1588671317 NPI number — KARIN E. JONES PA-C

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1588671317 NPI number — KARIN E. JONES PA-C

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
JONES
Provider First Name:
KARIN
Provider Middle Name:
E.
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
PA-C
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
WEIGHT
Provider Other First Name:
KARIN
Provider Other Middle Name:
E.
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
PA-C
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1588671317
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
01/04/2024
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2835 HUMBOLDT ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
BELLINGHAM
Provider Business Mailing Address State Name:
WA
Provider Business Mailing Address Postal Code:
98225-2611
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
360-223-4561
Provider Business Mailing Address Fax Number:
206-326-2870

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2835 HUMBOLDT ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
BELLINGHAM
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
98225-2611
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
360-223-4561
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
08/02/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 363A00000X , with the licence number:  PA10003823 ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 41382U . This is a "REGENCE BLUE SHIELD PIN" identifier , issued by the state of ( WA ) . This identifiers is of the category "OTHER".
  • Identifier: 8417792 , issued by the state of ( WA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 0205787 . This is a "L&I PIN" identifier , issued by the state of ( WA ) . This identifiers is of the category "OTHER".
  • Identifier: 1535WE . This is a "REGENCE BLUE SHIELD PIN" identifier , issued by the state of ( WA ) . This identifiers is of the category "OTHER".




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