Jamie Lynn Beardsley, RN
Individual provider Active NPI Registered Nurse · Deer Park, WA
NPI 1720207129 · NPPES record last updated Mar 24, 2021
Key facts
- NPI
- 1720207129
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- RN60573882 (WA)
- Practice address
- 303 W Owens Rd
Deer Park, WA 99006-9321 - Phone
- (206) 409-8310
- Fax
- (509) 297-7903
- NPI assigned
- Apr 24, 2007
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN60573882 | WA | MD | Registered Nurse |
| MA00016719 | WA | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northwest Nurse Delegation PLLC | Registered Nurse | Current |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | MA00016719 | WA | |
| Registered Nurse | 163W00000X | RN60573882 | WA | Yes |
Addresses
Primary practice location
303 W Owens Rd
Deer Park, WA 99006-9321
Mailing address
303 W Owens Rd
Deer Park, WA 99006-9321
Phone (206) 409-8310
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0166498 | Other | WA | LABOR AND INDUSTRY |
Other providers in Deer Park, WA
- Amanda Lee Baker
- Chad Christian Barrett
- Bates and Miller, PLLC, DDS
- Ryan Lynn Bates
- Steven Lynn Bates
- Marlena Rochelle Benson-Kelsey
- Ashley A Berg
- Nathan James Biancardi
- Karen D. Bichler
- Samantha Birrell
All providers in Deer Park, WA · Registered Nurse in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 24, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.