Jennifer Evenson, LMP

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

60967855 Issued in WA

Practice address

360 NW 47TH St
Seattle, WA 98107-4445

Phone

(206) 777-5187

NPI assigned

Jul 25, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Healing Ponds Northwest LLC

  dba Sports Medicine Northwest

  • Chiropractor
  • Seattle, WA
  • NPI 1326316928

  Acupuncturist

  NPD (past)

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

{
    "created_epoch": "1406246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579737600000",
    "number": "1851709505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 NW 47TH ST",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981074445",
            "telephone_number": "206-777-5187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 NW 47TH ST",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981074445",
            "telephone_number": "206-777-5187"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2324 California Ave SW",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981162403",
            "country_code": "US",
            "telephone_number": "206-682-0676",
            "fax_number": "206-623-0397",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3417 Evanston Ave N Ste 223",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981038686",
            "country_code": "US",
            "telephone_number": "206-777-5187",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EVENSON",
        "first_name": "JENNIFER",
        "credential": "LMP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-07-25",
        "last_updated": "2020-01-23",
        "certification_date": "2020-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA 60483772",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "WA",
            "license": "60967855",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "seattle",
            "affiliation": "N",
            "address_1": "360 NW 47th St",
            "city": "Seattle",
            "state": "WA",
            "country_code": "US",
            "postal_code": "981074445",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Tonya G Evans, M ED. BCBA
• William Marion Evans Jr., O.D.
• Yolanda Nicole Evans, MD
• Nicole M Even
• Christine Ann Evenson, OTRL
• Ever-Shay Thrive LLC
• Brie Everard, PSYD
• Mark J. Everard, MD
• Everbright Therapy PLLC (Therapy)
• Baylee Wendy Everett, PA-C

• Acupuncturist in Seattle, WA
• Providers in Seattle, WA by specialty
• Acupuncturist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2020; 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.