Individual provider Active NPI

Malou Cabauatan Lasam

  • Registered Nurse
  • Everett, WA
National Provider Identifier
1164189114
Registry record updated Nov 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
RN60898618 Issued in WA
Practice address
12404 E Gibson Rd Apt Q203
Everett, WA 98204-8689
Phone
(206) 999-0923
NPI assigned
Nov 24, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 24, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN60898618 WA Primary

Addresses

Primary practice location

12404 E Gibson Rd Apt Q203
Everett, WA 98204-8689

Mailing address

12404 E Gibson Rd Apt Q203
Everett, WA 98204-8689
Phone (206) 999-0923

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

LicenseStateTypeSpecialty
RN60898618WAMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1637712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637712000000",
    "number": "1164189114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12404 E GIBSON RD APT Q203",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982048689",
            "telephone_number": "206-999-0923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12404 E GIBSON RD APT Q203",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982048689",
            "telephone_number": "206-999-0923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LASAM",
        "first_name": "MALOU",
        "middle_name": "CABAUATAN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-11-24",
        "last_updated": "2021-11-24",
        "certification_date": "2021-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WA",
            "license": "RN60898618",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Everett, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2021; 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.