Active NPI
Edythe Faye Daly, RN
- Registered Nurse
- Mount Vernon, WA
National Provider Identifier
1497096895
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- RN00117807
- Practice address
- 4469 Broadway St
Mount Vernon, WA 98274-3004 - Phone
- (360) 424-1282
- Fax
- (360) 424-1259
- NPI assigned
- Mar 9, 2013
- Sex
- Female
- Sole proprietor
- Yes
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 | RN00117807 | WA | Primary |
Addresses
Primary practice location
4469 Broadway St
Mount Vernon, WA 98274-3004
Mailing address
4469 Broadway St
Mount Vernon, WA 98274-3004
Phone (360) 424-1282
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 |
|---|---|---|---|
| RN00117807 | WA | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1362787200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1362787200000",
"number": "1497096895",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4469 BROADWAY ST",
"city": "MOUNT VERNON",
"state": "WA",
"postal_code": "982743004",
"telephone_number": "360-424-1282",
"fax_number": "360-424-1259"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4469 BROADWAY ST",
"city": "MOUNT VERNON",
"state": "WA",
"postal_code": "982743004",
"telephone_number": "360-424-1282",
"fax_number": "360-424-1259"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DALY",
"first_name": "EDYTHE",
"middle_name": "FAYE",
"name_prefix": "Mrs.",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-03-09",
"last_updated": "2013-03-09",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "WA",
"license": "RN00117807",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mount Vernon, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.