JESSICA WALTERS KUNZMAN MD
NPI 1659086130
Student in an Organized Health Care Education/Training Program in Renton, WA

Q: What is Jessica Kunzman's NPI number?

The NPI number for Jessica Kunzman is 1659086130. It was assigned to this individual provider in the NPPES registry on January 18, 2023.

Q: What is Jessica Kunzman's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Jessica Kunzman was last updated on June 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since January 18, 2023PECOS Enrolled

3915 TALBOT RD S STE 401, RENTON, WA 98055(425) 690-3445(425) 690-9445 Get Directions Write a Review

NPPES record last updated: June 18, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 18, 2025, Jan 18, 2023 (2 updates tracked since 2023).

On this page

About Jessica Walters Kunzman Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JESSICA WALTERS KUNZMAN MD (NPI 1659086130) is an individual student in an organized health care education/training program in Renton, Washington, licensed in Washington (ML61682045) and active in the NPI registry since January 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1659086130

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameJESSICA WALTERS KUNZMANCredential: MD

Location Address3915 TALBOT RD S STE 401Renton, WA 98055-5738

Mailing Address3915 Talbot Rd S Ste 401Renton, WA 98055-5738 · (425) 690-3445 · Fax (425) 690-9445

Phone(425) 690-3445

Fax(425) 690-9445

Sole ProprietorNo

Enumeration DateJanuary 18, 2023

Last NPPES UpdateJune 18, 20252 updates tracked since enumeration

NPPES CertifiedJune 16, 2025

✔ NPI 1659086130 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

License✔ Licensed in WA · ML61682045

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

3915 TALBOT RD S STE 401, Renton, WA 98055

Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jessica Walters Kunzman Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JULIA PAIGE ROSENBLUM DO

Student in an Organized Health Care Education/Training Program