Active NPI
Nicole Yvonne Bruno, RN, BSN
- Registered Nurse
- Vancouver, WA
National Provider Identifier
1184181984
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- RN60765681
- Practice address
- 2502 E Fourth Plain Blvd
Vancouver, WA 98661-3965 - Phone
- (360) 852-9092
- Fax
- (360) 397-4368
- NPI assigned
- Feb 28, 2019
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | RN60765681 | WA | |
| Registered Nurse | 163W00000X | RN60765681 | WA | Primary |
Addresses
Primary practice location
2502 E Fourth Plain Blvd
Vancouver, WA 98661-3965
Mailing address
1050 Larrabee Ave
Ste 104 PMB 466
Bellingham, WA 98225
Phone (360) 961-4941
Other practice location 1
4455 Cordata Pkwy
Bellingham, WA 98226-8037
Phone (360) 671-3225
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2132995 | Medicaid | WA |
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
- Credentials
- Bachelor on Science - Nursing, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN60765681 | WA | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1551312000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1741910400000",
"number": "1184181984",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1050 LARRABEE AVE",
"address_2": "STE 104 PMB 466",
"city": "BELLINGHAM",
"state": "WA",
"postal_code": "98225",
"telephone_number": "360-961-4941"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2502 E FOURTH PLAIN BLVD",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986613965",
"telephone_number": "360-852-9092",
"fax_number": "360-397-4368"
}
],
"practiceLocations": [
{
"address_1": "4455 Cordata Pkwy",
"address_purpose": "LOCATION",
"city": "Bellingham",
"state": "WA",
"postal_code": "982268037",
"country_code": "US",
"telephone_number": "360-671-3225",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BRUNO",
"first_name": "NICOLE",
"middle_name": "YVONNE",
"name_prefix": "Ms.",
"credential": "RN, BSN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-02-28",
"last_updated": "2025-03-14",
"certification_date": "2025-03-14",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "WA",
"license": "RN60765681",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "WA",
"license": "RN60765681",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2132995",
"state": "WA"
}
],
"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 Mar 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.