Individual provider Active NPI

Heather K Jurow, ARNP

  • Obstetrics & Gynecology Physician
  • Olympia, WA
National Provider Identifier
1699764464
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
AP30003436 Issued in WA
Practice address
615 Lilly Dr NE
Suite 200
Olympia, WA 98506-4658
Phone
(360) 413-8413
Fax
(360) 413-8879
NPI assigned
Oct 14, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X AP30003436 WA Primary

Addresses

Primary practice location

615 Lilly Dr NE
Suite 200
Olympia, WA 98506-4658

Mailing address

615 Lilly Rd NE
Suite 200
Olympia, WA 98506-4658
Phone (360) 413-8413

Other identifiers 1

IdentifierTypeStateIssuer
9626920MedicaidWA

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
AP30003436WAMDObstetrics & Gynecology Physician

NPI Registry JSON

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

{
    "created_epoch": "1129248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1699764464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 LILLY RD NE",
            "address_2": "SUITE 200",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985064658",
            "telephone_number": "360-413-8413",
            "fax_number": "360-413-8879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 LILLY DR NE",
            "address_2": "SUITE 200",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985064658",
            "telephone_number": "360-413-8413",
            "fax_number": "360-413-8879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUROW",
        "first_name": "HEATHER",
        "middle_name": "K",
        "name_prefix": "Ms.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-14",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "WA",
            "license": "AP30003436",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9626920",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Olympia, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.