Active NPI
Jennifer Jablin, NP
- Family Nurse Practitioner
- Portland, OR
National Provider Identifier
1972872646
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 201150179NP
- Practice address
- 135 NE 102ND Ave
Portland, OR 97220-4167 - Phone
- (503) 894-9005
- Fax
- (503) 719-4178
- NPI assigned
- Dec 23, 2011
- Last updated
- Jun 28, 2017
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 201150179NP | OR | Primary |
Addresses
Primary practice location
135 NE 102ND Ave
Portland, OR 97220-4167
Mailing address
135 NE 102ND Ave
Portland, OR 97220-4167
Phone (503) 894-9005
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Uptown Providers PC | Current | Accepting new patients | |
| Uptown Providers PC | Current | Accepting new patients | |
| Uptown Providers PC | Current | Accepting new patients |
Locations
14278 SW Allen Blvd
Beaverton, OR 97005
Interoperability endpoints
- jennifer.jablin.1@10272.direct.athenahealth.com
Organizations & group practices 3
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.
-
- General Practice Physician
- Portland, OR
- NPI 1144598293
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1324598400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1498608000000",
"number": "1972872646",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "135 NE 102ND AVE",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972204167",
"telephone_number": "503-894-9005",
"fax_number": "503-719-4178"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "135 NE 102ND AVE",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972204167",
"telephone_number": "503-894-9005",
"fax_number": "503-719-4178"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JABLIN",
"first_name": "JENNIFER",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-12-23",
"last_updated": "2017-06-28",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OR",
"license": "201150179NP",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.