Active NPI
Randa Nicole Washburn
- Addiction (Substance Use Disorder) Counselor
- Buena, WA
National Provider Identifier
1609408640
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- Practice address
- 201 Highland Dr
Buena, WA 98921-0139 - Phone
- (509) 865-6705
- Fax
- (509) 865-5011
- NPI assigned
- Feb 7, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Health Information Technician | 247000000X | |||
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | Primary |
Addresses
Primary practice location
201 Highland Dr
Buena, WA 98921-0139
Mailing address
PO Box 354
Buena, WA 98921-0354
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 91-0755984 | Medicaid | WA |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1581033600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1581033600000",
"number": "1609408640",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 354",
"city": "BUENA",
"state": "WA",
"postal_code": "989210354"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 HIGHLAND DR",
"city": "BUENA",
"state": "WA",
"postal_code": "989210139",
"telephone_number": "509-865-6705",
"fax_number": "509-865-5011"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WASHBURN",
"first_name": "RANDA",
"middle_name": "NICOLE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-02-07",
"last_updated": "2020-02-07",
"certification_date": "2020-02-07",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "247000000X",
"taxonomy_group": "",
"desc": "Technician, Health Information",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "91-0755984",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Buena, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.