Individual provider Active NPI

Whitney Hunter Jessen, NHA

  • Adult Care Home Facility
  • Edmonds, WA
National Provider Identifier
1902745011
Registry record updated Mar 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
License
NH61179572 Issued in WA
Practice address
960 5TH Ave S Unit 202
Edmonds, WA 98020-4037
Phone
(208) 695-4872
NPI assigned
Mar 25, 2026
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 25, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X NHA-P-10214176 OR
Adult Care Home Facility 311ZA0620X NH61179572 WA Primary

Addresses

Primary practice location

960 5TH Ave S Unit 202
Edmonds, WA 98020-4037

Mailing address

960 5TH Ave S Unit 202
Edmonds, WA 98020-4037
Phone (208) 695-4872

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
NHA-P-10214176ORMDAdult Care Home Facility
NH61179572WAMDAdult Care Home Facility

NPI Registry JSON

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

{
    "created_epoch": "1774396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774396800000",
    "number": "1902745011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "960 5TH AVE S UNIT 202",
            "city": "EDMONDS",
            "state": "WA",
            "postal_code": "980204037",
            "telephone_number": "208-695-4872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "960 5TH AVE S UNIT 202",
            "city": "EDMONDS",
            "state": "WA",
            "postal_code": "980204037",
            "telephone_number": "208-695-4872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JESSEN",
        "first_name": "WHITNEY",
        "middle_name": "HUNTER",
        "credential": "NHA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-03-25",
        "last_updated": "2026-03-25",
        "certification_date": "2026-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "OR",
            "license": "NHA-P-10214176",
            "primary": false
        },
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "WA",
            "license": "NH61179572",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edmonds, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 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.