Active NPI
Roberto Jonathan Alanis, ARNP-CS
- Pediatric Clinical Nurse Specialist
- Vashon, WA
National Provider Identifier
1609503226
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Clinical Nurse Specialist
- License
- AP61132355
- Practice address
- 10503 SW 228TH St
Vashon, WA 98070-7065 - Phone
- (312) 622-2603
- NPI assigned
- Aug 3, 2022
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|
| AP61132355 | WA | MD | Pediatric Clinical Nurse Specialist |
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Clinical Nurse Specialist | 364SP0200X | AP61132355 | WA | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
10503 SW 228TH St
Vashon, WA 98070-7065
Mailing address
10503 SW 228TH St
Vashon, WA 98070-7065
Phone (312) 622-2603
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 3, 2022.
{
"created_epoch": "1659484800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1659484800000",
"number": "1609503226",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10503 SW 228TH ST",
"city": "VASHON",
"state": "WA",
"postal_code": "980707065",
"telephone_number": "312-622-2603"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10503 SW 228TH ST",
"city": "VASHON",
"state": "WA",
"postal_code": "980707065",
"telephone_number": "312-622-2603"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALANIS",
"first_name": "ROBERTO",
"middle_name": "JONATHAN",
"credential": "ARNP-CS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-08-03",
"last_updated": "2022-08-03",
"certification_date": "2022-08-03",
"status": "A"
},
"taxonomies": [
{
"code": "364SP0200X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist, Pediatrics",
"state": "WA",
"license": "AP61132355",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Vashon, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 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.