Active NPI
Jennifer Lynn Harold
- Family Nurse Practitioner
- Rochester, WA
National Provider Identifier
1821934803
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP70164584NP
- Practice address
- 18508 Ivan St SW
Rochester, WA 98579-8781 - Phone
- (360) 999-6792
- NPI assigned
- Apr 24, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | AP70164584NP | WA | Primary |
Addresses
Primary practice location
18508 Ivan St SW
Rochester, WA 98579-8781
Mailing address
18508 Ivan St SW
Rochester, WA 98579-8781
Phone (360) 999-6792
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN61078399 | WA | MD | Student in an Organized Health Care Education/Training Program |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1776988800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787097600000",
"number": "1821934803",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18508 IVAN ST SW",
"city": "ROCHESTER",
"state": "WA",
"postal_code": "985798781",
"telephone_number": "360-999-6792"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18508 IVAN ST SW",
"city": "ROCHESTER",
"state": "WA",
"postal_code": "985798781",
"telephone_number": "360-999-6792"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAROLD",
"first_name": "JENNIFER",
"middle_name": "LYNN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-04-24",
"last_updated": "2026-08-19",
"certification_date": "2026-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "WA",
"license": "AP70164584NP",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rochester, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.