Individual provider Active NPI

Demetria Palencia-Torres, RN

  • School Registered Nurse
  • Yakima, WA
National Provider Identifier
1235473828
Registry record updated Nov 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
School Registered NurseTaxonomy code 163WS0200X
License
RN60087358 Issued in WA
Practice address
104 N 4TH Ave
Yakima, WA 98902-2636
Phone
(509) 573-5872
Fax
(509) 573-5888
NPI assigned
Nov 20, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Registered Nurse 163WS0200X RN60087358 WA Primary

Addresses

Primary practice location

104 N 4TH Ave
Yakima, WA 98902-2636

Mailing address

104 N 4TH Ave
Yakima, WA 98902-2636
Phone (509) 573-5872

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

LicenseStateTypeSpecialty
RN60087358WAMDSchool Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1353369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1353369600000",
    "number": "1235473828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 N 4TH AVE",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989022636",
            "telephone_number": "509-573-5872",
            "fax_number": "509-573-5888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 N 4TH AVE",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989022636",
            "telephone_number": "509-573-5872",
            "fax_number": "509-573-5888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALENCIA-TORRES",
        "first_name": "DEMETRIA",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-11-20",
        "last_updated": "2012-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "WA",
            "license": "RN60087358",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yakima, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2012; 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.