Individual provider Active NPI

Monica Rae Guthmiller, LPN

  • Licensed Practical Nurse
  • Everett, WA
National Provider Identifier
1417771346
Registry record updated Nov 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
LP00040077 Issued in WA
Practice address
3202 Colby Ave Ste a
Everett, WA 98201-4324
Phone
(425) 526-4174
Fax
(425) 526-5842
NPI assigned
Nov 7, 2024
Last updated
Nov 7, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 7, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X LP00040077 WA Primary

Addresses

Primary practice location

3202 Colby Ave Ste a
Everett, WA 98201-4324

Mailing address

3202 Colby Ave Ste a
Everett, WA 98201-4324
Phone (425) 526-4174

Other names 1

  • Nikki NA NA Other name

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
LP00040077WAMDLicensed Practical Nurse

NPI Registry JSON

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

{
    "created_epoch": "1730937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730937600000",
    "number": "1417771346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3202 COLBY AVE STE A",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982014324",
            "telephone_number": "425-526-4174",
            "fax_number": "425-526-5842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3202 COLBY AVE STE A",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982014324",
            "telephone_number": "425-526-4174",
            "fax_number": "425-526-5842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUTHMILLER",
        "first_name": "MONICA",
        "middle_name": "RAE",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-11-07",
        "last_updated": "2024-11-07",
        "certification_date": "2024-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "WA",
            "license": "LP00040077",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NIKKI",
            "last_name": "NA",
            "middle_name": "NA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Everett, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2024; 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.