Active NPI
Douglas Ray Jahns, ARNP
- Family Nurse Practitioner
- Othello, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP61575505
- Practice address
- 1515 E Columbia St
Othello, WA 99344-1846 - Phone
- (509) 488-5256
- Fax
- (509) 488-9939
- NPI assigned
- Jan 25, 2024
- Last updated
- Jun 26, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | AP61575505 | WA | Primary |
| Registered Nurse | 163W00000X | RN60086904 | WA |
Addresses
Primary practice location
1515 E Columbia St
Othello, WA 99344-1846
Mailing address
1515 E Columbia St
Othello, WA 99344-1846
Phone (509) 488-5256
Other practice location 1
6115 Burden Blvd Ste D
Pasco, WA 99301-0010
Phone (509) 488-5256
Other practice location 2
601 Government Rd
Mattawa, WA 99349-5120
Phone (509) 488-5256
Other practice location 3
1051 Columbia Ave
Connell, WA 99326-8702
Phone (509) 488-5256
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1515 E Columbia St
Othello, WA 99344-1846
Phone 50948852568512
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN60086904 | WA | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Columbia Basin Health Association | Family | Current | Accepting new patients |
| Columbia Basin Health Association | Current | Accepting new patients | |
| Columbia Basin Health Association | Current | Accepting new patients | |
| Columbia Basin Health Association | Past | Accepting new patients | |
| Kendal Rae Piatt, OD, PC | Past | Accepting new patients |
Locations
601 Government Rd
Mattawa, WA 99349
Phone 5094885256 ext. 8512
1515 E Columbia St
Othello, WA 99344
Phone (509) 488-5250
475 N 14th Ave
Othello, WA 99344
Phone (509) 488-6644
6115 Burden Blvd
Ste D
Pasco, WA 99301
Phone 5094885256 ext. 8512
Organizations & group practices 5
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.
-
dba Eagle Eye Care
- Federally Qualified Health Center (FQHC)
- Connell, WA
- NPI 1528316379
-
- Federally Qualified Health Center (FQHC)
- Pasco, WA
- NPI 1225716947
Family
-
- Federally Qualified Health Center (FQHC)
- Mattawa, WA
- NPI 1710232749
-
- Federally Qualified Health Center (FQHC)
- Othello, WA
- NPI 1619915006
-
dba Grandridge Eye Clinic
- Corneal and Contact Management Optometrist
- Kennewick, WA
- NPI 1972725059
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Richland, WA
- NPI 1972507580
-
dba Tri Cities Home Health
- Home Health Agency
- Kennewick, WA
- NPI 1679547244
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1706140800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1719360000000",
"number": "1780446740",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1515 E COLUMBIA ST",
"city": "OTHELLO",
"state": "WA",
"postal_code": "993441846",
"telephone_number": "509-488-5256",
"fax_number": "509-488-9939"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1515 E COLUMBIA ST",
"city": "OTHELLO",
"state": "WA",
"postal_code": "993441846",
"telephone_number": "509-488-5256",
"fax_number": "509-488-9939"
}
],
"practiceLocations": [
{
"address_1": "6115 Burden Blvd Ste D",
"address_purpose": "LOCATION",
"city": "Pasco",
"state": "WA",
"postal_code": "993010010",
"country_code": "US",
"telephone_number": "509-488-5256",
"fax_number": "509-488-9939",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "601 Government Rd",
"address_purpose": "LOCATION",
"city": "Mattawa",
"state": "WA",
"postal_code": "993495120",
"country_code": "US",
"telephone_number": "509-488-5256",
"fax_number": "509-488-9939",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1051 Columbia Ave",
"address_purpose": "LOCATION",
"city": "Connell",
"state": "WA",
"postal_code": "993268702",
"country_code": "US",
"telephone_number": "509-488-5256",
"fax_number": "509-488-9939",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JAHNS",
"first_name": "DOUGLAS",
"middle_name": "RAY",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-01-25",
"last_updated": "2024-06-26",
"certification_date": "2024-06-26",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "WA",
"license": "AP61575505",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "WA",
"license": "RN60086904",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Othello, WA
- Patricia Ann Hull, L.P.C.
- Charles Ibeziako, MD
- Sonia Veronica Idrogo, DMD
- Inland Northwest Renal Care Group, LLC (Fresenius Medical Care Leah Layne Dialysis Clinic)
- Andrew Robert Jacobson, PHARMACIST
- Mishka K James, PA-C
- Clarissa Jimenez, RDH
- Manuel Jimenez, DDS
- Richard Jimenez, D.M.D.
- Aaron Ross Jones, MSW
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.