Custom Nurse Delegation, LLC

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

RN00080653 Issued in WA

Legal business name

CUSTOM NURSE DELEGATION, LLC

Practice address

9517 N Dover Rd
Nine Mile Falls, WA 99026-9716

Phone

(509) 724-7103

NPI assigned

Sep 25, 2014

Organization subpart

No

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

Authorized official

Name

Linda Joan Noble, RN, MS

Title

Registered Nurse Delegator

Phone

(509) 724-7103

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1411603200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1411603200000",
    "number": "1285036871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9517 N DOVER RD",
            "city": "NINE MILE FALLS",
            "state": "WA",
            "postal_code": "990269716",
            "telephone_number": "509-724-7103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9517 N DOVER RD",
            "city": "NINE MILE FALLS",
            "state": "WA",
            "postal_code": "990269716",
            "telephone_number": "509-724-7103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CUSTOM NURSE DELEGATION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-25",
        "last_updated": "2014-09-25",
        "status": "A",
        "authorized_official_last_name": "NOBLE",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "JOAN",
        "authorized_official_title_or_position": "REGISTERED NURSE DELEGATOR",
        "authorized_official_telephone_number": "509-724-7103",
        "authorized_official_credential": "RN, MS"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse",
            "state": "WA",
            "license": "RN00080653",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelsey Beaton, LMT
• Natalie Gayle Berry, OTR/L
• Broadside Psychotherapy
• Lucinda Louise Collins, RN
• Mindy Crane
• Matthew Peter Dinsmore, ARNP
• Cyrus San Nicolas Dolph, L.M.P.
• Madeleine R Everett, DDS
• Kristen Fuller
• Jessica Garcia

• Registered Nurse in Nine Mile Falls, WA
• Providers in Nine Mile Falls, WA by specialty
• Registered Nurse in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2014; 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.