Active NPI
Jennifer L. Booker, N.D.
- Naturopath
- Tenino, WA
National Provider Identifier
1861533218
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Naturopath
- License
- NT00000625
- 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, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| NT00000625 | WA | MD | Naturopath |
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.