Jenni Lynne Straughan – Case Manager/Care Coordinator

Key facts

NPI: 1992917595
Entity type: Individual (NPI type 1)
Primary specialty: Case Manager/Care Coordinator 171M00000X
Practice address: 807 Ferguson Street
Colton, WA 99113
Phone: (509) 229-3375
NPI assigned: May 4, 2007
Sex: Female
Sole proprietor: Yes

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.

New Horizons TSC LLC Case Management Agency · Colton, WA · NPI 1558294009

NPD Authorized official CASE MANAGER/CARE COORDINATOR

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): No

Practice roles

Organization	Specialty	Status	New patients
New Horizons TSC LLC	Case Manager/Care Coordinator	Current	Accepting new patients

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Specialist	174400000X
Case Manager/Care Coordinator	171M00000X			Yes

Addresses

Primary practice location

807 Ferguson Street
Colton, WA 99113

Mailing address

807 Ferguson Street
PO Box 189
Colton, WA 99113
Phone (509) 229-3375

Other identifiers

Identifier	Type	State	Issuer
002065000	Medicaid	ID
002065100	Medicaid	ID

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on May 8, 2008.

{
    "created_epoch": "1178236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210204800000",
    "number": "1992917595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "807 FERGUSON STREET",
            "address_2": "PO BOX 189",
            "city": "COLTON",
            "state": "WA",
            "postal_code": "99113",
            "telephone_number": "509-229-3375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "807 FERGUSON STREET",
            "city": "COLTON",
            "state": "WA",
            "postal_code": "99113",
            "telephone_number": "509-229-3375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STRAUGHAN",
        "first_name": "JENNI",
        "middle_name": "LYNNE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-04",
        "last_updated": "2008-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002065000",
            "state": "ID"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002065100",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Colton, WA

All providers in Colton, WA · Case Manager/Care Coordinator in Washington

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 8, 2008. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.