Anitra Janelle Sealock, RN

Primary specialty

Case Management Registered NurseTaxonomy code 163WC0400X

License

RN00136247 Issued in WA

Practice address

51621 N Demoss Rd
Benton City, WA 99320-5177

Phone

(509) 588-2616

NPI assigned

Aug 6, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Red Mountain Field Case Management LLC

  • Case Management Agency
  • Benton City, WA
  • NPI 1952603532
  NPD (past)

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

{
    "created_epoch": "1344211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1344211200000",
    "number": "1164779559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51621 N DEMOSS RD",
            "city": "BENTON CITY",
            "state": "WA",
            "postal_code": "993205177",
            "telephone_number": "509-588-2616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51621 N DEMOSS RD",
            "city": "BENTON CITY",
            "state": "WA",
            "postal_code": "993205177",
            "telephone_number": "509-588-2616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEALOCK",
        "first_name": "ANITRA",
        "middle_name": "JANELLE",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-06",
        "last_updated": "2012-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Case Management",
            "state": "WA",
            "license": "RN00136247",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "26-3376821",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Prosser Public Hospital District of Benton County
• Irma Pulido
• Alejandra O Ramos
• Red Mountain Field Case Management LLC
• Linda M Schroeder
• Lyudmila V Shelestovskiy
• Sarah Marie Skagerberg, L.M.P.
• Sleep Medical Center of Tri-Cities, LLC
• Suzanne Heidi Sample Staudinger, MD
• Shawn M Taber, RN CCM

• Case Management Registered Nurse in Benton City, WA
• Providers in Benton City, WA by specialty
• Case Management Registered Nurse in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2012; 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.