Individual provider Active NPI

Payten Stakkeland

  • Emergency Registered Nurse
  • Richland, WA
National Provider Identifier
1215832373
Registry record updated Oct 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Registered NurseTaxonomy code 163WE0003X
License
RN61446210 Issued in WA
Practice address
2550 Duportail St Apt H148
Richland, WA 99352-4071
Phone
(509) 913-9434
NPI assigned
Oct 9, 2026
Last updated
Oct 9, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 9, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Registered Nurse 163WE0003X RN61446210 WA Primary

Addresses

Primary practice location

2550 Duportail St Apt H148
Richland, WA 99352-4071

Mailing address

2550 Duportail St Apt H148
Richland, WA 99352-4071
Phone (509) 913-9434

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": "1791504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791504000000",
    "number": "1215832373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2550 DUPORTAIL ST APT H148",
            "city": "RICHLAND",
            "state": "WA",
            "postal_code": "993524071",
            "telephone_number": "509-913-9434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2550 DUPORTAIL ST APT H148",
            "city": "RICHLAND",
            "state": "WA",
            "postal_code": "993524071",
            "telephone_number": "509-913-9434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAKKELAND",
        "first_name": "PAYTEN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-10-09",
        "last_updated": "2026-10-09",
        "certification_date": "2026-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WE0003X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Emergency",
            "state": "WA",
            "license": "RN61446210",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richland, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.