Individual provider Active NPI

Emily Noel Balenada, RN60028557

  • Registered Nurse
  • Spokane Valley, WA
National Provider Identifier
1043843964
Registry record updated Feb 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
RN60028557 Issued in WA
Practice address
12121 E Mission Ave Ste C
Spokane Valley, WA 99206-4832
Phone
(509) 443-3102
Fax
(509) 474-1792
NPI assigned
Feb 19, 2020
Last updated
Feb 19, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2020

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 RN60028557 WA Primary

Addresses

Primary practice location

12121 E Mission Ave Ste C
Spokane Valley, WA 99206-4832

Mailing address

12121 E Mission Ave Ste C
Spokane Valley, WA 99206-4832
Phone (509) 443-3102

Other identifiers 1

IdentifierTypeStateIssuer
RN60028557MedicaidWA

Other names 1

  • Stacey Noel Bond Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL goldencommunitycareafh@gmail.com Direct

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

LicenseStateTypeSpecialty
RN60028557WAMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Golden Community Care Adult Family Home, LLC CurrentSince Feb 23, 2020 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1582070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582070400000",
    "number": "1043843964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12121 E MISSION AVE STE C",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992064832",
            "telephone_number": "509-443-3102",
            "fax_number": "509-474-1792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12121 E MISSION AVE STE C",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992064832",
            "telephone_number": "509-443-3102",
            "fax_number": "509-474-1792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALENADA",
        "first_name": "EMILY",
        "middle_name": "NOEL",
        "credential": "RN60028557",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-19",
        "last_updated": "2020-02-19",
        "certification_date": "2020-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WA",
            "license": "RN60028557",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "RN60028557",
            "state": "WA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "goldencommunitycareafh@gmail.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "12121 E Mission Ave Ste C",
            "city": "Spokane Valley",
            "state": "WA",
            "country_code": "US",
            "postal_code": "992064832",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "STACEY",
            "last_name": "BOND",
            "middle_name": "NOEL",
            "credential": "RN60028557",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Spokane Valley, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2020; 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.