Dylan Van Denend

Primary specialty

School Registered NurseTaxonomy code 163WS0200X

License

RN.1682944 Issued in CO

Practice address

200 E Barker St
Medical Lake, WA 99022-9003

Phone

(509) 565-3100

NPI assigned

Dec 30, 2024

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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": "1735516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735516800000",
    "number": "1225847700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "424 S NEWER RD",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "990379726",
            "telephone_number": "303-919-7792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 E BARKER ST",
            "city": "MEDICAL LAKE",
            "state": "WA",
            "postal_code": "990229003",
            "telephone_number": "509-565-3100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN DENEND",
        "first_name": "DYLAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-12-30",
        "last_updated": "2024-12-30",
        "certification_date": "2024-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "CO",
            "license": "RN.1682944",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sherri B. Tomkowiak, M.D.
• Deborah J Tonhofer, MD
• Ted Y Toribara, MD
• Trevor D Travers, PHD
• Barbara R Tritt, PA-C
• Susan L Vanwormer
• Marion L Vigus, ARNP
• Darlene E. Walsh-Martin, PHD
• Washington State Dept of Social and Health Services
• Candie M. Wellwood, DNP, PMHNP

• School Registered Nurse in Medical Lake, WA
• Providers in Medical Lake, WA by specialty
• School Registered Nurse in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 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.