Individual provider Active NPI

Sarah Annlouise Wily, RN

  • Registered Nurse
  • Wenatchee, WA
National Provider Identifier
1801139100
Registry record updated Apr 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
RN60295508 Issued in WA
Practice address
5005 Squilchuck Rd
Wenatchee, WA 98801-9498
Phone
(509) 881-0868
Fax
(509) 470-6691
NPI assigned
Apr 4, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 4, 2013

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 RN60295508 WA Primary

Addresses

Primary practice location

5005 Squilchuck Rd
Wenatchee, WA 98801-9498

Mailing address

5005 Squilchuck Rd
Wenatchee, WA 98801-9498
Phone (509) 881-0868

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
Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN60295508WAMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1365033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1365033600000",
    "number": "1801139100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5005 SQUILCHUCK RD",
            "city": "WENATCHEE",
            "state": "WA",
            "postal_code": "988019498",
            "telephone_number": "509-881-0868",
            "fax_number": "509-470-6691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5005 SQUILCHUCK RD",
            "city": "WENATCHEE",
            "state": "WA",
            "postal_code": "988019498",
            "telephone_number": "509-881-0868",
            "fax_number": "509-470-6691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILY",
        "first_name": "SARAH",
        "middle_name": "ANNLOUISE",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-04-04",
        "last_updated": "2013-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WA",
            "license": "RN60295508",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wenatchee, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2013; 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.