Individual provider Active NPI

Susan Munro Mitchell-Block, RN-BC

  • Case Management Registered Nurse
  • Kent, WA
National Provider Identifier
1457078420
Registry record updated Oct 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management Registered NurseTaxonomy code 163WC0400X
License
RN60962541 Issued in WA
Practice address
27102 78TH Ave S
Kent, WA 98032-7340
Phone
(206) 310-6364
Fax
(206) 973-2021
NPI assigned
Oct 20, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 20, 2022

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 RN60962541 WA Primary

Addresses

Primary practice location

27102 78TH Ave S
Kent, WA 98032-7340

Mailing address

27102 78TH Ave S
Kent, WA 98032-7340
Phone (206) 310-6364

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address susan@nurseworksnw.com Direct

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
RN60962541WAMDCase Management Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1666224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666224000000",
    "number": "1457078420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27102 78TH AVE S",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980327340",
            "telephone_number": "206-310-6364",
            "fax_number": "206-973-2021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27102 78TH AVE S",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980327340",
            "telephone_number": "206-310-6364",
            "fax_number": "206-973-2021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELL-BLOCK",
        "first_name": "SUSAN",
        "middle_name": "MUNRO",
        "name_prefix": "Ms.",
        "credential": "RN-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-10-20",
        "last_updated": "2022-10-20",
        "certification_date": "2022-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Case Management",
            "state": "WA",
            "license": "RN60962541",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "susan@nurseworksnw.com",
            "affiliation": "N",
            "endpointDescription": "Email, encrypted and secure",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "27102 78th Ave S",
            "city": "Kent",
            "state": "WA",
            "country_code": "US",
            "postal_code": "980327340",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Kent, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2022; 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.