NPIMap

Organization Active NPI

Headway Nursing Services

  • Registered Nurse
  • Renton, WA
National Provider Identifier
1316161060
Registry record updated Jul 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
RN00117028 Issued in WA
Legal business name
HEADWAY NURSING SERVICES
Practice address
2130 Shattuck Ave So
Renton, WA 98055-4244
Phone
(425) 271-5319
Fax
(425) 271-5319
NPI assigned
Apr 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2008

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

Authorized official

Name
Ms. Janice Tutaan Angle, R.N.NPI 1023447471
Title
Manager Owner
Phone
(206) 380-0042

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
Registered NurseGroup: 193400000X SINGLE SPECIALTY GROUP 163W00000X RN00117028 WA Primary
Adult Care Home Facility 311ZA0620X 107802 WA

Addresses

Primary practice location

2130 Shattuck Ave So
Renton, WA 98055-4244

Mailing address

2130 Shattuck Ave So
Renton, WA 98055-4244
Phone (425) 271-5319

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": "1176336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216252800000",
    "number": "1316161060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2130 SHATTUCK AVE SO",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980554244",
            "telephone_number": "425-271-5319",
            "fax_number": "425-271-5319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2130 SHATTUCK AVE SO",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980554244",
            "telephone_number": "425-271-5319",
            "fax_number": "425-271-5319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEADWAY NURSING SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-12",
        "last_updated": "2008-07-17",
        "status": "A",
        "authorized_official_last_name": "ANGLE",
        "authorized_official_first_name": "JANICE",
        "authorized_official_middle_name": "TUTAAN",
        "authorized_official_title_or_position": "MANAGER OWNER",
        "authorized_official_telephone_number": "206-380-0042",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "R.N."
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse",
            "state": "WA",
            "license": "RN00117028",
            "primary": true
        },
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "WA",
            "license": "107802",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jul 17, 2008; 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.