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CARRIE L JENNER MD NPI 1437160140


NPI Information

NPI: 1437160140
Provider Name: CARRIE L JENNER, MD
Classification: Pediatrics - 208000000X
Entity Type: Individual

PECOS Registration: Yes

Address:
7210 40TH ST W
STE 100
UNIVERSITY PLACE, WA
ZIP 98466
Phone: (253) 564-0170
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Carrie L Jenner, MD is a pediatrics in University Place, WA. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. Carrie L Jenner, MD NPI is 1437160140. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

7210 40TH ST W
STE 100
UNIVERSITY PLACE, WA
ZIP 98466-237
Phone: (253) 564-0170
Fax: (253) 207-4240

The NPI 1437160140 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/10/2006 and was last updated on 11/23/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208000000XPediatricsMD00034173WASHINGTONYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1G56405MEDICARE UPIN
2GAB08494MEDICARE PINWASHINGTON
3126537OTHERWASHINGTONL & I
4370013713OTHERWASHINGTONRAILROAD
58935092OTHERWASHINGTONCRIME VICTIMS
6AB000821MEDICARE ID-TYPE UNSPECIFIED
78208399MEDICAIDWASHINGTON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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