Jerene Aldinger, ARNP
Individual provider Active NPI Family Nurse Practitioner · Bothell, WA
NPI 1831723907 · NPPES record last updated Mar 7, 2023
Key facts
- NPI
- 1831723907
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- AP61119213 (WA)
- Practice address
- 11812 N Creek Pkwy N Ste 202
Bothell, WA 98011-8202 - Phone
- (425) 287-5500
- Fax
- (425) 287-6440
- NPI assigned
- Feb 27, 2020
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP61119213 | WA | MD | Family Nurse Practitioner |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | AP61119213 | WA | Yes |
Addresses
Primary practice location
11812 N Creek Pkwy N Ste 202
Bothell, WA 98011-8202
Mailing address
11812 N Creek Pkwy N Ste 202
Bothell, WA 98011-8202
Phone (425) 287-5500
Other practice location 1
607 SE Everett Mall Way Ste 2
Everett, WA 98208-3210
Phone (425) 287-5500
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2175860 | Medicaid | WA |
Other providers in Bothell, WA
- Umema Ahmed
- Dona Ahrens
- Hadil Al-Tamimi
- Elizabeth Albrecht
- Jennifer Alcantara
- Angelo Alexander Alevizatos
- Josephine Alexander-Cooper
- Jennifer Leah Alexander
- Andrea Alfaro
- Ahmed Ali
All providers in Bothell, WA · Family Nurse Practitioner in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 7, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.