Active NPI
La Bramasole
- Case Management Agency
- Rosalia, WA
National Provider Identifier
1699073569
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Management Agency
- License
- 603037066
- Legal business name
- LA BRAMASOLE
- Practice address
- 715 S Whitman St
Rosalia, WA 99170 - Phone
- (208) 755-0316
- NPI assigned
- Mar 2, 2011
- Last updated
- Mar 2, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Erina M McGuckin, PHD.C
- Title
- Owner
- Phone
- (208) 755-0316
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | 603037066 | WA | Primary |
Addresses
Primary practice location
715 S Whitman St
Rosalia, WA 99170
Mailing address
PO Box 191
PO Box 191
Oakesdale, WA 99158-0191
Phone (208) 755-0316
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1299024000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1299024000000",
"number": "1699073569",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 191",
"address_2": "PO BOX 191",
"city": "OAKESDALE",
"state": "WA",
"postal_code": "991580191",
"telephone_number": "208-755-0316",
"fax_number": "509-444-6606"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "715 S WHITMAN ST",
"city": "ROSALIA",
"state": "WA",
"postal_code": "99170",
"telephone_number": "208-755-0316"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LA BRAMASOLE",
"organizational_subpart": "NO",
"enumeration_date": "2011-03-02",
"last_updated": "2011-03-02",
"status": "A",
"authorized_official_last_name": "MCGUCKIN",
"authorized_official_first_name": "ERINA",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "208-755-0316",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PHD.C"
},
"taxonomies": [
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": "WA",
"license": "603037066",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rosalia, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.