Active NPI
Grays Harbor Treatment Solutions
- Licensed Practical Nurse
- Aberdeen, WA
National Provider Identifier
1487219697
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- Legal business name
- GRAYS HARBOR TREATMENT SOLUTIONS
- Practice address
- 516 E 1St St
Aberdeen, WA 98520-4106 - Phone
- (360) 350-4010
- NPI assigned
- May 2, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Stephanie Becker
- Title
- Clinical Director
- Phone
- (360) 350-4010
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | Primary |
Addresses
Primary practice location
516 E 1St St
Aberdeen, WA 98520-4106
Mailing address
403 Canal Dr NE
Ocean Shores, WA 98569-9547
Phone (253) 439-7668
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 330652655 | Medicaid | WA |
National Provider Directory
National Provider DirectoryLocations
516 E 1st St
Aberdeen, WA 98520
Phone (360) 350-4010
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Licensed Practical Nurse
- Aberdeen, WA
- NPI 1619438041
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1556755200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1556755200000",
"number": "1487219697",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "403 CANAL DR NE",
"city": "OCEAN SHORES",
"state": "WA",
"postal_code": "985699547",
"telephone_number": "253-439-7668"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "516 E 1ST ST",
"city": "ABERDEEN",
"state": "WA",
"postal_code": "985204106",
"telephone_number": "360-350-4010"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GRAYS HARBOR TREATMENT SOLUTIONS",
"organizational_subpart": "NO",
"enumeration_date": "2019-05-02",
"last_updated": "2019-05-02",
"status": "A",
"authorized_official_last_name": "BECKER",
"authorized_official_first_name": "STEPHANIE",
"authorized_official_title_or_position": "CLINICAL DIRECTOR",
"authorized_official_telephone_number": "360-350-4010"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Licensed Practical Nurse",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "330652655",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Aberdeen, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 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.