Latasha Lynn Madrigal, RN, BSN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

RN60733051 Issued in WA

Practice address

9408 NE 104TH Ave
Vancouver, WA 98662-2172

Phone

(360) 448-5406

NPI assigned

Mar 20, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Tasha Maynard Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor on Science - Nursing, Registered Nurse

State licenses

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

{
    "created_epoch": "1647734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647734400000",
    "number": "1295484103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9408 NE 104TH AVE",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986622172",
            "telephone_number": "360-448-5406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9408 NE 104TH AVE",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986622172",
            "telephone_number": "360-448-5406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADRIGAL",
        "first_name": "LATASHA",
        "middle_name": "LYNN",
        "credential": "RN, BSN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-20",
        "last_updated": "2022-03-20",
        "certification_date": "2022-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WA",
            "license": "RN60733051",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TASHA",
            "last_name": "MAYNARD",
            "credential": "RN, BSN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Aarthi Madhana Kumar
• Jaya Madhav, MD
• Adrienne Madler, OTR/L
• Rebecca Ann Madore, SLP
• Natashia Monique Madrid Heimburger, D.O.
• Nicole Madrigal, BS, CG
• Benjamin Madson
• Haruka Maeda
• Hillary Magallanez, BA
• Michelle Marie Magana

• Registered Nurse in Vancouver, WA
• Providers in Vancouver, WA by specialty
• Registered Nurse in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2022; 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.