Active NPI
Kaylani Eileen Roberson, REGISTERED NURSE
- School Registered Nurse
- Grandview, WA
National Provider Identifier
1609274844
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Registered Nurse
- License
- RN00119365
- Practice address
- 1800 W 2ND St
Grandview, WA 98930-1174 - Phone
- (509) 882-2022
- NPI assigned
- Dec 19, 2014
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Registered Nurse | 163WS0200X | RN00119365 | WA | Primary |
Addresses
Primary practice location
1800 W 2ND St
Grandview, WA 98930-1174
Mailing address
1800 W 2ND St
Grandview, WA 98930-1174
Phone (509) 882-2022
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 |
|---|---|---|---|
| RN00119365 | WA | MD | School Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1418947200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1418947200000",
"number": "1609274844",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1800 W 2ND ST",
"city": "GRANDVIEW",
"state": "WA",
"postal_code": "989301174",
"telephone_number": "509-882-2022"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1800 W 2ND ST",
"city": "GRANDVIEW",
"state": "WA",
"postal_code": "989301174",
"telephone_number": "509-882-2022"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBERSON",
"first_name": "KAYLANI",
"middle_name": "EILEEN",
"name_prefix": "Mrs.",
"credential": "REGISTERED NURSE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-12-19",
"last_updated": "2014-12-19",
"status": "A"
},
"taxonomies": [
{
"code": "163WS0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, School",
"state": "WA",
"license": "RN00119365",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Grandview, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.