Individual provider Active NPI

Iris Rose Pullen-Villareal, MSW, BSW

  • Social Worker
  • Spokane, WA
National Provider Identifier
1235962556
Registry record updated Aug 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
SC61577616 Issued in WA
Practice address
200 N Bernard St
Spokane, WA 99201-0206
Phone
(509) 354-7946
Fax
(509) 835-1281
NPI assigned
Aug 22, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X SC61577616 WA Primary

Addresses

Primary practice location

200 N Bernard St
Spokane, WA 99201-0206

Mailing address

200 N Bernard St
Spokane, WA 99201-0206
Phone (509) 354-7946

Other names 1

  • Iris Rose Pullen Former name

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
SC61577616WAMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Spokane Public Schools District 81 Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/spokaneschools/r4/

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1724284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724284800000",
    "number": "1235962556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 N BERNARD ST",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992010206",
            "telephone_number": "509-354-7946",
            "fax_number": "509-835-1281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 N BERNARD ST",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992010206",
            "telephone_number": "509-354-7946",
            "fax_number": "509-835-1281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PULLEN-VILLAREAL",
        "first_name": "IRIS",
        "middle_name": "ROSE",
        "credential": "MSW, BSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-22",
        "last_updated": "2024-08-22",
        "certification_date": "2024-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "WA",
            "license": "SC61577616",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "IRIS",
            "last_name": "PULLEN",
            "middle_name": "ROSE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Spokane, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.