Individual provider Active NPI

Roberto Jonathan Alanis, ARNP-CS

  • Pediatric Clinical Nurse Specialist
  • Vashon, WA
National Provider Identifier
1609503226
Registry record updated Aug 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Clinical Nurse SpecialistTaxonomy code 364SP0200X
License
AP61132355 Issued in WA
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

LicenseStateTypeSpecialty
AP61132355WAMDPediatric Clinical Nurse Specialist

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Clinical Nurse Specialist 364SP0200X AP61132355 WA Primary

Addresses

NPPES NPI Registry

Primary 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.

Verify at the official NPI Registry.