Active NPI
Ronniel Troy
- Nurse's Aide
- Shoreline, WA
National Provider Identifier
1588294177
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse's Aide
- License
- NA00197548
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| NA00197548 | WA | MD | Nurse'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.