Active NPI
James Nicholas Hall, RN
- Registered Nurse
- Oak Harbor, WA
National Provider Identifier
1477242733
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- RN61219648
- Practice address
- 30875 State Route 20 Apt I2
Oak Harbor, WA 98277-7583 - Phone
- (904) 603-3427
- NPI assigned
- May 3, 2023
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN61219648 | WA | Primary |
Addresses
Primary practice location
30875 State Route 20 Apt I2
Oak Harbor, WA 98277-7583
Mailing address
1420 State Route 20
Sedro Woolley, WA 98284
Other practice location 1
1420 State Route 20
Sedro Woolley, WA 98284
Phone (360) 854-7400
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
| License | State | Type | Specialty |
|---|---|---|---|
| RN61219648 | WA | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Telecare Mental Health Services of Washington, Inc. | Current | Accepting new patients |
Locations
1420 State Route 20
Sedro Woolley, WA 98284
Phone (360) 854-7400
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 and National Provider Directory roles.
-
- Mental Illness Community Based Residential Treatment Facility
- Sedro Woolley, WA
- NPI 1659758639
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1683072000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1683072000000",
"number": "1477242733",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1420 STATE ROUTE 20",
"city": "SEDRO WOOLLEY",
"state": "WA",
"postal_code": "98284"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30875 STATE ROUTE 20 APT I2",
"city": "OAK HARBOR",
"state": "WA",
"postal_code": "982777583",
"telephone_number": "904-603-3427"
}
],
"practiceLocations": [
{
"address_1": "1420 State Route 20",
"address_purpose": "LOCATION",
"city": "Sedro Woolley",
"state": "WA",
"postal_code": "98284",
"country_code": "US",
"telephone_number": "360-854-7400",
"fax_number": "360-854-7446",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HALL",
"first_name": "JAMES",
"middle_name": "NICHOLAS",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-05-03",
"last_updated": "2023-05-03",
"certification_date": "2023-05-03",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "WA",
"license": "RN61219648",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oak Harbor, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.