Carole Jenny, MD

Primary specialty

Child Abuse Pediatrics PhysicianTaxonomy code 2080C0008X

License

MD00015417 Issued in WA

Practice address

10 Decatur Is
Decatur Island
Anacortes, WA 98221-9402

Phone

(360) 375-6277

NPI assigned

May 20, 2006

Last updated

Nov 19, 2013By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Interoperability endpoints

• Direct secure messaging: cjenny253529@direct.ehre.uwmedicine.org

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

{
    "created_epoch": "1148083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1384819200000",
    "number": "1922052109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 DECATUR IS",
            "address_2": "DECATUR ISLAND",
            "city": "ANACORTES",
            "state": "WA",
            "postal_code": "982219402",
            "telephone_number": "360-375-6277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 DECATUR IS",
            "address_2": "DECATUR ISLAND",
            "city": "ANACORTES",
            "state": "WA",
            "postal_code": "982219402",
            "telephone_number": "360-375-6277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENNY",
        "first_name": "CAROLE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-20",
        "last_updated": "2013-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080C0008X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Child Abuse Pediatrics",
            "state": "WA",
            "license": "MD00015417",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "CJ30400",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael C James, MD
• Pamela James
• Richard D Jefferson, SUDP
• Jeffrey S Hambleton MD PLLC
• Jennings Chiropractic, Inc., P.S.
• Diana G Johnson, RPH
• Jessica Gloria Johnson, SUDT
• Levi R Johnson, D.P.T
• Rachel Johnson, M. ED.
• Johnny Michael Jones, PA-C

• Pediatrics Physician in Anacortes, WA
• Providers in Anacortes, WA by specialty
• Pediatrics Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2013; 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.