Individual provider Active NPI

Sierra White-Jackson

  • Infection Control Registered Nurse
  • Lakewood, WA
National Provider Identifier
1740998939
Registry record updated Nov 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infection Control Registered NurseTaxonomy code 163WI0600X
License
61343809 Issued in WA
Practice address
5700 100TH St SW Ste 100
Lakewood, WA 98499-2708
Phone
(253) 588-3666
NPI assigned
Nov 7, 2022
Last updated
Nov 7, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infection Control Registered Nurse 163WI0600X 61343809 WA Primary

Addresses

Primary practice location

5700 100TH St SW Ste 100
Lakewood, WA 98499-2708

Mailing address

1200 Intrepid Ave
Philadelphia, PA 19112-1229

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
61343809WAMDInfection Control Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Thrifty Payless Inc PastSince Nov 13, 2022 Accepting new patients
Thrifty Payless Inc PastSince Nov 13, 2022 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1667779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667779200000",
    "number": "1740998939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 INTREPID AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191121229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5700 100TH ST SW STE 100",
            "city": "LAKEWOOD",
            "state": "WA",
            "postal_code": "984992708",
            "telephone_number": "253-588-3666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE-JACKSON",
        "first_name": "SIERRA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-07",
        "last_updated": "2022-11-07",
        "certification_date": "2022-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WI0600X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Infection Control",
            "state": "WA",
            "license": "61343809",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2022; 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.