Individual provider Active NPI

Erin C Eldredge, BSN,RN,CWON,CCM

  • Wound Care Registered Nurse
  • Vancouver, WA
National Provider Identifier
1124939814
Registry record updated Sep 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Wound Care Registered NurseTaxonomy code 163WW0000X
License
RN60854426 Issued in WA
Practice address
108 NW 78TH St
Vancouver, WA 98665-7903
Phone
(719) 291-9335
NPI assigned
Sep 14, 2026
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 14, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Wound Care Registered NurseGroup: 193400000X SINGLE SPECIALTY GROUP 163WW0000X RN60854426 WA Primary

Addresses

Primary practice location

108 NW 78TH St
Vancouver, WA 98665-7903

Mailing address

108 NW 78TH St
Vancouver, WA 98665-7903
Phone (719) 291-9335

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1789344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789344000000",
    "number": "1124939814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 NW 78TH ST",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986657903",
            "telephone_number": "719-291-9335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 NW 78TH ST",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986657903",
            "telephone_number": "719-291-9335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELDREDGE",
        "first_name": "ERIN",
        "middle_name": "C",
        "credential": "BSN,RN,CWON,CCM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-09-14",
        "last_updated": "2026-09-14",
        "certification_date": "2026-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WW0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, Wound Care",
            "state": "WA",
            "license": "RN60854426",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vancouver, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.