Mary Doreen Briles

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

RN60293959 Issued in WA

Practice address

11605 Elk Heights LN SE
Yelm, WA 98597-8481

Phone

(360) 400-1063

NPI assigned

Apr 19, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1618790400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618790400000",
    "number": "1356922652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11605 ELK HEIGHTS LN SE",
            "city": "YELM",
            "state": "WA",
            "postal_code": "985978481",
            "telephone_number": "360-400-1063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11605 ELK HEIGHTS LN SE",
            "city": "YELM",
            "state": "WA",
            "postal_code": "985978481",
            "telephone_number": "360-400-1063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRILES",
        "first_name": "MARY",
        "middle_name": "DOREEN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-19",
        "last_updated": "2021-04-19",
        "certification_date": "2021-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WA",
            "license": "RN60293959",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Blue Lotus Lumine Holistic Spa
• Bmore Family Practice PLLC
• Kristin Bogar, CPHT
• Denise E Boyd, PT
• Tanya Brandt, PTA
• Benton Bristol, PHARMD
• Robert Jerome Bromberg, BA, CDP
• Taylor Elizabeth Brown, PT, DPT
• Lorraine Brownfield
• Tamara C Bunn, M.D.

• All providers in Yelm, WA
• Registered Nurse in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2021; 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.