Active NPI
Nerio Arestan Bides, RN
- Registered Nurse
- Kent, WA
National Provider Identifier
1215424494
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- RN60001992
- Practice address
- 10200 SE 222ND St
Kent, WA 98031-2546 - Phone
- (206) 351-0615
- Fax
- (253) 344-1724
- NPI assigned
- Apr 13, 2018
- Sex
- Male
- Sole proprietor
- Yes
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 | RN60001992 | WA | Primary |
Addresses
Primary practice location
10200 SE 222ND St
Kent, WA 98031-2546
Mailing address
10200 SE 222ND St
Kent, WA 98031-2546
Phone (206) 351-0615
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 461508884 | 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
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN60001992 | WA | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1523577600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1525651200000",
"number": "1215424494",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10200 SE 222ND ST",
"city": "KENT",
"state": "WA",
"postal_code": "980312546",
"telephone_number": "206-351-0615",
"fax_number": "253-344-1724"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10200 SE 222ND ST",
"city": "KENT",
"state": "WA",
"postal_code": "980312546",
"telephone_number": "206-351-0615",
"fax_number": "253-344-1724"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BIDES",
"first_name": "NERIO",
"middle_name": "ARESTAN",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-04-13",
"last_updated": "2018-05-07",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "WA",
"license": "RN60001992",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "461508884",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Kent, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.