Individual provider Active NPI

Jenna Nhan Vo, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Kent, WA
National Provider Identifier
1699448969
Registry record updated Jan 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
AP61624174 Issued in WA
Practice address
19435 68TH Ave S Ste S102
Kent, WA 98032-2114
Phone
(714) 345-0300
NPI assigned
Jul 31, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP61624174 WA Primary

Addresses

Primary practice location

19435 68TH Ave S Ste S102
Kent, WA 98032-2114

Mailing address

19435 68TH Ave S Ste S102
Kent, WA 98032-2114
Phone (714) 345-0300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250307001831 WA Practitioner - Nurse Practitioner 0840676599 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Icare Psychiatry PLLCGroup PAC ID 7618497033, 4 clinicians

Practice addresses (Care Compare)

19435 68TH Ave S
Suite S102
Kent, WA 98032-2114
Phone (253) 414-1983

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP61624174WAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Icare Psychiatry PLLC Psychiatric/Mental Health CurrentSince Jan 1, 2025 Accepting new patients
Zova Clinic PLLC CurrentSince Jun 8, 2025 Accepting new patients
Progeny TMS Corporation PastSince Mar 12, 2023 Accepting new patients

Locations

19435 68th Ave S
Ste S102
Kent, WA 98032
Phone (253) 414-1983

Organizations & group practices 3

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": "1627689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737072000000",
    "number": "1699448969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19435 68TH AVE S STE S102",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980322114",
            "telephone_number": "714-345-0300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19435 68TH AVE S STE S102",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980322114",
            "telephone_number": "714-345-0300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VO",
        "first_name": "JENNA",
        "middle_name": "NHAN",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-31",
        "last_updated": "2025-01-17",
        "certification_date": "2025-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WA",
            "license": "AP61624174",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kent, WA

Sources for this page

Verify at the official NPI Registry.