Individual provider Active NPI

Alin Bob, RN

  • Registered Nurse
  • Vancouver, WA
National Provider Identifier
1023878352
Registry record updated Mar 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
RN60578712 Issued in WA
Practice address
2308 SE 146TH Ave
Vancouver, WA 98683-8444
Phone
(503) 913-8129
Fax
(360) 397-7604
NPI assigned
Mar 21, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN60578712 WA Primary

Addresses

Primary practice location

2308 SE 146TH Ave
Vancouver, WA 98683-8444

Mailing address

2308 SE 146TH Ave
Vancouver, WA 98683-8444
Phone (503) 913-8129

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN60578712WAMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Cascade Park Specialty Care Home LLC Registered Nurse CurrentSince Mar 24, 2024 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1710979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710979200000",
    "number": "1023878352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2308 SE 146TH AVE",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986838444",
            "telephone_number": "503-913-8129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2308 SE 146TH AVE",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986838444",
            "telephone_number": "503-913-8129",
            "fax_number": "360-397-7604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOB",
        "first_name": "ALIN",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-03-21",
        "last_updated": "2024-03-21",
        "certification_date": "2024-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WA",
            "license": "RN60578712",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vancouver, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2024; 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.