Individual provider Active NPI

Eleanor Pascual, DNP, ARNP

  • Nurse Practitioner
  • Federal Way, WA
National Provider Identifier
1356864631
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP60773719 Issued in WA
Practice address
505 S 336TH St Ste 500
Federal Way, WA 98003-8300
Phone
(206) 962-3535
NPI assigned
Jul 19, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine Registered Nurse 163WC0200X RN00130117 WA
Nurse Practitioner 363L00000X AP60773719 WA Primary

Addresses

Primary practice location

505 S 336TH St Ste 500
Federal Way, WA 98003-8300

Mailing address

34615 4TH PL SW
Federal Way, WA 98023-7923
Phone (206) 966-2300

Other practice location 1

34615 4th Pl SW
Federal Way, WA 98023-7923
Phone (206) 966-2300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN00130117WAMDCritical Care Medicine Registered Nurse
AP60773719WAMDNurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1500422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1356864631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34615 4TH PL SW",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980237923",
            "telephone_number": "206-966-2300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 S 336TH ST STE 500",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980038300",
            "telephone_number": "206-962-3535"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "34615 4th Pl SW",
            "address_purpose": "LOCATION",
            "city": "Federal Way",
            "state": "WA",
            "postal_code": "980237923",
            "country_code": "US",
            "telephone_number": "206-966-2300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PASCUAL",
        "first_name": "ELEANOR",
        "credential": "DNP, ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-19",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Critical Care Medicine",
            "state": "WA",
            "license": "RN00130117",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WA",
            "license": "AP60773719",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Federal Way, WA

Sources for this page

Verify at the official NPI Registry.