Taurell Reboulet, LMP

Primary specialty

ContractorTaxonomy code 171W00000X

License

MA 00023581 Issued in WA

Practice address

21514 82ND Ave SE
Woodinville, WA 98072-9737

Phone

(360) 333-9887

NPI assigned

Oct 18, 2010

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other names 1

• Mr. Taurell Reboulet Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1287360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1368057600000",
    "number": "1003126558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21514 82ND AVE SE",
            "city": "WOODINVILLE",
            "state": "WA",
            "postal_code": "980729737",
            "telephone_number": "360-333-9887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21514 82ND AVE SE",
            "city": "WOODINVILLE",
            "state": "WA",
            "postal_code": "980729737",
            "telephone_number": "360-333-9887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REBOULET",
        "first_name": "TAURELL",
        "name_prefix": "Mr.",
        "credential": "LMP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-10-18",
        "last_updated": "2013-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": "WA",
            "license": "MA 00023581",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TAURELL",
            "last_name": "REBOULET",
            "prefix": "MR.",
            "credential": "MA",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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• Contractor in Woodinville, WA
• Providers in Woodinville, WA by specialty
• Contractor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.