Individual provider Active NPI

Ella M Hart, RN, BSN, MN

  • Registered Nurse
  • Spanaway, WA
National Provider Identifier
1043412018
Registry record updated Dec 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
RN00062055 Issued in WA
Practice address
516 176TH St E
Spanaway, WA 98387-8335
Phone
(206) 251-1296
NPI assigned
Jun 1, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2014

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 RN00062055 WA Primary

Addresses

Primary practice location

516 176TH St E
Spanaway, WA 98387-8335

Mailing address

12924 SE 228TH PL
Kent, WA 98031-3647
Phone (206) 251-1296

Other identifiers 1

IdentifierTypeStateIssuer
9602020MedicaidWA

Other names 1

  • Ms. Ella H Johnson Other name

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
Bachelor on Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN00062055WAMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Bethel School District Past 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": "1180656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1418256000000",
    "number": "1043412018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12924 SE 228TH PL",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980313647",
            "telephone_number": "206-251-1296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "516 176TH ST E",
            "city": "SPANAWAY",
            "state": "WA",
            "postal_code": "983878335",
            "telephone_number": "206-251-1296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HART",
        "first_name": "ELLA",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "RN, BSN, MN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-01",
        "last_updated": "2014-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WA",
            "license": "RN00062055",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9602020",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELLA",
            "last_name": "JOHNSON",
            "middle_name": "H",
            "prefix": "MS.",
            "credential": "NONE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Spanaway, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2014; 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.