Individual provider Active NPI

Tracy Spradlin, BSN, RN

  • School Registered Nurse
  • North Bend, WA
National Provider Identifier
1710562004
Registry record updated Mar 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
School Registered NurseTaxonomy code 163WS0200X
License
RN00151928 Issued in WA
Practice address
46910 SE Middle Fork Rd
North Bend, WA 98045-9745
Phone
(425) 831-4142
Fax
(425) 831-4140
NPI assigned
Mar 17, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Registered Nurse 163WS0200X RN00151928 WA Primary

Addresses

Primary practice location

46910 SE Middle Fork Rd
North Bend, WA 98045-9745

Mailing address

PO Box 400
Snoqualmie, WA 98065-0400
Phone (425) 831-8040

Other identifiers 1

IdentifierTypeStateIssuer
0OtherSCHOOL NURSE... NEED NPI FOR COVID TESTING

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL spradlint@svsd410.org Direct

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
Bachelor on Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN00151928WAMDSchool Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1615939200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615939200000",
    "number": "1710562004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 400",
            "city": "SNOQUALMIE",
            "state": "WA",
            "postal_code": "980650400",
            "telephone_number": "425-831-8040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46910 SE MIDDLE FORK RD",
            "city": "NORTH BEND",
            "state": "WA",
            "postal_code": "980459745",
            "telephone_number": "425-831-4142",
            "fax_number": "425-831-4140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPRADLIN",
        "first_name": "TRACY",
        "credential": "BSN, RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-17",
        "last_updated": "2021-03-17",
        "certification_date": "2021-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "WA",
            "license": "RN00151928",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "spradlint@svsd410.org",
            "affiliation": "N",
            "endpointDescription": "work email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "46910 SE Middle Fork Rd",
            "city": "North Bend",
            "state": "WA",
            "country_code": "US",
            "postal_code": "980459745",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in North Bend, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.