Jennifer Stevenson Jutte, MPH, PHD

Primary specialty

Rehabilitation PsychologistTaxonomy code 103TR0400X

License

PY60137402 Issued in WA

Practice address

10016 Edmonds Way Ste C121
Edmonds, WA 98020-5107

Phone

(206) 445-2664

NPI assigned

Aug 19, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Dr. Jennifer Erin Stevenson Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Apr 1, 2018 through Apr 1, 2028

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

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.

• Wellness and Rehabilitation Psychological Services, PLLC

  • Rehabilitation Psychologist
  • Edmonds, WA
  • NPI 1225537798

  Clinical

  NPD Authorized official

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

{
    "created_epoch": "1282176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589760000000",
    "number": "1689980302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10016 EDMONDS WAY STE C121",
            "city": "EDMONDS",
            "state": "WA",
            "postal_code": "980205107",
            "telephone_number": "206-445-2664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10016 EDMONDS WAY STE C121",
            "city": "EDMONDS",
            "state": "WA",
            "postal_code": "980205107",
            "telephone_number": "206-445-2664"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "325 9th Ave",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981042420",
            "country_code": "US",
            "telephone_number": "206-744-3166",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "509 Olive Way Ste 204",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981011726",
            "country_code": "US",
            "telephone_number": "206-329-5255 x315",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JUTTE",
        "first_name": "JENNIFER",
        "middle_name": "STEVENSON",
        "name_prefix": "Dr.",
        "credential": "MPH, PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-08-19",
        "last_updated": "2020-05-18",
        "certification_date": "2020-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "WA",
            "license": "PY60137402",
            "primary": false
        },
        {
            "code": "103TR0400X",
            "taxonomy_group": "",
            "desc": "Psychologist, Rehabilitation",
            "state": "WA",
            "license": "PY60137402",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L&I PIN",
            "identifier": "317623",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1689980302",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "STEVENSON",
            "middle_name": "ERIN",
            "prefix": "DR.",
            "credential": "MPH, PHD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Soyoung Jung
• Byron Jenaro Malilay Junio, DMD
• Laura Louise Juozapaitis
• Thomas J Jurich, M.D.
• Rajni K Jutla, MD
• Diana Jyoti, RN, MS, CLC
• K's Optical LLC (K's Optical)
• K&K Industries LLC Dba the Workshop
• Kaiser Health Solutions PS (Helix Sport And Spine)
• Steven Kaiser, DC

• Rehabilitation Psychologist in Edmonds, WA
• Providers in Edmonds, WA by specialty
• Rehabilitation Psychologist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.