Active NPI
Jessica L Stern, PHA, LMP
- Pharmacy Technician
- Kent, WA
National Provider Identifier
1831163062
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy Technician
- License
- VA00020719
- Practice address
- 524 W Meeker St
Ste 4
Kent, WA 98032-5766 - Phone
- (253) 850-9973
- NPI assigned
- Feb 14, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy Technician | 183700000X | VA00020719 | WA | Primary |
| Specialist | 174400000X | MA 00010679 | WA |
Addresses
Primary practice location
524 W Meeker St
Ste 4
Kent, WA 98032-5766
Mailing address
PO Box 50764
Bellevue, WA 98015-0764
Phone (253) 850-9973
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 |
|---|---|---|---|
| MA 00010679 | WA | MD | Specialist |
| VA00020719 | WA | MD | Pharmacy Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Infinity Chiropractic | Past | Accepting new patients |
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.
-
- Chiropractor
- Kent, WA
- NPI 1477733830
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139875200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1217376000000",
"number": "1831163062",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 50764",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "980150764",
"telephone_number": "253-850-9973",
"fax_number": "253-850-1405"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "524 W MEEKER ST",
"address_2": "STE 4",
"city": "KENT",
"state": "WA",
"postal_code": "980325766",
"telephone_number": "253-850-9973"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STERN",
"first_name": "JESSICA",
"middle_name": "L",
"credential": "PHA, LMP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-02-14",
"last_updated": "2008-07-30",
"status": "A"
},
"taxonomies": [
{
"code": "183700000X",
"taxonomy_group": "",
"desc": "Pharmacy Technician",
"state": "WA",
"license": "VA00020719",
"primary": true
},
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "WA",
"license": "MA 00010679",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kent, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.