Individual provider Active NPI

Jacquelyn Dailey, RN, MSN

  • Pain Management Registered Nurse
  • Longview, WA
National Provider Identifier
1699423962
Registry record updated Jun 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Management Registered NurseTaxonomy code 163WP0000X
License
RN60291566 Issued in WA
Practice address
1312 Vandercook Way
Longview, WA 98632-3902
Phone
(360) 425-6620
NPI assigned
Mar 15, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Management Registered Nurse 163WP0000X RN60291566 WA Primary

Addresses

Primary practice location

1312 Vandercook Way
Longview, WA 98632-3902

Mailing address

1312 Vandercook Way
Longview, WA 98632-3902

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
Master of Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN60291566WAMDPain Management Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Battle Ground Advantage Chiropractic PS CurrentSince Jul 31, 2023 Accepting new patients
Advantage Chiropratic & Massage, P.S. CurrentSince Mar 20, 2022 Accepting new patients

Locations

1312 Vandercook Way
Longview, WA 98632
Phone (360) 425-6620

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1647302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655337600000",
    "number": "1699423962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1312 VANDERCOOK WAY",
            "city": "LONGVIEW",
            "state": "WA",
            "postal_code": "986323902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1312 VANDERCOOK WAY",
            "city": "LONGVIEW",
            "state": "WA",
            "postal_code": "986323902",
            "telephone_number": "360-425-6620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAILEY",
        "first_name": "JACQUELYN",
        "credential": "RN, MSN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-15",
        "last_updated": "2022-06-16",
        "certification_date": "2022-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Pain Management",
            "state": "WA",
            "license": "RN60291566",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Longview, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2022; 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.