Individual provider Active NPI

Nallely Birrueta

  • Registered Nurse
  • Vancouver, WA
National Provider Identifier
1386581916
Registry record updated May 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
10057645 Issued in OR
Practice address
2805 E 19TH St
Vancouver, WA 98661-4614
Phone
(360) 255-5993
NPI assigned
May 1, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 10057645 OR Primary

Addresses

Primary practice location

2805 E 19TH St
Vancouver, WA 98661-4614

Mailing address

2912 NE Anthony LN
Albany, OR 97321-9522
Phone (503) 910-7546

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
10057645ORMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Haven Treatment Center - Washington PastSince Jan 19, 2025 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1777593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777593600000",
    "number": "1386581916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2912 NE ANTHONY LN",
            "city": "ALBANY",
            "state": "OR",
            "postal_code": "973219522",
            "telephone_number": "503-910-7546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2805 E 19TH ST",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986614614",
            "telephone_number": "360-255-5993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIRRUETA",
        "first_name": "NALLELY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-05-01",
        "last_updated": "2026-05-01",
        "certification_date": "2026-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OR",
            "license": "10057645",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vancouver, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2026; 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.