Individual provider Active NPI

Elisabeth Karen Kenoyer, R.N., CRNFA

  • Registered Nurse First Assistant
  • Bellingham, WA
National Provider Identifier
1548400443
Registry record updated Jun 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered Nurse First AssistantTaxonomy code 163WR0006X
License
RN 00112353 Issued in WA
Practice address
820 11TH St.
Bellingham, WA 98225-6207
Phone
(360) 715-0328
NPI assigned
Mar 5, 2009
Last updated
Jun 29, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse First Assistant 163WR0006X RN 00112353 WA Primary

Addresses

Primary practice location

820 11TH St.
Bellingham, WA 98225-6207

Mailing address

PO Box 30605
Bellingham, WA 98228-2605
Phone (360) 715-0328

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
RN 00112353WAMDRegistered Nurse First Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Elisabeth K Kenoyer, LLC Registered Nurse First Assistant Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1236211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277769600000",
    "number": "1548400443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 30605",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982282605",
            "telephone_number": "360-715-0328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 11TH ST.",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982256207",
            "telephone_number": "360-715-0328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENOYER",
        "first_name": "ELISABETH",
        "middle_name": "KAREN",
        "name_prefix": "Mrs.",
        "credential": "R.N., CRNFA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-03-05",
        "last_updated": "2010-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WR0006X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Registered Nurse First Assistant",
            "state": "WA",
            "license": "RN 00112353",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellingham, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2010; 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.