Active NPI
Greg Luis Manlawe Pangilinan
- Registered Nurse
- Renton, WA
National Provider Identifier
1033826730
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- RN61013371
- Practice address
- 401 S 23Rd St
Renton, WA 98055-4212 - Phone
- (503) 997-6843
- NPI assigned
- Nov 1, 2022
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN61013371 | WA | Primary |
Addresses
Primary practice location
401 S 23Rd St
Renton, WA 98055-4212
Mailing address
401 S 23Rd St
Renton, WA 98055-4212
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN61013371 | WA | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1667260800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1667260800000",
"number": "1033826730",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "401 S 23RD ST",
"city": "RENTON",
"state": "WA",
"postal_code": "980554212"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 S 23RD ST",
"city": "RENTON",
"state": "WA",
"postal_code": "980554212",
"telephone_number": "503-997-6843"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PANGILINAN",
"first_name": "GREG LUIS",
"middle_name": "MANLAWE",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-11-01",
"last_updated": "2022-11-01",
"certification_date": "2022-11-01",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "WA",
"license": "RN61013371",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Renton, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.