Individual provider Active NPI

Blanchei Baloy Arreola, LP00057493

  • Home Health Registered Nurse
  • Kent, WA
National Provider Identifier
1316708076
Registry record updated Jan 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health Registered NurseTaxonomy code 163WH0200X
License
LP00057493 Issued in WA
Practice address
4821 S Kent Des Moines Rd # B341
Kent, WA 98032-4212
Phone
(425) 899-3300
Fax
(425) 899-1740
NPI assigned
Jan 19, 2024
Last updated
Jan 19, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 19, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Registered Nurse 163WH0200X LP00057493 WA Primary
Licensed Vocational Nurse 164X00000X LP00057493 WA

Addresses

Primary practice location

4821 S Kent Des Moines Rd # B341
Kent, WA 98032-4212

Mailing address

4821 S Kent Des Moines Rd # B341
Kent, WA 98032-4212
Phone (425) 899-3300

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

LicenseStateTypeSpecialty
LP00057493WAMDLicensed Vocational Nurse

NPI Registry JSON

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

{
    "created_epoch": "1705622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705622400000",
    "number": "1316708076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4821 S KENT DES MOINES RD # B341",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980324212",
            "telephone_number": "425-899-3300",
            "fax_number": "425-899-1740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4821 S KENT DES MOINES RD # B341",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980324212",
            "telephone_number": "425-899-3300",
            "fax_number": "425-899-1740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARREOLA",
        "first_name": "BLANCHEI",
        "middle_name": "BALOY",
        "name_prefix": "Mrs.",
        "credential": "LP00057493",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-01-19",
        "last_updated": "2024-01-19",
        "certification_date": "2024-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "WA",
            "license": "LP00057493",
            "primary": true
        },
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "WA",
            "license": "LP00057493",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kent, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2024; 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.