NPIMap

Organization Active NPI

K&J Nurse Delegation LLC

  • Registered Nurse
  • Marysville, WA
National Provider Identifier
1659820710
Registry record updated Sep 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
RN60130475 Issued in WA
Legal business name
K&J NURSE DELEGATION LLC
Practice address
5722 65TH St NE
Marysville, WA 98270-6129
Phone
(253) 590-6817
NPI assigned
Sep 29, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2016

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

Authorized official

Name
Kyoung CraddockNPI 1497103162
Title
Owner
Phone
(253) 590-6817

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered NurseGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 163W00000X RN6022137 WA
Registered NurseGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 163W00000X RN60130475 WA Primary

Addresses

Primary practice location

5722 65TH St NE
Marysville, WA 98270-6129

Mailing address

5722 65TH St NE
Marysville, WA 98270-6129
Phone (253) 590-6817

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1475107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475107200000",
    "number": "1659820710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5722 65TH ST NE",
            "city": "MARYSVILLE",
            "state": "WA",
            "postal_code": "982706129",
            "telephone_number": "253-590-6817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5722 65TH ST NE",
            "city": "MARYSVILLE",
            "state": "WA",
            "postal_code": "982706129",
            "telephone_number": "253-590-6817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "K&J NURSE DELEGATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-29",
        "last_updated": "2016-09-29",
        "status": "A",
        "authorized_official_last_name": "CRADDOCK",
        "authorized_official_first_name": "KYOUNG",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "253-590-6817"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Registered Nurse",
            "state": "WA",
            "license": "RN6022137",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Registered Nurse",
            "state": "WA",
            "license": "RN60130475",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marysville, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 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.