Individual provider Active NPI

Jennifer W Cole, D.O.

  • Allergy & Immunology (Internal Medicine) Physician
  • Lakewood, WA
National Provider Identifier
1801948583
Registry record updated Mar 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology (Internal Medicine) PhysicianTaxonomy code 207RA0201X
License
OP60309772 Issued in WA
Practice address
Allergy & Asthma Specialty Service, PS
11203 Bridgeport Way SW
Lakewood, WA 98499-3002
Phone
(253) 589-1380
NPI assigned
Jan 16, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology (Internal Medicine) Physician 207RA0201X OP60309772 WA Primary

Addresses

Primary practice location

Allergy & Asthma Specialty Service, PS
11203 Bridgeport Way SW
Lakewood, WA 98499-3002

Mailing address

11203 Bridgeport Way SW
Lakewood, WA 98499-3002
Phone (253) 589-1380

Other practice location 1

Madigan Healthcare System 9040 Reid Street
Tacoma, WA 98431-1100
Phone (253) 968-5069

Other practice location 2

Blanchfield Army Community Hospital 650 Joel Dr
Fort Campbell, KY 42223-5318
Phone (270) 798-8727

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140825001744 WA Practitioner - Allergy/ImmunologyPractitioner - Internal Medicine 4486833795 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Allergy/ImmunologyAlso: Internal Medicine
Education
Philadelphia College of Osteopathic Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Allergy and Asthma Specialty Service PSGroup PAC ID 4385532910, 6 clinicians

Practice addresses (Care Compare)

11203 Bridgeport Way SW
Lakewood, WA 98499-3002
Phone (253) 589-1380

318 39TH Ave SW
Suite B
Puyallup, WA 98373-3683
Phone (253) 589-1380

4700 Point Fosdick Dr NW
Suite 310
Gig Harbor, WA 98335-1706
Phone (253) 589-1380

Hospital & facility affiliations

  • Providence Centralia Hospital Hospital, Centralia, WA, CCN 500019
  • Tacoma General Allenmore Hospital Hospital, Tacoma, WA, CCN 500129

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Interoperability endpoints

  • Direct secure messaging: jennifercole@aassps.allscriptsdirect.net

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583366400000",
    "number": "1801948583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11203 BRIDGEPORT WAY SW",
            "city": "LAKEWOOD",
            "state": "WA",
            "postal_code": "984993002",
            "telephone_number": "253-589-1380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ALLERGY & ASTHMA SPECIALTY SERVICE, PS",
            "address_2": "11203 BRIDGEPORT WAY SW",
            "city": "LAKEWOOD",
            "state": "WA",
            "postal_code": "984993002",
            "telephone_number": "253-589-1380"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Madigan Healthcare System 9040 Reid Street",
            "address_purpose": "LOCATION",
            "city": "Tacoma",
            "state": "WA",
            "postal_code": "984311100",
            "country_code": "US",
            "telephone_number": "253-968-5069",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "Blanchfield Army Community Hospital 650 Joel Dr",
            "address_purpose": "LOCATION",
            "city": "Fort Campbell",
            "state": "KY",
            "postal_code": "422235318",
            "country_code": "US",
            "telephone_number": "270-798-8727",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COLE",
        "first_name": "JENNIFER",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-16",
        "last_updated": "2020-03-05",
        "certification_date": "2020-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RA0201X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Allergy & Immunology",
            "state": "WA",
            "license": "OP60309772",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, WA

Sources for this page

Verify at the official NPI Registry.