Individual provider Active NPI

Jennifer L. Booker, N.D.

  • Naturopath
  • Tenino, WA
National Provider Identifier
1861533218
Registry record updated Jan 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
NaturopathTaxonomy code 175F00000X
License
NT00000625 Issued in WA
Practice address
448 Sussex Ave East
Suite 2
Tenino, WA 98589
Phone
(360) 264-4567
Fax
(360) 264-4511
NPI assigned
Feb 9, 2007
Last updated
Jan 15, 2010By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 15, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Naturopath 175F00000X NT00000625 WA Primary

Addresses

Primary practice location

448 Sussex Ave East
Suite 2
Tenino, WA 98589

Mailing address

P.O. Box 4025
448 Susex Ave. Ste. 2
Tenino, WA 98589
Phone (360) 264-4567

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
NT00000625WAMDNaturopath

NPI Registry JSON

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

{
    "created_epoch": "1170979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1263513600000",
    "number": "1861533218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 4025",
            "address_2": "448 SUSEX AVE. STE. 2",
            "city": "TENINO",
            "state": "WA",
            "postal_code": "98589",
            "telephone_number": "360-264-4567",
            "fax_number": "360-264-4511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "448 SUSSEX AVE EAST",
            "address_2": "SUITE 2",
            "city": "TENINO",
            "state": "WA",
            "postal_code": "98589",
            "telephone_number": "360-264-4567",
            "fax_number": "360-264-4511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOOKER",
        "first_name": "JENNIFER",
        "middle_name": "L.",
        "name_prefix": "Dr.",
        "credential": "N.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-09",
        "last_updated": "2010-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "WA",
            "license": "NT00000625",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tenino, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2010; 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.