Individual provider Active NPI

Jennifer Lynn Cantrell, ARNP

  • Nurse Practitioner
  • Spokane, WA
National Provider Identifier
1851113716
Registry record updated Apr 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP70015355 Issued in WA
Practice address
106 W Mission Ave
Spokane, WA 99201-2337
Phone
(909) 239-3016
NPI assigned
Oct 30, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 53657 ID
Nurse Practitioner 363L00000X AP70015355 WA Primary

Addresses

Primary practice location

106 W Mission Ave
Spokane, WA 99201-2337

Mailing address

3410 Broken Arrow Rd
Coeur D Alene, ID 83815-8836
Phone (909) 239-3016

Other practice location 1

8202 N Division St
Spokane, WA 99208-5713
Phone (909) 239-3016

Other practice location 2

800 W 5th Ave
Spokane, WA 99204-2803
Phone (909) 239-3016

Other practice location 3

12606 E Mission Ave
Spokane Valley, WA 99216-3421
Phone (909) 239-3016

Other names 1

  • Jennifer Lynn Clark Former name

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

LicenseStateTypeSpecialty
53657IDMDRegistered Nurse
AP70015355WAMDNurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1730246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775088000000",
    "number": "1851113716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3410 BROKEN ARROW RD",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838158836",
            "telephone_number": "909-239-3016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 W MISSION AVE",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992012337",
            "telephone_number": "909-239-3016"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8202 N Division St",
            "address_purpose": "LOCATION",
            "city": "Spokane",
            "state": "WA",
            "postal_code": "992085713",
            "country_code": "US",
            "telephone_number": "909-239-3016",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "800 W 5th Ave",
            "address_purpose": "LOCATION",
            "city": "Spokane",
            "state": "WA",
            "postal_code": "992042803",
            "country_code": "US",
            "telephone_number": "909-239-3016",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12606 E Mission Ave",
            "address_purpose": "LOCATION",
            "city": "Spokane Valley",
            "state": "WA",
            "postal_code": "992163421",
            "country_code": "US",
            "telephone_number": "909-239-3016",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CANTRELL",
        "first_name": "JENNIFER",
        "middle_name": "LYNN",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-30",
        "last_updated": "2026-04-02",
        "certification_date": "2026-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "ID",
            "license": "53657",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WA",
            "license": "AP70015355",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "CLARK",
            "middle_name": "LYNN",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Spokane, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 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.

Verify at the official NPI Registry.