Individual provider Active NPI

Loretta Arvizu, RN.,CST.

  • Specialist
  • Woodinville, WA
National Provider Identifier
1407017197
Registry record updated Jun 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MA00009526 Issued in WA
Practice address
18711 152ND Ave NE
Woodinville, WA 98072-8431
Phone
(425) 485-9007
NPI assigned
Jun 24, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 24, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X MA00009526 WA Primary

Addresses

Primary practice location

18711 152ND Ave NE
Woodinville, WA 98072-8431

Mailing address

18711 152ND Ave NE
Woodinville, WA 98072-8431

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
MA00009526WAMDSpecialist

NPI Registry JSON

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

{
    "created_epoch": "1214265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214265600000",
    "number": "1407017197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18711 152ND AVE NE",
            "city": "WOODINVILLE",
            "state": "WA",
            "postal_code": "980728431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18711 152ND AVE NE",
            "city": "WOODINVILLE",
            "state": "WA",
            "postal_code": "980728431",
            "telephone_number": "425-485-9007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARVIZU",
        "first_name": "LORETTA",
        "name_prefix": "Ms.",
        "credential": "RN.,CST.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-06-24",
        "last_updated": "2008-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "WA",
            "license": "MA00009526",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodinville, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2008; 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.