Individual provider Active NPI

Joann Rhea Stillwaugh, RN BSN

  • Hospice Registered Nurse
  • Naches, WA
National Provider Identifier
1235907874
Registry record updated Dec 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospice Registered NurseTaxonomy code 163WH1000X
License
RN00157960 Issued in WA
Practice address
338 Clemans Dr
Naches, WA 98937-9730
Phone
(509) 930-1825
NPI assigned
Dec 13, 2023
Last updated
Dec 13, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Registered Nurse 163WH0200X RN00157960 WA
Hospice Registered Nurse 163WH1000X RN00157960 WA Primary

Addresses

Primary practice location

338 Clemans Dr
Naches, WA 98937-9730

Mailing address

338 Clemans Dr
Naches, WA 98937-9730
Phone (509) 930-1825

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
Bachelor on Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN00157960WAMDHospice Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1702425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702425600000",
    "number": "1235907874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "338 CLEMANS DR",
            "city": "NACHES",
            "state": "WA",
            "postal_code": "989379730",
            "telephone_number": "509-930-1825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "338 CLEMANS DR",
            "city": "NACHES",
            "state": "WA",
            "postal_code": "989379730",
            "telephone_number": "509-930-1825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STILLWAUGH",
        "first_name": "JOANN",
        "middle_name": "RHEA",
        "credential": "RN BSN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-12-13",
        "last_updated": "2023-12-13",
        "certification_date": "2023-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "WA",
            "license": "RN00157960",
            "primary": false
        },
        {
            "code": "163WH1000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Hospice",
            "state": "WA",
            "license": "RN00157960",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naches, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2023; 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.