Individual provider Active NPI

Aileen Alarcio Tubera, LICENSED NURSE

  • Licensed Practical Nurse
  • Seattle, WA
National Provider Identifier
1689141913
Registry record updated Jan 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
LP60447567 Issued in WA
Practice address
2133 3Rd Ave
Seattle, WA 98121-2385
Phone
(206) 223-3644
Fax
(206) 223-1482
NPI assigned
Oct 24, 2018
Last updated
Jan 22, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X LP60447567 WA Primary

Addresses

Primary practice location

2133 3Rd Ave
Seattle, WA 98121-2385

Mailing address

1442 S Donovan St
Seattle, WA 98108-4837
Phone (206) 604-6554

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

State licenses

LicenseStateTypeSpecialty
LP60447567WAMDLicensed Practical Nurse

NPI Registry JSON

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

{
    "created_epoch": "1540339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611273600000",
    "number": "1689141913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1442 S DONOVAN ST",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981084837",
            "telephone_number": "206-604-6554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2133 3RD AVE",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981212385",
            "telephone_number": "206-223-3644",
            "fax_number": "206-223-1482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUBERA",
        "first_name": "AILEEN",
        "middle_name": "ALARCIO",
        "credential": "LICENSED NURSE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-24",
        "last_updated": "2021-01-22",
        "certification_date": "2021-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "WA",
            "license": "LP60447567",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2021; 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.