Jan Byron Lopez, BSN RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

RN60710403 Issued in WA

Practice address

21008 76TH Ave W
Edmonds, WA 98026-7104

Phone

(425) 778-0107

Fax

(425) 670-4187

NPI assigned

Sep 23, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor on Science - Nursing, Registered Nurse

State licenses

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

{
    "created_epoch": "1663891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663891200000",
    "number": "1124741160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21008 76TH AVE W",
            "city": "EDMONDS",
            "state": "WA",
            "postal_code": "980267104",
            "telephone_number": "425-778-0107",
            "fax_number": "425-670-4187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21008 76TH AVE W",
            "city": "EDMONDS",
            "state": "WA",
            "postal_code": "980267104",
            "telephone_number": "425-778-0107",
            "fax_number": "425-670-4187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ",
        "first_name": "JAN",
        "middle_name": "BYRON",
        "credential": "BSN RN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-09-23",
        "last_updated": "2022-09-23",
        "certification_date": "2022-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WA",
            "license": "RN60710403",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erin Virginia Long, M.A.
• Kathleen Monica Long, L.M.P.
• Stephen Donald Long, RPH
• Ana Maria Longoria
• Sierra Savanah Lont
• Jay Patrick Lopez, MD
• Henry Francis Loran
• Loree Bolin, DDS, LLC
• Dennis L Loudenback, PAC
• Salah Eddin Hicham Loulou, RPH

• Registered Nurse in Edmonds, WA
• Providers in Edmonds, WA by specialty
• Registered Nurse in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2022; 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.