Active NPI
Angie Alvarez
- Licensed Practical Nurse
- Yakima, WA
National Provider Identifier
1306179080
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- LP00048174
- Practice address
- 201 S 2ND Ave
Yakima, WA 98902-3464 - Phone
- (509) 575-4084
- NPI assigned
- Sep 11, 2009
- 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 | LP00048174 | WA | Primary |
Addresses
Primary practice location
201 S 2ND Ave
Yakima, WA 98902-3464
Mailing address
PO Box 959
Yakima, WA 98907-0959
Phone (509) 575-4084
Other practice location 1
402 S 4th Ave
Yakima, WA 98902-3546
Phone (509) 575-4084
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 |
|---|---|---|---|
| LP00048174 | WA | MD | Licensed Practical Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1252627200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1645401600000",
"number": "1306179080",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 959",
"city": "YAKIMA",
"state": "WA",
"postal_code": "989070959",
"telephone_number": "509-575-4084"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 S 2ND AVE",
"city": "YAKIMA",
"state": "WA",
"postal_code": "989023464",
"telephone_number": "509-575-4084"
}
],
"practiceLocations": [
{
"address_1": "402 S 4th Ave",
"address_purpose": "LOCATION",
"city": "Yakima",
"state": "WA",
"postal_code": "989023546",
"country_code": "US",
"telephone_number": "509-575-4084",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ALVAREZ",
"first_name": "ANGIE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-09-11",
"last_updated": "2022-02-21",
"certification_date": "2022-02-21",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "WA",
"license": "LP00048174",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Yakima, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 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.