Active NPI
James Christopher Ault, RN
- Registered Nurse
- McChord Afb, WA
National Provider Identifier
1609831049
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- RN00097760
- Practice address
- 62D MDG/Sgo/Hci
690 Barnes Blvd
McChord Afb, WA 98438-1130 - Phone
- (253) 982-8617
- Fax
- (253) 982-8406
- NPI assigned
- Apr 19, 2006
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN00097760 | WA | Primary |
Addresses
Primary practice location
62D MDG/Sgo/Hci
690 Barnes Blvd
McChord Afb, WA 98438-1130
Mailing address
1845 Fisher Ave
Dupont, WA 98327-8723
Phone (253) 964-0487
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN00097760 | WA | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145404800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1414972800000",
"number": "1609831049",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1845 FISHER AVE",
"city": "DUPONT",
"state": "WA",
"postal_code": "983278723",
"telephone_number": "253-964-0487"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "62D MDG/SGO/HCI",
"address_2": "690 BARNES BLVD",
"city": "MCCHORD AFB",
"state": "WA",
"postal_code": "984381130",
"telephone_number": "253-982-8617",
"fax_number": "253-982-8406"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AULT",
"first_name": "JAMES",
"middle_name": "CHRISTOPHER",
"name_prefix": "Mr.",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-19",
"last_updated": "2014-11-03",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "WA",
"license": "RN00097760",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in McChord Afb, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 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.