Organization Active NPI

Angelica Nurse Delegators

  • Administrator Registered Nurse
  • Auburn, WA
National Provider Identifier
1245004159
Registry record updated Nov 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Administrator Registered NurseTaxonomy code 163WA2000X
Legal business name
ANGELICA NURSE DELEGATORS
Practice address
606 Cedar Dr SE
Auburn, WA 98002-7603
Phone
(425) 442-0159
NPI assigned
Nov 10, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2023

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

Authorized official

Name
Eneze MoreauNPI 1912476508
Title
RN Delegator/Administrator
Phone
(425) 442-0159

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Administrator Registered NurseGroup: 193400000X SINGLE SPECIALTY GROUP 163WA2000X Primary
Point of Service 305S00000X

Addresses

Primary practice location

606 Cedar Dr SE
Auburn, WA 98002-7603

Mailing address

606 Cedar Dr SE
Auburn, WA 98002-7603
Phone (425) 442-0159

Other names 1

  • Angelica Nurse Delegators Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1699574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699574400000",
    "number": "1245004159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "606 CEDAR DR SE",
            "city": "AUBURN",
            "state": "WA",
            "postal_code": "980027603",
            "telephone_number": "425-442-0159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "606 CEDAR DR SE",
            "city": "AUBURN",
            "state": "WA",
            "postal_code": "980027603",
            "telephone_number": "425-442-0159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGELICA NURSE DELEGATORS",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-10",
        "last_updated": "2023-11-10",
        "certification_date": "2023-11-10",
        "status": "A",
        "authorized_official_last_name": "MOREAU",
        "authorized_official_first_name": "ENEZE",
        "authorized_official_title_or_position": "RN DELEGATOR/ADMINISTRATOR",
        "authorized_official_telephone_number": "425-442-0159"
    },
    "taxonomies": [
        {
            "code": "163WA2000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, Administrator",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Angelica Nurse Delegators",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Auburn, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 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.