Individual provider Active NPI

Jennifer Gwynne Jones-Vanderleest, MD

  • Family Medicine Physician
  • Seattle, WA
National Provider Identifier
1760579759
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD60109824 Issued in WA
Practice address
Jail Health Services Division, Public Health-Seattle &
500 5TH Ave, 6W
Seattle, WA 98104
Phone
(206) 477-6310
Fax
(206) 296-1771
NPI assigned
Oct 10, 2006
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
Family Medicine Physician 207Q00000X MD60109824 WA Primary

Addresses

Primary practice location

Jail Health Services Division, Public Health-Seattle &
500 5TH Ave, 6W
Seattle, WA 98104

Mailing address

Jail Health Services Division, Public Health-Seattle &
500 5TH Ave, 6W
Seattle, WA 98104
Phone (206) 477-6310

Other identifiers 1

IdentifierTypeStateIssuer
MD60109824OtherWALICENSE

Other names 1

  • Jennifer Gwynne Vanderleest Former name

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)
Enrolled
Credentials
Doctor of Medicine

NPI Registry JSON

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1760579759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "JAIL HEALTH SERVICES DIVISION, PUBLIC HEALTH-SEATTLE &",
            "address_2": "500 5TH AVE, 6W",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "98104",
            "telephone_number": "206-477-6310",
            "fax_number": "206-296-1771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "JAIL HEALTH SERVICES DIVISION, PUBLIC HEALTH-SEATTLE &",
            "address_2": "500 5TH AVE, 6W",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "98104",
            "telephone_number": "206-477-6310",
            "fax_number": "206-296-1771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES-VANDERLEEST",
        "first_name": "JENNIFER",
        "middle_name": "GWYNNE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-10",
        "last_updated": "2023-03-07",
        "certification_date": "2022-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "MD60109824",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "MD60109824",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "VANDERLEEST",
            "middle_name": "GWYNNE",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Seattle, 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.