Sarah Boden, RN

Primary specialty

Community Health Registered NurseTaxonomy code 163WC1500X

License

RN00135146 Issued in WA

Practice address

15017 E Bella Vista Dr
Veradale, WA 99037-9156

Phone

(509) 434-4473

NPI assigned

Apr 14, 2021

Last updated

Apr 14, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Sarah Noetzelman Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1618358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618358400000",
    "number": "1811577620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15017 E BELLA VISTA DR",
            "city": "VERADALE",
            "state": "WA",
            "postal_code": "990379156",
            "telephone_number": "509-434-4473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15017 E BELLA VISTA DR",
            "city": "VERADALE",
            "state": "WA",
            "postal_code": "990379156",
            "telephone_number": "509-434-4473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BODEN",
        "first_name": "SARAH",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-14",
        "last_updated": "2021-04-14",
        "certification_date": "2021-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Community Health",
            "state": "WA",
            "license": "RN00135146",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARAH",
            "last_name": "NOETZELMAN",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Cardinal Family Services
• Renai Elizabeth Durst, PRESIDENT
• Shana L Gaunt, MSW, LICSWA, MHP
• Charla Jones
• Kenneth W Mankins, LMHC

• Community Health Registered Nurse in Veradale, WA
• Providers in Veradale, WA by specialty
• Community Health Registered Nurse in Washington

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

Verify at the official NPI Registry.