Active NPI
Kristen Renea Goetz Jones, ARNP
- Family Nurse Practitioner
- Kent, WA
National Provider Identifier
1710289202
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP60159381
- Practice address
- 4802 S 215TH St
Kent, WA 98032-8481 - Phone
- (206) 321-6935
- NPI assigned
- Dec 3, 2010
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | AP60159381 | WA | Primary |
Addresses
Primary practice location
4802 S 215TH St
Kent, WA 98032-8481
Mailing address
4802 S 215TH St
Kent, WA 98032-8481
Phone (206) 321-6935
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
| License | State | Type | Specialty |
|---|---|---|---|
| AP60159381 | WA | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1291334400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1291334400000",
"number": "1710289202",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4802 S 215TH ST",
"city": "KENT",
"state": "WA",
"postal_code": "980328481",
"telephone_number": "206-321-6935"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4802 S 215TH ST",
"city": "KENT",
"state": "WA",
"postal_code": "980328481",
"telephone_number": "206-321-6935"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JONES",
"first_name": "KRISTEN",
"middle_name": "RENEA GOETZ",
"credential": "ARNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-12-03",
"last_updated": "2010-12-03",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "WA",
"license": "AP60159381",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kent, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.