LEYTON ENDICOTT JUMP
NPI 1790741924
General Practice in Tenino, WA

Q: What is Leyton Jump's NPI number?

The NPI number for Leyton Jump is 1790741924. It was assigned to this individual provider in the NPPES registry on April 25, 2006.

Q: What is Leyton Jump's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Q: When was this NPI record last updated?

The NPPES record for Leyton Jump was last updated on February 26, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years 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 April 25, 2006PECOS Enrolled

273 SUSSEX AVE E, TENINO, WA 98589(360) 264-5665(360) 264-5666 Get Directions Write a Review

NPPES record last updated: February 26, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Leyton Endicott Jump NPPES

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

LEYTON ENDICOTT JUMP (NPI 1790741924) is an individual general practice provider in Tenino, Washington, licensed in Washington (MD00022762) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1790741924

Entity TypeIndividualMale

Primary Taxonomy208D00000X

Provider Legal NameLEYTON ENDICOTT JUMP

Location Address273 SUSSEX AVE ETenino, WA 98589-9359

Mailing AddressPo Box 4020Tenino, WA 98589-4020 · (360) 264-5665 · Fax (360) 264-5666

Phone(360) 264-5665

Fax(360) 264-5666

Sole ProprietorYes

Enumeration DateApril 25, 2006

Last NPPES UpdateFebruary 26, 2015

✔ NPI 1790741924 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians

Taxonomy Code208D00000X

License✔ Licensed in WA · MD00022762

Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

273 SUSSEX AVE E, Tenino, WA 98589

Open in Google Maps ↗

Other Identifiers 7

OtherG8856183Medicare

Medicare UPINA08291

Other101589Black Lung

OtherG8856183Ptan

Other90836WA · Labor & Industries

OtherT01236Regence

Medicaid1005719WA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Leyton Endicott Jump 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 9

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

KAREN M CARLSON ARNP

Nurse Practitioner