Active NPI
Nesteha Dolaal
- Home Health Aide
- Bellevue, WA
National Provider Identifier
1730764341
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Aide
- License
- 604620883
- Practice address
- 732 140TH Ave SE
Bellevue, WA 98005-3726 - Phone
- (206) 981-9209
- Fax
- (206) 237-9121
- NPI assigned
- Mar 15, 2021
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Home Health Aide | 374U00000X | 604620883 | WA | Primary |
Addresses
Primary practice location
732 140TH Ave SE
Bellevue, WA 98005-3726
Mailing address
732 140TH Ave SE
Bellevue, WA 98005-3726
Phone (206) 981-9209
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 |
|---|---|---|---|
| 604620883 | WA | MD | Home Health Aide |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1615766400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1615766400000",
"number": "1730764341",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "732 140TH AVE SE",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "980053726",
"telephone_number": "206-981-9209",
"fax_number": "206-237-9121"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "732 140TH AVE SE",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "980053726",
"telephone_number": "206-981-9209",
"fax_number": "206-237-9121"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOLAAL",
"first_name": "NESTEHA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-03-15",
"last_updated": "2021-03-15",
"certification_date": "2021-03-15",
"status": "A"
},
"taxonomies": [
{
"code": "374U00000X",
"taxonomy_group": "",
"desc": "Home Health Aide",
"state": "WA",
"license": "604620883",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bellevue, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 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.