Individual provider Active NPI

Katale Salele

  • Registered Nurse
  • Lynnwood, WA
National Provider Identifier
1760958094
Registry record updated Oct 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
RN60031527 Issued in WA
Practice address
19412 40TH Ave W Apt 415
Lynnwood, WA 98036-5650
Phone
(206) 330-8226
NPI assigned
Oct 14, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 14, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN60031527 WA Primary

Addresses

Primary practice location

19412 40TH Ave W Apt 415
Lynnwood, WA 98036-5650

Mailing address

19412 40TH Ave W Apt 415
Lynnwood, WA 98036-5650
Phone (206) 330-8226

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

LicenseStateTypeSpecialty
RN60031527WAMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1539475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539475200000",
    "number": "1760958094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19412 40TH AVE W APT 415",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980365650",
            "telephone_number": "206-330-8226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19412 40TH AVE W APT 415",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980365650",
            "telephone_number": "206-330-8226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALELE",
        "first_name": "KATALE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-10-14",
        "last_updated": "2018-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WA",
            "license": "RN60031527",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lynnwood, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2018; 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.