Active NPI
Jismy J Chorath, RN
- Adult Psychiatric/Mental Health Registered Nurse
- Lakewood, WA
National Provider Identifier
1548753072
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Psychiatric/Mental Health Registered Nurse
- License
- RN60618021
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| RN60618021 | WA | MD | Critical 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.