Individual provider Active NPI

Elaine Prest, R.N.

  • School Registered Nurse
  • Royal City, WA
National Provider Identifier
1417297409
Registry record updated Feb 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
School Registered NurseTaxonomy code 163WS0200X
License
RN00067949 Issued in WA
Practice address
230 Wildflower St. NE
Royal City, WA 99357
Phone
(509) 346-2268
Fax
(509) 346-2207
NPI assigned
Feb 27, 2013
Last updated
Feb 27, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Registered Nurse 163WS0200X RN00067949 WA Primary

Addresses

Primary practice location

230 Wildflower St. NE
Royal City, WA 99357

Mailing address

PO Box 486
Royal City, WA 99357-0486
Phone (509) 346-2268

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
RN00067949WAMDSchool Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Royal School District Past 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1361923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1361923200000",
    "number": "1417297409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 486",
            "city": "ROYAL CITY",
            "state": "WA",
            "postal_code": "993570486",
            "telephone_number": "509-346-2268",
            "fax_number": "509-346-2207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 WILDFLOWER ST. NE",
            "city": "ROYAL CITY",
            "state": "WA",
            "postal_code": "99357",
            "telephone_number": "509-346-2268",
            "fax_number": "509-346-2207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PREST",
        "first_name": "ELAINE",
        "credential": "R.N.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-02-27",
        "last_updated": "2013-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "WA",
            "license": "RN00067949",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Royal City, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2013; 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.