Individual provider Active NPI

Megan Ellyce Dralle

  • Community Health Worker
  • Mount Vernon, WA
National Provider Identifier
1346676855
Registry record updated Sep 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health WorkerTaxonomy code 172V00000X
Practice address
13347 Austin Rd
Mount Vernon, WA 98273-8061
Phone
(360) 708-8436
NPI assigned
Sep 17, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 17, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Worker 172V00000X WA Primary

Addresses

Primary practice location

13347 Austin Rd
Mount Vernon, WA 98273-8061

Mailing address

13347 Austin Rd
Mount Vernon, WA 98273-8061
Phone (360) 708-8436

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

NPI Registry JSON

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

{
    "created_epoch": "1379376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1379376000000",
    "number": "1346676855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13347 AUSTIN RD",
            "city": "MOUNT VERNON",
            "state": "WA",
            "postal_code": "982738061",
            "telephone_number": "360-708-8436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13347 AUSTIN RD",
            "city": "MOUNT VERNON",
            "state": "WA",
            "postal_code": "982738061",
            "telephone_number": "360-708-8436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRALLE",
        "first_name": "MEGAN",
        "middle_name": "ELLYCE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-09-17",
        "last_updated": "2013-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "WA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Vernon, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2013; 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.