Individual provider Active NPI

Susan Bentsen, R.N.

  • Nutrition Support Registered Nurse
  • Bellevue, WA
National Provider Identifier
1619426699
Registry record updated Oct 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nutrition Support Registered NurseTaxonomy code 163WN1003X
License
RN00103460 Issued in WA
Practice address
238 W Lake Sammamish Pkwy NE
Bellevue, WA 98008-4221
Phone
(425) 785-2236
NPI assigned
Oct 1, 2016
Last updated
Oct 1, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 1, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nutrition Support Registered Nurse 163WN1003X RN00103460 WA Primary

Addresses

Primary practice location

238 W Lake Sammamish Pkwy NE
Bellevue, WA 98008-4221

Mailing address

238 W Lake Sammamish Pkwy NE
Bellevue, WA 98008-4221
Phone (425) 785-2236

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)
Enrolled
Credentials
Registered Nurse

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1475280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1475280000000",
    "number": "1619426699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "238 W LAKE SAMMAMISH PKWY NE",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980084221",
            "telephone_number": "425-785-2236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "238 W LAKE SAMMAMISH PKWY NE",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980084221",
            "telephone_number": "425-785-2236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENTSEN",
        "first_name": "SUSAN",
        "credential": "R.N.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-10-01",
        "last_updated": "2016-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WN1003X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Nutrition Support",
            "state": "WA",
            "license": "RN00103460",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellevue, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2016; 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.