Individual provider Active NPI

Dree Deckert, RN

  • General Practice Registered Nurse
  • Kennewick, WA
National Provider Identifier
1104264969
Registry record updated Jun 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice Registered NurseTaxonomy code 163WG0000X
License
RN00113003 Issued in WA
Practice address
207904 E Finley Rd
Kennewick, WA 99337-7472
Phone
(509) 582-7496
Fax
(509) 582-2295
NPI assigned
Jun 13, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Registered Nurse 163WG0000X RN00113003 WA Primary

Addresses

Primary practice location

207904 E Finley Rd
Kennewick, WA 99337-7472

Mailing address

207904 E Finley Rd
Kennewick, WA 99337-7472
Phone (509) 582-7496

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
Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN00113003WAMDGeneral Practice Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Rossdeck Medical Supplies Inc. 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": "1371081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1371081600000",
    "number": "1104264969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207904 E FINLEY RD",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993377472",
            "telephone_number": "509-582-7496",
            "fax_number": "509-582-2295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207904 E FINLEY RD",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993377472",
            "telephone_number": "509-582-7496",
            "fax_number": "509-582-2295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DECKERT",
        "first_name": "DREE",
        "name_prefix": "Ms.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-13",
        "last_updated": "2013-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "WA",
            "license": "RN00113003",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kennewick, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2013; 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.