Individual provider Active NPI

Jennifer Renee Stentz, LMP

  • Specialist
  • Wenatchee, WA
National Provider Identifier
1770774150
Registry record updated Apr 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MA00024443 Issued in WA
Practice address
11 Spokane St
Suite 202
Wenatchee, WA 98801-6132
Phone
(509) 888-3898
Fax
(509) 888-8001
NPI assigned
Aug 9, 2007
Last updated
Apr 23, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X MA00024443 WA Primary

Addresses

Primary practice location

11 Spokane St
Suite 202
Wenatchee, WA 98801-6132

Mailing address

11 Spokane St
Suite 202
Wenatchee, WA 98801-6132
Phone (509) 888-3898

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
MA00024443WAMDSpecialist

NPI Registry JSON

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

{
    "created_epoch": "1186617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1366675200000",
    "number": "1770774150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 SPOKANE ST",
            "address_2": "SUITE 202",
            "city": "WENATCHEE",
            "state": "WA",
            "postal_code": "988016132",
            "telephone_number": "509-888-3898",
            "fax_number": "509-888-8001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 SPOKANE ST",
            "address_2": "SUITE 202",
            "city": "WENATCHEE",
            "state": "WA",
            "postal_code": "988016132",
            "telephone_number": "509-888-3898",
            "fax_number": "509-888-8001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STENTZ",
        "first_name": "JENNIFER",
        "middle_name": "RENEE",
        "credential": "LMP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-09",
        "last_updated": "2013-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "WA",
            "license": "MA00024443",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wenatchee, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2013; 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.