Individual provider Active NPI

Becky Renee Van Ausdle, RN

  • Registered Nurse
  • Tacoma, WA
National Provider Identifier
1407930522
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
RN00134219 Issued in WA
Practice address
Department of Veterans Affairs
American Lake Division ER
Tacoma, WA 98493-5000
Phone
(253) 582-8400
NPI assigned
Oct 25, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 RN00134219 WA Primary

Addresses

Primary practice location

Department of Veterans Affairs
American Lake Division ER
Tacoma, WA 98493-5000

Mailing address

24008 70TH Avenue CT E
Graham, WA 98338-7311
Phone (253) 846-0314

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
RN00134219WAMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1407930522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24008 70TH AVENUE CT E",
            "city": "GRAHAM",
            "state": "WA",
            "postal_code": "983387311",
            "telephone_number": "253-846-0314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "DEPARTMENT OF VETERANS AFFAIRS",
            "address_2": "AMERICAN LAKE DIVISION ER",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984935000",
            "telephone_number": "253-582-8400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN AUSDLE",
        "first_name": "BECKY",
        "middle_name": "RENEE",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WA",
            "license": "RN00134219",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tacoma, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.