Active NPI
Irena Alexandra Wright, ARNP
- Family Nurse Practitioner
- Puyallup, WA
National Provider Identifier
1508829367
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP30005672
- Practice address
- 1011 E Main Ave
Suite 302
Puyallup, WA 98372-6775 - Phone
- (253) 841-2471
- Fax
- (253) 841-2472
- NPI assigned
- Apr 11, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | AP30005672 | WA | Primary |
Addresses
Primary practice location
1011 E Main Ave
Suite 302
Puyallup, WA 98372-6775
Mailing address
1011 Main Ave E
Ste 302
Puyallup, WA 98372-6775
Phone (253) 841-2471
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9630880 | Medicaid | WA |
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP30005672 | WA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Digestive Health Specialists PS | Past | Accepting new patients | |
| Puyallup Endocrine & Nuclear Medicine Clinics | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Gastroenterology Physician
- Kent, WA
- NPI 1710149802
-
- Endocrinology, Diabetes & Metabolism Physician
- Puyallup, WA
- NPI 1962525527
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144713600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1193356800000",
"number": "1508829367",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1011 MAIN AVE E",
"address_2": "STE 302",
"city": "PUYALLUP",
"state": "WA",
"postal_code": "983726775",
"telephone_number": "253-841-2471",
"fax_number": "253-841-2472"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1011 E MAIN AVE",
"address_2": "SUITE 302",
"city": "PUYALLUP",
"state": "WA",
"postal_code": "983726775",
"telephone_number": "253-841-2471",
"fax_number": "253-841-2472"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WRIGHT",
"first_name": "IRENA",
"middle_name": "ALEXANDRA",
"name_prefix": "Mrs.",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-11",
"last_updated": "2007-10-26",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "WA",
"license": "AP30005672",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9630880",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Puyallup, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.