Active NPI
James Wells, RN, MSN
- Case Management Registered Nurse
- Tacoma, WA
National Provider Identifier
1790203602
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Management Registered Nurse
- License
- 73468
- Practice address
- 9040 Jackson Avenue
Tacoma, WA 98431-5916 - Phone
- (253) 968-5117
- NPI assigned
- Aug 31, 2017
- 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 |
|---|---|---|---|---|
| Case Management Registered Nurse | 163WC0400X | 73468 | SC | Primary |
Addresses
Primary practice location
9040 Jackson Avenue
Tacoma, WA 98431-5916
Mailing address
16312 44TH Ave E
Tacoma, WA 98446-5914
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 73468 | Other | SC | RN |
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
- Master of Science - Nursing, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 73468 | SC | MD | Case Management Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1504137600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1504137600000",
"number": "1790203602",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16312 44TH AVE E",
"city": "TACOMA",
"state": "WA",
"postal_code": "984465914"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9040 JACKSON AVENUE",
"city": "TACOMA",
"state": "WA",
"postal_code": "984315916",
"telephone_number": "253-968-5117"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WELLS",
"first_name": "JAMES",
"credential": "RN, MSN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-08-31",
"last_updated": "2017-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "163WC0400X",
"taxonomy_group": "",
"desc": "Registered Nurse, Case Management",
"state": "SC",
"license": "73468",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RN",
"identifier": "73468",
"state": "SC"
}
],
"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 Aug 31, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.