| Ms Jennifer Shannon Niemi, ARNP | |
|
19020 33rd Ave W Ste 210, Lynnwood, WA 98036-4748 | |
| (425) 563-1500 | |
| (425) 563-1501 |
| Full Name | Ms Jennifer Shannon Niemi |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 16 Years |
| Location | 19020 33rd Ave W Ste 210, Lynnwood, Washington |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598054249 | NPI | - | NPPES |
| 2021864 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 22832A (Idaho) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | AP60209815 (Washington) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Prov Sacred Hrt Med Ctr & Childs Hosp. | Spokane, WA | Hospital |
| Providence Mount Carmel Hospital | Colville, WA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Providence Health And Services Washington | 0345139929 | 727 |
| Entity Name | Providence Health & Services Washington |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1194099390 PECOS PAC ID: 0345139929 Enrollment ID: O20040311001453 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Jennifer Shannon Niemi, ARNP 19020 33rd Ave W Ste 210, Lynnwood, WA 98036-4748 Ph: (425) 563-1500 | Ms Jennifer Shannon Niemi, ARNP 19020 33rd Ave W Ste 210, Lynnwood, WA 98036-4748 Ph: (425) 563-1500 |
Mishele M Rutherford, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 20508 56th Ave W, Lynnwood, WA 98036 Phone: 206-743-1020 | |
Mrs. Sejal Parekh Graber, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3501 Shelby Rd Ste B, Lynnwood, WA 98087 Phone: 425-742-9119 Fax: 425-787-1055 | |
Amber Melland Wilson, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3500 188th St Sw Ste 250, Lynnwood, WA 98037 Phone: 425-236-4203 | |
Bridget Noorishad, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3501 Shelby Rd Ste B, Lynnwood, WA 98087 Phone: 425-742-9119 | |
Liqiong Zhang, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 19401 40th Ave W Ste 230, Lynnwood, WA 98036 Phone: 425-744-7153 | |
Jessie Enell, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 16824 44th Ave W Ste 170, Lynnwood, WA 98037 Phone: 425-908-0123 Fax: 844-446-9742 | |
Ms. Kimberly 'kimmer' Verlynn Collison-ris, MSN, ARNP, WOCN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 16425 48th Ave W, Suite 215, Lynnwood, WA 98037 Phone: 425-210-4187 Fax: 425-361-1704 |