Active NPI
Ricca Chagolla, RN
- Registered Nurse
- Auburn, WA
National Provider Identifier
1326519968
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 60797261
- Practice address
- 28900 124TH Ave SE
Auburn, WA 98092-3101 - Phone
- (253) 804-4539
- Fax
- (253) 876-2507
- NPI assigned
- Dec 7, 2018
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 60797261 | WA | Primary |
Addresses
Primary practice location
28900 124TH Ave SE
Auburn, WA 98092-3101
Mailing address
28900 124TH Ave SE
Auburn, WA 98092-3101
Phone (253) 804-4539
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 60797261 | WA | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1544140800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1544140800000",
"number": "1326519968",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "28900 124TH AVE SE",
"city": "AUBURN",
"state": "WA",
"postal_code": "980923101",
"telephone_number": "253-804-4539",
"fax_number": "253-876-2507"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "28900 124TH AVE SE",
"city": "AUBURN",
"state": "WA",
"postal_code": "980923101",
"telephone_number": "253-804-4539",
"fax_number": "253-876-2507"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHAGOLLA",
"first_name": "RICCA",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-12-07",
"last_updated": "2018-12-07",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "WA",
"license": "60797261",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Auburn, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 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.