Individual provider Active NPI

Denise Roxanne Banales, RN

  • Low-Risk Neonatal Registered Nurse
  • Gig Harbor, WA
National Provider Identifier
1518746700
Registry record updated Sep 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Low-Risk Neonatal Registered NurseTaxonomy code 163WN0003X
License
00167425 Issued in WA
Practice address
7855 Beardsley Ave
Gig Harbor, WA 98335-8380
Phone
(253) 677-3770
NPI assigned
Sep 26, 2023
Last updated
Sep 26, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Low-Risk Neonatal Registered Nurse 163WN0003X 00167425 WA Primary

Addresses

Primary practice location

7855 Beardsley Ave
Gig Harbor, WA 98335-8380

Mailing address

7855 Beardsley Ave
Gig Harbor, WA 98335-8380
Phone (253) 677-3770

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

LicenseStateTypeSpecialty
00167425WAMDLow-Risk Neonatal Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1695686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695686400000",
    "number": "1518746700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7855 BEARDSLEY AVE",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "983358380",
            "telephone_number": "253-677-3770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7855 BEARDSLEY AVE",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "983358380",
            "telephone_number": "253-677-3770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANALES",
        "first_name": "DENISE",
        "middle_name": "ROXANNE",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-26",
        "last_updated": "2023-09-26",
        "certification_date": "2023-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WN0003X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Neonatal, Low-Risk",
            "state": "WA",
            "license": "00167425",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gig Harbor, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2023; 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.