Active NPI
Rozette Casene Henryalvarez, LPN
- Licensed Practical Nurse
- Renton, WA
National Provider Identifier
1295236867
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- LP00057880
- Practice address
- 2403 Jones Ave S
Renton, WA 98055-4304 - Phone
- (206) 290-7006
- NPI assigned
- Feb 28, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | LP00057880 | WA | Primary |
Addresses
Primary practice location
2403 Jones Ave S
Renton, WA 98055-4304
Mailing address
2602 Westridge Ave W Apt Y201
Tacoma, WA 98466-1892
Phone (253) 882-4401
Other names 1
- Ms. Rozette Casene Bynum
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
| License | State | Type | Specialty |
|---|---|---|---|
| LP00057880 | WA | MD | Licensed Practical Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1519776000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1519776000000",
"number": "1295236867",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2602 WESTRIDGE AVE W APT Y201",
"city": "TACOMA",
"state": "WA",
"postal_code": "984661892",
"telephone_number": "253-882-4401",
"fax_number": "866-360-5916"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2403 JONES AVE S",
"city": "RENTON",
"state": "WA",
"postal_code": "980554304",
"telephone_number": "206-290-7006"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HENRYALVAREZ",
"first_name": "ROZETTE",
"middle_name": "CASENE",
"name_prefix": "Ms.",
"credential": "LPN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-02-28",
"last_updated": "2018-02-28",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "WA",
"license": "LP00057880",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ROZETTE",
"last_name": "BYNUM",
"middle_name": "CASENE",
"prefix": "MS.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Renton, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.