NPIMap

Individual provider Active NPI

Jennifer Anne Playstead, MD

  • Family Medicine Physician
  • Lacey, WA
National Provider Identifier
1851464937
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD00039072 Issued in WA
Practice address
5130 Corporate Center CT SE
Lacey, WA 98503-5957
Phone
(360) 413-8600
NPI assigned
Nov 16, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD00039072 WA Primary

Addresses

Primary practice location

5130 Corporate Center CT SE
Lacey, WA 98503-5957

Mailing address

5130 Corporate Center CT SE
Lacey, WA 98503-5957
Phone (360) 413-8600

Other identifiers 2

IdentifierTypeStateIssuer
8275091MedicaidWA
1851464937OtherWANPI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080529000201 WA Practitioner - Family Practice 7416027701 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Hawaii John a. Burns School of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

3920 Capital Mall Dr SW
Suite 200
Olympia, WA 98502-8701
Phone (360) 459-7282

525 Lilly Rd NE
Olympia, WA 98506-5101

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD00039072WAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Capital Medical Center Physicians LLC CurrentSince Apr 1, 2024 Accepting new patients
Pioneer Family Practice, PLLC Family Medicine CurrentSince Sep 1, 2001 Accepting new patients
Capital Medical Center Physicians LLC Family Medicine CurrentSince Apr 1, 2024 Accepting new patients
Olympia Family Medicine, Inc. Family Medicine Past Accepting new patients

Locations

5130 Corporate Center Ct SE
Lacey, WA 98503
Phone (360) 413-8600

413 Lilly Rd NE
Olympia, WA 98506
Phone (360) 491-9480

3920 Capital Mall Dr SW
Ste 200
Olympia, WA 98502
Phone (360) 459-7282

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GCCGAA

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1851464937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5130 CORPORATE CENTER CT SE",
            "city": "LACEY",
            "state": "WA",
            "postal_code": "985035957",
            "telephone_number": "360-413-8600",
            "fax_number": "360-413-8822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5130 CORPORATE CENTER CT SE",
            "city": "LACEY",
            "state": "WA",
            "postal_code": "985035957",
            "telephone_number": "360-413-8600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PLAYSTEAD",
        "first_name": "JENNIFER",
        "middle_name": "ANNE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-16",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "MD00039072",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8275091",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1851464937",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lacey, WA

Sources for this page

Verify at the official NPI Registry.