Individual provider Active NPI

Jessica Armitage, ARNP

  • Nurse Practitioner
  • Sumner, WA
National Provider Identifier
1922510726
Registry record updated Jul 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP60805305 Issued in WA
Practice address
1201 Main St Ste C
Sumner, WA 98390-1416
Phone
(256) 470-3532
NPI assigned
Nov 2, 2017
Last updated
Jul 29, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X AP60805305 WA Primary

Addresses

Primary practice location

1201 Main St Ste C
Sumner, WA 98390-1416

Mailing address

1008 184TH Avenue CT E
Lake Tapps, WA 98391-6442
Phone (661) 209-2754

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jessica@amemedspa.com Health Information Exchange (HIE) Ame Aesthetic Institute

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
AP60805305WAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Eterna Vein & Medical Aesthetics, PLLC PastSince Nov 22, 2014 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: jessica@amemedspa.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1509580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659052800000",
    "number": "1922510726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1008 184TH AVENUE CT E",
            "city": "LAKE TAPPS",
            "state": "WA",
            "postal_code": "983916442",
            "telephone_number": "661-209-2754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 MAIN ST STE C",
            "city": "SUMNER",
            "state": "WA",
            "postal_code": "983901416",
            "telephone_number": "256-470-3532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARMITAGE",
        "first_name": "JESSICA",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-02",
        "last_updated": "2022-07-29",
        "certification_date": "2022-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WA",
            "license": "AP60805305",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jessica@amemedspa.com",
            "affiliation": "Y",
            "endpointDescription": "work email",
            "affiliationName": "Ame Aesthetic Institute",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "na",
            "address_1": "1201 Main St Ste C",
            "city": "Sumner",
            "state": "WA",
            "country_code": "US",
            "postal_code": "983901416",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Sumner, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2022; 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.