Active NPI
Shalimar M Ayuso-Larson
- Licensed Practical Nurse
- Lakewood, WA
National Provider Identifier
1437710068
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- LP60600575
- Practice address
- 9500 Front St S Ste 100
Lakewood, WA 98499-9415 - Phone
- (253) 655-0645
- NPI assigned
- Jun 25, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | LP60600575 | WA | Primary |
Addresses
Primary practice location
9500 Front St S Ste 100
Lakewood, WA 98499-9415
Mailing address
9500 Front St S Ste 100
Lakewood, WA 98499-9415
Phone (253) 655-0645
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
| License | State | Type | Specialty |
|---|---|---|---|
| LP60600575 | WA | MD | Licensed Practical Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1561420800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1561420800000",
"number": "1437710068",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9500 FRONT ST S STE 100",
"city": "LAKEWOOD",
"state": "WA",
"postal_code": "984999415",
"telephone_number": "253-655-0645"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9500 FRONT ST S STE 100",
"city": "LAKEWOOD",
"state": "WA",
"postal_code": "984999415",
"telephone_number": "253-655-0645"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AYUSO-LARSON",
"first_name": "SHALIMAR",
"middle_name": "M",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-06-25",
"last_updated": "2019-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "WA",
"license": "LP60600575",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lakewood, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.