Active NPI
Jennifer Boelter, RN
- Home Health Registered Nurse
- Seattle, WA
National Provider Identifier
1952591885
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Registered Nurse
- License
- RN61045090
- Practice address
- 5950 6TH Ave S Ste 100
Seattle, WA 98108-3317 - Phone
- (206) 805-1930
- Fax
- (206) 805-1931
- NPI assigned
- Jul 26, 2007
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Home Health Registered Nurse | 163WH0200X | RN61045090 | WA | Primary |
Addresses
Primary practice location
5950 6TH Ave S Ste 100
Seattle, WA 98108-3317
Mailing address
PO Box 31273
Seattle, WA 98103
Phone (206) 486-0618
Other names 1
- Jennifer Isaaks
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN61045090 | WA | MD | Home Health Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pacific Natural Birth, LLC | Midwife | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Midwife
- Seattle, WA
- NPI 1265789739
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1185408000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1716508800000",
"number": "1952591885",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 31273",
"city": "SEATTLE",
"state": "WA",
"postal_code": "98103",
"telephone_number": "206-486-0618",
"fax_number": "206-801-5318"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5950 6TH AVE S STE 100",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981083317",
"telephone_number": "206-805-1930",
"fax_number": "206-805-1931"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOELTER",
"first_name": "JENNIFER",
"name_prefix": "Mrs.",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-07-26",
"last_updated": "2024-05-24",
"certification_date": "2024-05-24",
"status": "A"
},
"taxonomies": [
{
"code": "163WH0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Home Health",
"state": "WA",
"license": "RN61045090",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JENNIFER",
"last_name": "ISAAKS",
"credential": "LM, CPM",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.