix": "Mrs.",
"credential": "HERBALIST",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-08-20",
"last_updated": "2024-08-28",
"certification_date": "2024-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "376J00000X",
"taxonomy_group": "",
"desc": "Homemaker",
"state": null,
"license": null,
"primary": false
},
{
"code": "171400000X",
"taxonomy_group": "",
"desc": "Health & Wellness Coach",
"state": "WA",
"license": "NA",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Everson, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 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.