Active NPI
Jennifer Jackson, AGACNP
- Acute Care Nurse Practitioner
- Redmond, WA
National Provider Identifier
1780395541
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- AP.70149679-NP
- Practice address
- 8201 164TH Ave NE Ste 325
Redmond, WA 98052-7615 - Phone
- (425) 818-5311
- NPI assigned
- Dec 12, 2022
- Last updated
- Oct 19, 2026
- 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 |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | AP.70149679-NP | WA | Primary |
Addresses
Primary practice location
8201 164TH Ave NE Ste 325
Redmond, WA 98052-7615
Mailing address
8201 164Thave NE Ste325
Redmond, WA 98052
Phone (425) 818-5311
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pathway Geriatrics PLLC | Past | Accepting new patients | |
| Pathway Geriatrics Residential PLLC | Past | 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.
-
- Primary Care Clinic/Center
- Redmond, WA
- NPI 1154924207
-
- Gerontology Nurse Practitioner
- Redmond, WA
- NPI 1326979659
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1670803200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1792368000000",
"number": "1780395541",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8201 164THAVE NE STE325",
"city": "REDMOND",
"state": "WA",
"postal_code": "98052",
"telephone_number": "425-818-5311"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8201 164TH AVE NE STE 325",
"city": "REDMOND",
"state": "WA",
"postal_code": "980527615",
"telephone_number": "425-818-5311"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JACKSON",
"first_name": "JENNIFER",
"credential": "AGACNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-12-12",
"last_updated": "2026-10-19",
"certification_date": "2026-10-19",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "WA",
"license": "AP.70149679-NP",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Redmond, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.