Ninfa E.Balangue

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

RN00102147 Issued in WA

Legal business name

NINFA E.BALANGUE

Doing business as

n/a

Practice address

9341 Hart Rd SE
Olympia, WA 98501-9705

Phone

(360) 915-6549

Fax

(360) 915-6549

NPI assigned

Jan 23, 2015

Organization subpart

Yes

Parent organization

ADSA NURSE DELEGATIONAs reported in NPPES

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

Authorized official

Name

Ninfa Evalobo Balangue, BSN

Title

Registered Nurse/Nurse Delagator

Phone

(360) 915-6549

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• n/a Doing business as

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

{
    "created_epoch": "1421971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421971200000",
    "number": "1396135794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9341 HART RD SE",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985019705",
            "telephone_number": "360-915-6549",
            "fax_number": "360-915-6549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9341 HART RD SE",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985019705",
            "telephone_number": "360-915-6549",
            "fax_number": "360-915-6549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NINFA E.BALANGUE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ADSA NURSE DELEGATION",
        "enumeration_date": "2015-01-23",
        "last_updated": "2015-01-23",
        "status": "A",
        "authorized_official_last_name": "BALANGUE",
        "authorized_official_first_name": "NINFA",
        "authorized_official_middle_name": "EVALOBO",
        "authorized_official_title_or_position": "REGISTERED NURSE/NURSE DELAGATOR",
        "authorized_official_telephone_number": "360-915-6549",
        "authorized_official_credential": "BSN"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse",
            "state": "WA",
            "license": "RN00102147",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "11001485",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "n/a",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Registered Nurse in Olympia, WA
• Providers in Olympia, WA by specialty
• Registered Nurse in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2015; 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.