Individual provider Active NPI

Jismy J Chorath, RN

  • Adult Psychiatric/Mental Health Registered Nurse
  • Lakewood, WA
National Provider Identifier
1548753072
Registry record updated Jun 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0809X
License
RN60618021 Issued in WA
Practice address
8945 Gravelly Lake Dr SW Unit 4
Lakewood, WA 98499-3130
Phone
(630) 229-4397
NPI assigned
Jun 9, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 9, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine Registered Nurse 163WC0200X RN60618021 WA
Adult Psychiatric/Mental Health Registered Nurse 163WP0809X RN60618021 WA Primary

Addresses

Primary practice location

8945 Gravelly Lake Dr SW Unit 4
Lakewood, WA 98499-3130

Mailing address

8945 Gravelly Lake Dr SW Unit 4
Lakewood, WA 98499-3130

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
RN60618021WAMDCritical Care Medicine Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1528502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528502400000",
    "number": "1548753072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8945 GRAVELLY LAKE DR SW UNIT 4",
            "city": "LAKEWOOD",
            "state": "WA",
            "postal_code": "984993130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8945 GRAVELLY LAKE DR SW UNIT 4",
            "city": "LAKEWOOD",
            "state": "WA",
            "postal_code": "984993130",
            "telephone_number": "630-229-4397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHORATH",
        "first_name": "JISMY",
        "middle_name": "J",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-06-09",
        "last_updated": "2018-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Critical Care Medicine",
            "state": "WA",
            "license": "RN60618021",
            "primary": false
        },
        {
            "code": "163WP0809X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
            "state": "WA",
            "license": "RN60618021",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2018; 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.