Individual provider Active NPI

Ayelech Areda

  • Nurse's Aide
  • Ridgefield, WA
National Provider Identifier
1487481602
Registry record updated Sep 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse's AideTaxonomy code 376K00000X
License
753601 Issued in WA
Practice address
2514 NE 164TH St
Ridgefield, WA 98642-7955
Phone
(360) 921-5850
Fax
(360) 859-3668
NPI assigned
Sep 19, 2024
Last updated
Sep 19, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse's Aide 376K00000X 753601 WA Primary

Addresses

Primary practice location

2514 NE 164TH St
Ridgefield, WA 98642-7955

Mailing address

2514 NE 164TH St
Ridgefield, WA 98642-7955
Phone (360) 921-5850

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
753601WAMDNurse's Aide

NPI Registry JSON

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

{
    "created_epoch": "1726704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726704000000",
    "number": "1487481602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2514 NE 164TH ST",
            "city": "RIDGEFIELD",
            "state": "WA",
            "postal_code": "986427955",
            "telephone_number": "360-921-5850",
            "fax_number": "360-859-3668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2514 NE 164TH ST",
            "city": "RIDGEFIELD",
            "state": "WA",
            "postal_code": "986427955",
            "telephone_number": "360-921-5850",
            "fax_number": "360-859-3668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AREDA",
        "first_name": "AYELECH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-19",
        "last_updated": "2024-09-19",
        "certification_date": "2024-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": "WA",
            "license": "753601",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ridgefield, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2024; 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.