Active NPI
Jade Blocker
- Administrator Registered Nurse
- Bothell, WA
National Provider Identifier
1114383916
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Administrator Registered Nurse
- License
- RN60168671
- Practice address
- 1225 183Rd St SE
Apt J303
Bothell, WA 98012-7495 - Phone
- (260) 701-6252
- NPI assigned
- Jan 8, 2016
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Administrator Registered Nurse | 163WA2000X | RN60168671 | WA | Primary |
Addresses
Primary practice location
1225 183Rd St SE
Apt J303
Bothell, WA 98012-7495
Mailing address
1225 183Rd St SE
Apt J303
Bothell, WA 98012-7495
Phone (260) 701-6252
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
| License | State | Type | Specialty |
|---|---|---|---|
| RN60168671 | WA | MD | Administrator Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1452211200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1453248000000",
"number": "1114383916",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1225 183RD ST SE",
"address_2": "APT J303",
"city": "BOTHELL",
"state": "WA",
"postal_code": "980127495",
"telephone_number": "260-701-6252"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1225 183RD ST SE",
"address_2": "APT J303",
"city": "BOTHELL",
"state": "WA",
"postal_code": "980127495",
"telephone_number": "260-701-6252"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLOCKER",
"first_name": "JADE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-01-08",
"last_updated": "2016-01-20",
"status": "A"
},
"taxonomies": [
{
"code": "163WA2000X",
"taxonomy_group": "",
"desc": "Registered Nurse, Administrator",
"state": "WA",
"license": "RN60168671",
"primary": true
}
],
"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 Jan 20, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.