TENINO FAMILY PRACTICE PLLC (NPI# 1487056511) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487056511 |
| Entity Type | Organization |
| Organization Name | TENINO FAMILY PRACTICE PLLC |
| Other Organization Name | LEYTON JUMP MD SOLE MEMBER |
| Practice Address |
273 Sussex Ave E Tenino WA 98589-9359 |
| Mailing Address |
Po Box 4020 Tenino WA 98589-4020 |
| Practice Telephone | 3602645665 |
| Practice Fax Number | 3602645666 |
| Mailing Telephone | 3602645665 |
| Mailing Fax Number | 3602645666 |
| Enumeration Date | 2014-09-19 |
| Last Update Date | 2014-09-19 |
| Authorized Official Name | DR. LEYTON ENDICOTT JUMP (SOLE MEMBER) |
| Authorized Official Telephone | 3602645665 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QA0000X |
Family Medicine Specialization: Adolescent Medicine |
MD00022762 | WA | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Leyton Jump MD Sole Member | Other Name - Individual/Organization |
| Street Address |
273 SUSSEX AVE E |
| City | TENINO |
| State | WA |
| Zip Code | 98589-9359 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790741924 | Leyton Endicott Jump | General Practice | 273 Sussex Ave E, Tenino, WA 98589-9359 | 2006-04-25 |
| 1881135499 | Lewis County Community Health Services | Clinic/Center | 273 Sussex Ave E, Tenino, WA 98589-9359 | 2017-03-15 |
| 1306051867 | Janet Lynn Black | Nurse Practitioner | 273 Sussex Ave E, Tenino, WA 98589-9359 | 2007-05-10 |
| 1245317486 | Karen M Carlson | Nurse Practitioner | 273 Sussex Ave E, Tenino, WA 98589-9359 | 2006-11-01 |
| 1851357008 | Leyton Endicott Jump | Family Medicine | 273 Sussex Ave E, Tenino, WA 98589-9359 | 2006-04-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124574413 | Thurston County Fire Protection District 12 | Ambulance | 187 Hodgden St S, Tenino, WA 98589 | 2016-08-28 |
| 1902238017 | Patrick Mario Williams | Occupational Therapy Assistant | 301 Old Highway 99 North, Tenino, WA 98589 | 2013-07-31 |
| 1972713527 | Ronald H Coulson | Chiropractor | 448 Sussex Ave E, Suite 3 Box 676, Tenino, WA 98589 | 2007-05-23 |
| 1861533218 | Jennifer L. Booker | Naturopath | 448 Sussex Ave East, Suite 2, Tenino, WA 98589 | 2007-02-09 |
| 1609979541 | Tenino School District | Local Education Agency (LEA) | 301 Old Highway 99 N, Tenino, WA 98589 | 2006-09-06 |
| 1679675367 | Maenell Sullivan | Denturist | 296 Sussex Ave W, Tenino, WA 98589 | 2006-09-02 |
| 1225044027 | Tianne Carolyn Carrigan | Massage Therapist | 448 Sussex E., Suite 2, Tenino, WA 98589 | 2006-08-01 |
| 1831458124 | Natural Wellness Pllc | Chiropractor | 448 Sussex Ave E, #3, Tenino, WA 98589-8703 | 2012-05-08 |
| 1508186214 | R & D Coulson Inc. | Clinic/Center | 448 Sussex Ave E, 3, Tenino, WA 98589-8703 | 2010-06-03 |
| 1154584472 | Peggy Ann Vittoria | Massage Therapist | 448 Sussex Ave E, #3, Tenino, WA 98589-8703 | 2008-07-07 |
| Find all providers in zip 98589 | ||||
| Taxonomy Code | 207QA0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Adolescent Medicine |
| A family medicine physician with multidisciplinary training in the unique physical, psychological and social characteristics of adolescents and their health care problems and needs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Family Medicine, 2007. http://www.theabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265502751 | James Henry States II | Family Medicine | 561 N Tribal Center Rd, Skokomish Nation, WA 98584-7416 | 2006-11-09 |
| 1659553741 | Dennis Edward Morrisroe | Family Medicine | 100 E 33rd St Ste 206, Hudson's By Medical Group Inc Ps, Vancouver, WA 98663 | 2007-11-29 |
| 1891849485 | Kathleen G. Thomas | Family Medicine | 1400 Pottery Ave, Port Orchard, WA 98366-3711 | 2007-01-22 |
| 1376691824 | Nila Jones | Family Medicine | 7410 Delaware Ln, Vancouver, WA 98664-1408 | 2007-01-08 |
| 1639271489 | Elizabeth Campbell | Family Medicine | 403 E Meeker St, Suite 300, Kent, WA 98030-5904 | 2006-09-02 |
| 1316056096 | Skokomish Tribal Council | Family Medicine | 100 N Tribal Center Rd, Skokomish Nation, WA 98584-9748 | 2006-08-29 |
| 1972527141 | Geoffrey Macpherson | Family Medicine | 6920 Coal Creek Pkwy Se, Ste 12, Newcastle, WA 98059-3147 | 2006-07-27 |
| 1871514018 | Kari Palmer | Family Medicine | 509 Olive Way, Suite 900, Seattle, WA 98101-1720 | 2006-07-22 |
| 1265468631 | Margaret Mamolen | Family Medicine | 516 High St, Western Washington University, Bellingham, WA 98225-5946 | 2006-06-25 |
| 1023019858 | Kelvie A Johnson | Family Medicine | 525 Lilly Rd Ne, Olympia, WA 98506-5101 | 2005-08-02 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on TENINO FAMILY PRACTICE PLLC.
| 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.