Individual provider Active NPI

Anna Maj-Lis Aasa, RN

  • Pain Management Registered Nurse
  • Bothell, WA
National Provider Identifier
1114263407
Registry record updated Dec 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Management Registered NurseTaxonomy code 163WP0000X
License
RN 00095547 Issued in WA
Practice address
1629 220TH St SE Ste 201
Bothell, WA 98021-8466
Phone
(425) 486-1000
Fax
(425) 939-5220
NPI assigned
Dec 14, 2012
Last updated
Dec 14, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 14, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Management Registered Nurse 163WP0000X RN 00095547 WA Primary
Pain Management Registered Nurse 163WP0000X 440092 CA

Addresses

Primary practice location

1629 220TH St SE Ste 201
Bothell, WA 98021-8466

Mailing address

1534 N Moorpark Rd # 101
Thousand Oaks, CA 91360-5129
Phone (310) 971-8171

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
440092CAMDPain Management Registered Nurse
RN 00095547WAMDPain Management Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1355443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355443200000",
    "number": "1114263407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1534 N MOORPARK RD # 101",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913605129",
            "telephone_number": "310-971-8171",
            "fax_number": "805-876-0033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1629 220TH ST SE STE 201",
            "city": "BOTHELL",
            "state": "WA",
            "postal_code": "980218466",
            "telephone_number": "425-486-1000",
            "fax_number": "425-939-5220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AASA",
        "first_name": "ANNA MAJ-LIS",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-12-14",
        "last_updated": "2012-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Pain Management",
            "state": "WA",
            "license": "RN 00095547",
            "primary": true
        },
        {
            "code": "163WP0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Pain Management",
            "state": "CA",
            "license": "440092",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bothell, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2012; 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.