Organization Active NPI

Michael Rabung R.N LLC

  • Registered Nurse
  • Lynnwood, WA
National Provider Identifier
1124443502
Registry record updated Feb 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
RN00125850 Issued in WA
Legal business name
MICHAEL RABUNG R.N LLC
Practice address
15103 46TH PL W
Lynnwood, WA 98087-2267
Phone
(425) 508-0370
Fax
(425) 741-3787
NPI assigned
Feb 21, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2014

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

Authorized official

Name
Michael Rabung, R.N.
Title
Owner
Phone
(425) 508-0370

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered NurseGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 163W00000X RN00125850 WA Primary

Addresses

Primary practice location

15103 46TH PL W
Lynnwood, WA 98087-2267

Mailing address

15103 46TH PL W
Lynnwood, WA 98087-2267
Phone (425) 508-0370

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1392940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1392940800000",
    "number": "1124443502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15103 46TH PL W",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980872267",
            "telephone_number": "425-508-0370",
            "fax_number": "425-741-3787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15103 46TH PL W",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980872267",
            "telephone_number": "425-508-0370",
            "fax_number": "425-741-3787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL RABUNG R.N LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-21",
        "last_updated": "2014-02-21",
        "status": "A",
        "authorized_official_last_name": "RABUNG",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "425-508-0370",
        "authorized_official_credential": "R.N."
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Registered Nurse",
            "state": "WA",
            "license": "RN00125850",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lynnwood, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2014; 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.