Theresa Valentine Nims X

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

CP00002592 Issued in WA

Practice address

1210 SW 136TH St
Burien, WA 98166-1214

Phone

(206) 257-6902

Fax

(206) 257-6825

NPI assigned

Mar 6, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Theresa Valentine Hardie Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1488758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1519689600000",
    "number": "1154861474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1210 SW 136TH ST",
            "city": "BURIEN",
            "state": "WA",
            "postal_code": "981661214",
            "telephone_number": "206-257-6902",
            "fax_number": "206-257-6825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1210 SW 136TH ST",
            "city": "BURIEN",
            "state": "WA",
            "postal_code": "981661214",
            "telephone_number": "206-257-6902",
            "fax_number": "206-257-6825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIMS",
        "first_name": "THERESA",
        "middle_name": "VALENTINE",
        "name_suffix": "X",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-03-06",
        "last_updated": "2018-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH00005076",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WA",
            "license": "CP00002592",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "THERESA",
            "last_name": "HARDIE",
            "middle_name": "VALENTINE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Victoria VI Nguyen
• Tuyen Thanh Nhan, DO
• Gary C Nicholas, RPH
• Eric Niebrugge, PHARMD, RPH
• Jannet B Nieves Noriega, RDN
• Vivian Chizoba Nkwonta, M.D.
• Jeanne Noel, RN
• Joel Nofziger, RN
• Richard Y. Nomura, DDS
• Normandy Park Assisted Living, LLC

• Addiction (Substance Use Disorder) Counselor in Burien, WA
• Providers in Burien, WA by specialty
• Addiction (Substance Use Disorder) Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2018; 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.