Active NPI
Jennifer Christine Predmore, RN
- Case Manager/Care Coordinator
- Tacoma, WA
National Provider Identifier
1760118152
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- License
- RN61088743
- Practice address
- 1708 E 44TH St
Tacoma, WA 98404-4611 - Phone
- (253) 471-4553
- NPI assigned
- Jul 27, 2022
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | RN61088743 | WA | Primary |
Addresses
Primary practice location
1708 E 44TH St
Tacoma, WA 98404-4611
Mailing address
1708 E 44TH St
Tacoma, WA 98404-4611
Phone (253) 471-4553
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN61088743 | WA | MD | Case Manager/Care Coordinator |
Interoperability endpoints
- jennifer.predmorern.p1@direct.chc-tacoma.nextgenshare.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1658880000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658880000000",
"number": "1760118152",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1708 E 44TH ST",
"city": "TACOMA",
"state": "WA",
"postal_code": "984044611",
"telephone_number": "253-471-4553"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1708 E 44TH ST",
"city": "TACOMA",
"state": "WA",
"postal_code": "984044611",
"telephone_number": "253-471-4553"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PREDMORE",
"first_name": "JENNIFER",
"middle_name": "CHRISTINE",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-07-27",
"last_updated": "2022-07-27",
"certification_date": "2022-07-27",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "WA",
"license": "RN61088743",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tacoma, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 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.