Jennifer Ann Nolan-Monteleone, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD00040971 Issued in WA

Practice address

22010 17TH Ave SE
Suite F
Bothell, WA 98021-8486

Phone

(425) 488-4988

Fax

(425) 488-4993

NPI assigned

Nov 18, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• King County Public Hospital District No. 2

  • Physical Therapist
  • Kirkland, WA
  • NPI 1356920946
  NPD (past)

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

{
    "created_epoch": "1132272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1322697600000",
    "number": "1811979396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12910 TOTEM LAKE BLVD NE",
            "address_2": "SUITE 260",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980342954",
            "telephone_number": "425-899-3270",
            "fax_number": "425-899-3269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22010 17TH AVE SE",
            "address_2": "SUITE F",
            "city": "BOTHELL",
            "state": "WA",
            "postal_code": "980218486",
            "telephone_number": "425-488-4988",
            "fax_number": "425-488-4993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOLAN-MONTELEONE",
        "first_name": "JENNIFER",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-18",
        "last_updated": "2011-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "MD00040971",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LABOR & INDUSTRIES",
            "identifier": "201827",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8339368",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rukia M Ngwaliussi
• Margaret Mary Nichols, M.A.
• Kosuke Niitsu, PHD, ARNP, PMHNP-BC
• Doug Nishimura, CDPT
• Skylar Jordin Nokes
• Adelle Grace Nolan, CPT
• Norah Care Homes LLC
• Stephanie Norby, LMT
• P Lynn Nordberg, PT
• Norman Bolosan, DDS, PC

• Family Medicine Physician in Bothell, WA
• Providers in Bothell, WA by specialty
• Family Medicine Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2011; 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.