Jamison Family Medicine PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

OP00001523 Issued in WA

Legal business name

JAMISON FAMILY MEDICINE PLLC

Practice address

9631 N Nevada St
Suite 210
Spokane, WA 99218-1133

Phone

(509) 319-2430

Fax

(877) 568-2402

NPI assigned

Oct 15, 2015

Organization subpart

No

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

Authorized official

Name

Natalie Conrad

Title

Business Manager

Phone

(509) 319-2430

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Cody Joshua Ellefsen, DO

  • Family Medicine Physician
  • Spokane, WA
  • NPI 1578759304
  Medicare reassignment NPD
• Jeffrey R. Jamison, D.O

  • Family Medicine Physician
  • Spokane, WA
  • NPI 1811068836
  Medicare reassignment NPD
• Selina Marie Ross, ARNP

  • Family Nurse Practitioner
  • Deer Park, WA
  • NPI 1215358841
  Medicare reassignment NPD
• Lauren L Keiser, PA-C

  • Physician Assistant
  • Richland, WA
  • NPI 1801606520
  Medicare reassignment
• Kelsey Elizabeth Pruitt, PA-C

  • Physician Assistant
  • Spokane, WA
  • NPI 1184191629
  Medicare reassignment

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

{
    "created_epoch": "1444867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490140800000",
    "number": "1922479088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9631 N NEVADA ST",
            "address_2": "SUITE 210",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "99218",
            "telephone_number": "509-319-2430",
            "fax_number": "877-568-2402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9631 N NEVADA ST",
            "address_2": "SUITE 210",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992181133",
            "telephone_number": "509-319-2430",
            "fax_number": "877-568-2402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMISON FAMILY MEDICINE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-15",
        "last_updated": "2017-03-22",
        "status": "A",
        "authorized_official_last_name": "CONRAD",
        "authorized_official_first_name": "NATALIE",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "509-319-2430"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "OP00001523",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2050216",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sophia Laureen James, MOTR/L
• Tara-Willow Ferren James, M.D.
• Rachelle A Jameson, LMP
• Jamie Seiler
• Lynne Louise Jamieson, MA, LMHC
• Sarah Jamison-Jeter, MSW
• Jamea K Jamison, PR70068417
• Jeffrey R. Jamison, D.O
• George Lee Janasky, RPH
• Mona Janbozorgi

• Family Medicine Physician in Spokane, WA
• Providers in Spokane, WA by specialty
• Family Medicine Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.