Dana Rabourne

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

License

IR60907080 Issued in WA

Practice address

2081 Gemstone Dr
Walla Walla, WA 99362-8201

Phone

(509) 540-5518

NPI assigned

Jul 27, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Providence Health & Services - Washington

  • General Acute Care Hospital
  • Walla Walla, WA
  • NPI 1386895886
  NPD (past)

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

{
    "created_epoch": "1595808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595808000000",
    "number": "1659980530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2081 GEMSTONE DR",
            "city": "WALLA WALLA",
            "state": "WA",
            "postal_code": "993628201",
            "telephone_number": "509-540-5518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2081 GEMSTONE DR",
            "city": "WALLA WALLA",
            "state": "WA",
            "postal_code": "993628201",
            "telephone_number": "509-540-5518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RABOURNE",
        "first_name": "DANA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-27",
        "last_updated": "2020-07-27",
        "certification_date": "2020-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "WA",
            "license": "IR60907080",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WASHINGTON STATE DEPARTMENT OF HEALTH",
            "identifier": "IR60907080",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Estee E Pummel, LSWAIC
• Sheena Pursley, MSW, LSWAIC
• Judy Quach, OD
• Robert C Quackenbush, M.D.
• Qualicenters Inland Northwest L.L.C.
• Judith Raboy, NP
• Alissa N Ralston, ARNP
• Trina Jean Ralston, RN00127773
• Alessandra Ramirez
• Melissa Marleen Ramsey, DDS

• Student in an Organized Health Care Education/Training Program in Walla Walla, WA
• Providers in Walla Walla, WA by specialty
• Student in an Organized Health Care Education/Training Program in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2020; 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.