Active NPI
Keith L Himel, LPN
- Licensed Practical Nurse
- Tacoma, WA
National Provider Identifier
1700967114
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- LP00048942
- Practice address
- Of Veterans Affairs
Pshcs, American Lake Division, ER
Tacoma, WA 98493-5000 - Phone
- (253) 582-8440
- Fax
- (253) 589-4150
- NPI assigned
- Oct 18, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | LP00048942 | WA | Primary |
Addresses
Primary practice location
Of Veterans Affairs
Pshcs, American Lake Division, ER
Tacoma, WA 98493-5000
Mailing address
19430 105TH Avenue CT E
Graham, WA 98338-6486
Phone (253) 227-1882
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
| License | State | Type | Specialty |
|---|---|---|---|
| LP00048942 | WA | MD | Licensed Practical Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161129600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1700967114",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19430 105TH AVENUE CT E",
"city": "GRAHAM",
"state": "WA",
"postal_code": "983386486",
"telephone_number": "253-227-1882",
"fax_number": "253-589-4150"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "OF VETERANS AFFAIRS",
"address_2": "PSHCS, AMERICAN LAKE DIVISION, ER",
"city": "TACOMA",
"state": "WA",
"postal_code": "984935000",
"telephone_number": "253-582-8440",
"fax_number": "253-589-4150"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HIMEL",
"first_name": "KEITH",
"middle_name": "L",
"name_prefix": "Mr.",
"credential": "LPN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-18",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "WA",
"license": "LP00048942",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tacoma, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.