Individual provider Active NPI

Ronniel Troy

  • Nurse's Aide
  • Shoreline, WA
National Provider Identifier
1588294177
Registry record updated Oct 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse's AideTaxonomy code 376K00000X
License
NA00197548 Issued in WA
Practice address
315 NE 158TH St
Shoreline, WA 98155-5721
Phone
(206) 432-8301
Fax
(206) 364-1158
NPI assigned
Jan 22, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse's Aide 376K00000X NA00197548 WA Primary

Addresses

Primary practice location

315 NE 158TH St
Shoreline, WA 98155-5721

Mailing address

315 NE 158TH St
Shoreline, WA 98155-5721
Phone (206) 432-8301

Other practice location 1

18210 30th Ave NE
Lake Forest Park, WA 98155-4102
Phone (206) 432-8301 ext. 1

Other practice location 2

18060 8th Ave NE
Shoreline, WA 98155-3624
Phone (206) 432-8301 ext. 2

Other practice location 3

20165 6th Ave NE
Shoreline, WA 98155-1044
Phone (206) 432-8301 ext. 3

Other practice location 4

24315 91st Ave W
Edmonds, WA 98026-9013
Phone (206) 432-8301 ext. 4

Other practice location 5

15010 Linden Ave N
Shoreline, WA 98133-6117
Phone (206) 432-8301 ext. 5

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

State licenses

LicenseStateTypeSpecialty
NA00197548WAMDNurse's Aide

NPI Registry JSON

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

{
    "created_epoch": "1579651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665014400000",
    "number": "1588294177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 NE 158TH ST",
            "city": "SHORELINE",
            "state": "WA",
            "postal_code": "981555721",
            "telephone_number": "206-432-8301",
            "fax_number": "206-364-1158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 NE 158TH ST",
            "city": "SHORELINE",
            "state": "WA",
            "postal_code": "981555721",
            "telephone_number": "206-432-8301",
            "fax_number": "206-364-1158"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18210 30th Ave NE",
            "address_purpose": "LOCATION",
            "city": "Lake Forest Park",
            "state": "WA",
            "postal_code": "981554102",
            "country_code": "US",
            "telephone_number": "206-432-8301 x1",
            "fax_number": "206-364-1158",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "18060 8th Ave NE",
            "address_purpose": "LOCATION",
            "city": "Shoreline",
            "state": "WA",
            "postal_code": "981553624",
            "country_code": "US",
            "telephone_number": "206-432-8301 x2",
            "fax_number": "206-364-1158",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "20165 6th Ave NE",
            "address_purpose": "LOCATION",
            "city": "Shoreline",
            "state": "WA",
            "postal_code": "981551044",
            "country_code": "US",
            "telephone_number": "206-432-8301 x3",
            "fax_number": "206-364-1158",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "24315 91st Ave W",
            "address_purpose": "LOCATION",
            "city": "Edmonds",
            "state": "WA",
            "postal_code": "980269013",
            "country_code": "US",
            "telephone_number": "206-432-8301 x4",
            "fax_number": "206-364-1158",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "15010 Linden Ave N",
            "address_purpose": "LOCATION",
            "city": "Shoreline",
            "state": "WA",
            "postal_code": "981336117",
            "country_code": "US",
            "telephone_number": "206-432-8301 x5",
            "fax_number": "206-364-1158",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TROY",
        "first_name": "RONNIEL",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-01-22",
        "last_updated": "2022-10-06",
        "certification_date": "2022-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": "WA",
            "license": "NA00197548",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shoreline, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2022; 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.