Active NPI
Lauren Donovan
- Registered Nurse
- Des Moines, WA
National Provider Identifier
1174431936
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 61064982
- Practice address
- 20817 17TH Ave S
Des Moines, WA 98198-7665 - Phone
- (206) 257-6200
- NPI assigned
- Aug 31, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 61064982 | WA | Primary |
Addresses
Primary practice location
20817 17TH Ave S
Des Moines, WA 98198-7665
Mailing address
9109 203Rd Ave E
Bonney Lake, WA 98391-6384
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": "1788134400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788134400000",
"number": "1174431936",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9109 203RD AVE E",
"city": "BONNEY LAKE",
"state": "WA",
"postal_code": "983916384"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20817 17TH AVE S",
"city": "DES MOINES",
"state": "WA",
"postal_code": "981987665",
"telephone_number": "206-257-6200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DONOVAN",
"first_name": "LAUREN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-08-31",
"last_updated": "2026-08-31",
"certification_date": "2026-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "WA",
"license": "61064982",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Des Moines, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.