JENNIFER BEATY (NPI# 1134337785) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134337785 |
| Entity Type | Individual |
| Full Name | JENNIFER BEATY |
| Credential | ARNP |
| Practice Address |
210 Government Rd Mattawa WA 99349-0960 |
| Mailing Address |
Po Box 1581 Mattawa WA 99349-0960 |
| Practice Telephone | 5099324499 |
| Practice Fax Number | 5099325363 |
| Mailing Telephone | 5099324499 |
| Mailing Fax Number | 5099325363 |
| Enumeration Date | 2007-05-18 |
| Last Update Date | 2019-03-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163WC1500X |
Registered Nurse Specialization: Community Health |
RN00148242 | WA | Nursing Service Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
AP60671436 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 200 S 2nd St, Renton, WA 980552011 | 4252265536 | 4252260354 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427094648 | Jennifer Sam Beaty | Colon & Rectal Surgery | 9850 Nicholas St Ste 100, Omaha, NE 68114-2191 | 2006-06-22 |
| 1326689324 | Jennifer Beaty | Technician, Other | 121 Sw Salmon St Fl 11, Portland, OR 97204-2908 | 2019-10-01 |
| 1700281136 | Jennifer Beaty | Behavioral Analyst | 5025 Collingswood Ct, Highlands Ranch, CO 80130-6894 | 2014-10-28 |
| Street Address |
210 GOVERNMENT RD |
| City | MATTAWA |
| State | WA |
| Zip Code | 99349-0960 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396997086 | Elaine Marie Brewer | Massage Therapist | 210 Government Rd., Mattawa, WA 99349 | 2008-10-14 |
| 1629148440 | Arturo Rojas | Physician Assistant | 601 Government Way, Mattawa, WA 99349 | 2006-11-09 |
| 1740363498 | Wahluke School District | Local Education Agency (LEA) | 411 E Saddle Mountain Drive, Mattawa, WA 99349 | 2006-10-23 |
| 1396384871 | Grant County Public Hospital District 5 | Pharmacy | 210 Government Road, Mattawa, WA 99349 | 2019-12-31 |
| 1003391848 | Grant County Public Hospital District 5 | Pharmacy | 210 Government Road, Mattawa, WA 99349 | 2018-09-27 |
| 1700314895 | Geraldine Cabero | Physician Assistant | 601 Government Way, Mattawa, WA 99349 | 2017-06-01 |
| 1710232749 | Columbia Basin Health Association | Clinic/Center | 601 Government Way, Mattawa, WA 99349 | 2012-07-16 |
| 1053539890 | Columbia Basin Health Association | Clinic/Center | 601 Government Way, Mattawa, WA 99349 | 2007-04-24 |
| 1184842254 | Columbia Basin Health Association | Clinic/Center | 601 Government Way, Mattawa, WA 99349 | 2007-04-23 |
| 1033259064 | Columbia Basin Health Association | Pharmacist | 601 Government Way, Mattawa, WA 99349 | 2007-02-07 |
| Find all providers in zip 99349 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740889369 | Abigail E Mercure | Nurse Practitioner | 7618 Ne Champagne Point Pl, Kirkland, WA 98034-3448 | 2020-10-24 |
| 1043819907 | Matthew Sean Krabbendam | Nurse Practitioner | 7315 212th St Sw Ste 207, Edmonds, WA 98026-7610 | 2020-10-21 |
| 1700485919 | Yanique Ricie Nana Yakam Azah | Nurse Practitioner | 22829 Se 239th Ct, Maple Valley, WA 98038-5052 | 2020-10-19 |
| 1164029484 | Chelsea Lauren Bresnahan | Nurse Practitioner | 7928 S Parway Ln, Cheney, WA 99004-8619 | 2020-10-08 |
| 1023615549 | Brian D Ottesen | Nurse Practitioner | 2315 Crestwood Pl Nw, Olympia, WA 98502-4095 | 2020-10-07 |
| 1881291003 | Allison Walzer | Nurse Practitioner | 526 Yale Ave N Apt 402, Seattle, WA 98109-5544 | 2020-10-01 |
| 1740896927 | Maia Zink | Nurse Practitioner | 10837 E Riverside Dr Apt C, Bothell, WA 98011-6123 | 2020-09-22 |
| 1760098339 | Yunyun Lu | Nurse Practitioner | 4922 51st Avenue Ct W, University Place, WA 98467-4828 | 2020-09-19 |
| 1255944278 | Alexis Leanne Snyder | Nurse Practitioner | 717 S 51st St, Tacoma, WA 98408-5710 | 2020-08-28 |
| 1841800521 | Lauren Levesque | Nurse Practitioner | 2744 Ne 54th St Unit B, Seattle, WA 98105-3146 | 2020-08-06 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.