Organization Active NPI

Grays Harbor Treatment Solutions

  • Licensed Practical Nurse
  • Aberdeen, WA
National Provider Identifier
1487219697
Registry record updated May 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
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

Updated by the provider on May 2, 2019

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)CodeLicenseStatePrimary
Licensed Practical NurseGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
330652655MedicaidWA

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.