Individual provider Active NPI

Alexis Eden Louthan

  • Licensed Practical Nurse
  • Lacey, WA
National Provider Identifier
1023913910
Registry record updated Oct 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
LP70012073 Issued in WA
Practice address
614 Malibu Dr SE
Lacey, WA 98503-1366
Phone
(970) 620-5593
NPI assigned
Oct 10, 2026
Last updated
Oct 10, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X LP70012073 WA Primary

Addresses

Primary practice location

614 Malibu Dr SE
Lacey, WA 98503-1366

Mailing address

614 Malibu Dr SE
Lacey, WA 98503-1366
Phone (970) 620-5593

Medicare participation

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

NPI Registry JSON

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

{
    "created_epoch": "1791590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791590400000",
    "number": "1023913910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "614 MALIBU DR SE",
            "city": "LACEY",
            "state": "WA",
            "postal_code": "985031366",
            "telephone_number": "970-620-5593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "614 MALIBU DR SE",
            "city": "LACEY",
            "state": "WA",
            "postal_code": "985031366",
            "telephone_number": "970-620-5593"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOUTHAN",
        "first_name": "ALEXIS",
        "middle_name": "EDEN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-10-10",
        "last_updated": "2026-10-10",
        "certification_date": "2026-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "WA",
            "license": "LP70012073",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lacey, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.