Individual provider Active NPI

Daisy Abutin Lalas, NURSE CASE MANAGER

  • Case Management Registered Nurse
  • Lake Forest Park, WA
National Provider Identifier
1437817632
Registry record updated Dec 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management Registered NurseTaxonomy code 163WC0400X
License
RN00090507 Issued in WA
Practice address
16103 41St Ave NE
Lake Forest Park, WA 98155-6725
Phone
(206) 331-2312
Fax
(206) 539-5713
NPI assigned
Dec 4, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Registered Nurse 163WC0400X RN00090507 WA Primary

Addresses

Primary practice location

16103 41St Ave NE
Lake Forest Park, WA 98155-6725

Mailing address

16103 41St Ave NE
Lake Forest Park, WA 98155-6725
Phone (206) 331-2312

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
RN00090507WAMDCase Management Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1638576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638576000000",
    "number": "1437817632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16103 41ST AVE NE",
            "city": "LAKE FOREST PARK",
            "state": "WA",
            "postal_code": "981556725",
            "telephone_number": "206-331-2312",
            "fax_number": "206-539-5713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16103 41ST AVE NE",
            "city": "LAKE FOREST PARK",
            "state": "WA",
            "postal_code": "981556725",
            "telephone_number": "206-331-2312",
            "fax_number": "206-539-5713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LALAS",
        "first_name": "DAISY",
        "middle_name": "ABUTIN",
        "name_prefix": "Miss",
        "credential": "NURSE CASE MANAGER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-04",
        "last_updated": "2021-12-04",
        "certification_date": "2021-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Case Management",
            "state": "WA",
            "license": "RN00090507",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Forest Park, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2021; 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.