Leyton Endicott Jump

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

MD00022762 Issued in WA

Practice address

273 Sussex Ave E
Tenino, WA 98589-9359

Phone

(360) 264-5665

Fax

(360) 264-5666

NPI assigned

Apr 25, 2006

Last updated

Feb 26, 2015By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Lewis County Community Health Services

  dba Valley View Health Center

  • Federally Qualified Health Center (FQHC)
  • Chehalis, WA
  • NPI 1134164692
  Medicare reassignment NPD
• Leyton Endicott Jump

  dba Tenino Family Practice

  • Family Medicine Physician
  • Tenino, WA
  • NPI 1851357008
  Authorized official Same address or phone
• Tenino Family Practice PLLC

  • Adolescent Medicine (Family Medicine) Physician
  • Tenino, WA
  • NPI 1487056511
  Authorized official Same address or phone
• Lewis County Community Health Services

  dba Valley View Health Center - Tenino

  • Federally Qualified Health Center (FQHC)
  • Tenino, WA
  • NPI 1881135499
  NPD

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

{
    "created_epoch": "1145923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424908800000",
    "number": "1790741924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4020",
            "city": "TENINO",
            "state": "WA",
            "postal_code": "985894020",
            "telephone_number": "360-264-5665",
            "fax_number": "360-264-5666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "273 SUSSEX AVE E",
            "city": "TENINO",
            "state": "WA",
            "postal_code": "985899359",
            "telephone_number": "360-264-5665",
            "fax_number": "360-264-5666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUMP",
        "first_name": "LEYTON",
        "middle_name": "ENDICOTT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-25",
        "last_updated": "2015-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "WA",
            "license": "MD00022762",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Hemley
• Irene Fern Hunter, DDS
• Chasity Daugherty7 Johnson, LEP, NCSP
• Shirley Jeanne Johnson, R.PH.
• Shelley L Jones, LMP
• Annette Kissel, LMT
• Lewis County Community Health Services (Valley View Health Center - Tenino)
• Leyton Endicott Jump (Tenino Family Practice)
• Massage Therapy by Magic Inc
• Morgan Taylor Masters

• General Practice Physician in Tenino, WA
• Providers in Tenino, WA by specialty
• General Practice Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2015; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.