Healthcare Provider Details

I. General information

NPI: 1598761850
Provider Name (Legal Business Name): JENNIFER ANNE VERT M.A.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: JENNIFER ANNE BURKE M.A.

II. Dates (important events)

Enumeration Date: 06/22/2005
Last Update Date: 12/22/2025
Certification Date: 12/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

457 SW 148TH ST STE 101
BURIEN WA
98166-1975
US

IV. Provider business mailing address

1305 FOWLER ST STE 1A
RICHLAND WA
99352-4719
US

V. Phone/Fax

Practice location:
  • Phone: 206-246-8677
  • Fax: 206-431-2922
Mailing address:
  • Phone: 509-572-2444
  • Fax: 509-572-2124

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code237600000X
TaxonomyAudiologist-Hearing Aid Fitter
License NumberLD00003619
License Number StateWA
# 2
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License NumberLD00003619
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: