Individual provider Active NPI

Carisa V Yake, RN

  • Registered Nurse
  • Spokane Valley, WA
National Provider Identifier
1659719128
Registry record updated Jun 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
RN00144881 Issued in WA
Practice address
19926 E 1St CT
Spokane Valley, WA 99016-5152
Phone
(509) 389-6771
Fax
(509) 242-3338
NPI assigned
Jun 6, 2013
Last updated
Jun 6, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 6, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN00144881 WA Primary
Registered Nurse 163W00000X RN162930 AZ

Addresses

Primary practice location

19926 E 1St CT
Spokane Valley, WA 99016-5152

Mailing address

19926 E 1St CT
Spokane Valley, WA 99016-5152
Phone (509) 389-6771

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

LicenseStateTypeSpecialty
RN162930AZMDRegistered Nurse
RN00144881WAMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1370476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1370476800000",
    "number": "1659719128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19926 E 1ST CT",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "990165152",
            "telephone_number": "509-389-6771",
            "fax_number": "509-242-3338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19926 E 1ST CT",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "990165152",
            "telephone_number": "509-389-6771",
            "fax_number": "509-242-3338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YAKE",
        "first_name": "CARISA",
        "middle_name": "V",
        "name_prefix": "Ms.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-06-06",
        "last_updated": "2013-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WA",
            "license": "RN00144881",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AZ",
            "license": "RN162930",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane Valley, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2013; 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.