Elaine Sperry, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

LP00040323 Issued in WA

Practice address

21851 84TH Ave S Ste 101
Kent, WA 98032-1958

Phone

(425) 687-7082

NPI assigned

Jun 21, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• WCHS, Inc

  • Methadone Clinic
  • Bellingham, WA
  • NPI 1811592116
  NPD (past)
• WCHS, Inc.

  • Methadone Clinic
  • Kent, WA
  • NPI 1285772988
  NPD (past)

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

{
    "created_epoch": "1687305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687305600000",
    "number": "1558046904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21851 84TH AVE S STE 101",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980321958",
            "telephone_number": "425-687-7082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21851 84TH AVE S STE 101",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980321958",
            "telephone_number": "425-687-7082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPERRY",
        "first_name": "ELAINE",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-21",
        "last_updated": "2023-06-21",
        "certification_date": "2023-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "WA",
            "license": "LP00040323",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Destiny Souvannavanh
• Thinh Soverns, PHARMD
• Annah Marie Spakowsky
• Kathryn Spears
• Sidney Spencer-Mylet
• Spine Factor Chiropractic & Wellness, PLLC
• Taylor Kristine Spooner, SLP
• Grace Victoria Sprague
• Sadie Jean Spurr
• Charles Srisatayasunton, O.D.

• Licensed Practical Nurse in Kent, WA
• Providers in Kent, WA by specialty
• Licensed Practical Nurse in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 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.