Jennifer Louise Jordan, L.M.P.

Primary specialty

SpecialistTaxonomy code 174400000X

License

MA 1446 Issued in WA

Practice address

1420 King St Ste D
Bellingham, WA 98229-6264

Phone

(360) 671-4242

Fax

(360) 671-4268

NPI assigned

May 15, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Mrs. Jennifer Bernard Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1780890988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1420 KING ST STE D",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982296264",
            "telephone_number": "360-671-4242",
            "fax_number": "360-671-4268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1420 KING ST STE D",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982296264",
            "telephone_number": "360-671-4242",
            "fax_number": "360-671-4268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JORDAN",
        "first_name": "JENNIFER",
        "middle_name": "LOUISE",
        "name_prefix": "Ms.",
        "credential": "L.M.P.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "WA",
            "license": "MA 1446",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LABOR AND INDUSTRIES",
            "identifier": "0207905",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "BERNARD",
            "prefix": "MRS.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Tracy Diane Jones
• Valeria Jones, LICSW
• Tracey Leigh-Ann Jongema, LMT
• Jennifer Jordalen, PA-C
• Derek Joseph Jordan
• Skyler Jordan
• John Jordy, LMHC, M.ED.
• Bruce H Jorgensen, D.C.
• Jane Elizabeth Jorgensen
• Jenna Jorgensen, ND

• Specialist in Bellingham, WA
• Providers in Bellingham, WA by specialty
• Specialist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.