Active NPI
Larah Ellis
- School Nurse Practitioner
- Mercer Island, WA
National Provider Identifier
1073422812
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Nurse Practitioner
- License
- RN60978210
- Practice address
- 9725 SE 36TH St Ste 205
Mercer Island, WA 98040-3840 - Phone
- (425) 553-2747
- NPI assigned
- Sep 7, 2026
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| School Nurse Practitioner | 363LS0200X | RN60978210 | WA | Primary |
Addresses
Primary practice location
9725 SE 36TH St Ste 205
Mercer Island, WA 98040-3840
Mailing address
7626 40TH St W Apt 13
University Place, WA 98466-3804
Phone (800) 925-3368
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": "1788739200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788739200000",
"number": "1073422812",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7626 40TH ST W APT 13",
"city": "UNIVERSITY PLACE",
"state": "WA",
"postal_code": "984663804",
"telephone_number": "800-925-3368"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9725 SE 36TH ST STE 205",
"city": "MERCER ISLAND",
"state": "WA",
"postal_code": "980403840",
"telephone_number": "425-553-2747"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELLIS",
"first_name": "LARAH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-09-07",
"last_updated": "2026-09-07",
"certification_date": "2026-09-06",
"status": "A"
},
"taxonomies": [
{
"code": "363LS0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, School",
"state": "WA",
"license": "RN60978210",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mercer Island, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.