Aida Arlin Juarez

Primary specialty

SpecialistTaxonomy code 174400000X

License

CL60160169 Issued in WA

Practice address

515 W Court St
Pasco, WA 99301

Phone

(509) 597-2204

NPI assigned

Dec 27, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Electronic endpoints 2

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": "1167177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650931200000",
    "number": "1205992245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 W COURT ST",
            "city": "PASCO",
            "state": "WA",
            "postal_code": "99301",
            "telephone_number": "509-597-2204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 W COURT ST",
            "city": "PASCO",
            "state": "WA",
            "postal_code": "99301",
            "telephone_number": "509-597-2204"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "715 W Court St",
            "address_purpose": "LOCATION",
            "city": "Pasco",
            "state": "WA",
            "postal_code": "993014153",
            "country_code": "US",
            "telephone_number": "509-543-1979",
            "fax_number": "509-542-0046",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JUAREZ",
        "first_name": "AIDA",
        "middle_name": "ARLIN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-27",
        "last_updated": "2022-04-26",
        "certification_date": "2022-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "WA",
            "license": "RC00051469",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "WA",
            "license": "CL60160169",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WA STATE LICENSE",
            "identifier": "CL60160169",
            "state": "WA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Pasco",
            "affiliation": "N",
            "address_1": "715 W Court St",
            "city": "Pasco",
            "state": "WA",
            "country_code": "US",
            "postal_code": "993014153",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Pasco",
            "affiliation": "N",
            "address_1": "715 W Court St",
            "city": "Pasco",
            "state": "WA",
            "country_code": "US",
            "postal_code": "993014153",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• David William Jones, MD
• Kelli M Jones
• Tammy Jones, MSW CDP
• Valerie Blair Jones, MA
• Jose Mendoza Professional Services
• Lisa Julson, P.T.
• Deana Kagele, LMP
• Erin Kane, D.D.S.
• Raymond Edward Kania, D.O.
• Margaret Ann Kannberg, R.D.

• Specialist in Pasco, WA
• Providers in Pasco, WA by specialty
• Specialist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2022; 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.