Individual provider Active NPI

Francisca Maria Siriwardana, LPN

  • Licensed Practical Nurse
  • Bonney Lake, WA
National Provider Identifier
1215774112
Registry record updated Jul 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
LP61085653 Issued in WA
Practice address
18102 Village Pkwy E
Bonney Lake, WA 98391-9546
Phone
(512) 934-1557
NPI assigned
Jul 9, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X LP61085653 WA Primary

Addresses

Primary practice location

18102 Village Pkwy E
Bonney Lake, WA 98391-9546

Mailing address

18102 Village Pkwy E
Bonney Lake, WA 98391-9546
Phone (512) 934-1557

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

State licenses

LicenseStateTypeSpecialty
LP61085653WAMDLicensed Practical Nurse

NPI Registry JSON

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

{
    "created_epoch": "1720483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720483200000",
    "number": "1215774112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18102 VILLAGE PKWY E",
            "city": "BONNEY LAKE",
            "state": "WA",
            "postal_code": "983919546",
            "telephone_number": "512-934-1557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18102 VILLAGE PKWY E",
            "city": "BONNEY LAKE",
            "state": "WA",
            "postal_code": "983919546",
            "telephone_number": "512-934-1557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIRIWARDANA",
        "first_name": "FRANCISCA",
        "middle_name": "MARIA",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-09",
        "last_updated": "2024-07-09",
        "certification_date": "2024-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "WA",
            "license": "LP61085653",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bonney Lake, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2024; 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.