Mark Detwiler, R.N.

Primary specialty

School Registered NurseTaxonomy code 163WS0200X

License

RN60346597 Issued in WA

Practice address

10811 12TH Ave SW
Seattle, WA 98146-2125

Phone

(206) 631-4516

Fax

(206) 631-4506

NPI assigned

Dec 15, 2015

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

Interoperability endpoints

• Direct secure messaging: mdetwiler17016@direct.seattlechildrens.org

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

{
    "created_epoch": "1450137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1450137600000",
    "number": "1821453002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3441 WALNUT AVE SW",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981163442",
            "telephone_number": "206-631-7323",
            "fax_number": "206-631-7337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10811 12TH AVE SW",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981462125",
            "telephone_number": "206-631-4516",
            "fax_number": "206-631-4506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DETWILER",
        "first_name": "MARK",
        "name_prefix": "Mr.",
        "credential": "R.N.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-12-15",
        "last_updated": "2015-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "WA",
            "license": "RN60346597",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Malia Winona Dettori, DPT
• Susan E Detweiler, MD
• Dana Wolak Detwiler
• Daryl Jay Detwiler, DDS
• Elaine Esther Detwiler, RN
• Alan Robert Deubner, DDS
• Heike Deubner, MD
• Rubena Deubry, RPH
• Marcia Lufuakenda Deurwarder, RN
• Brittney Bond Deutsch

• School Registered Nurse in Seattle, WA
• Providers in Seattle, WA by specialty
• School Registered Nurse in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2015; 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.