Individual provider Active NPI

Allan Takpuie, R.N.

  • Addiction (Substance Use Disorder) Registered Nurse
  • Bothell, WA
National Provider Identifier
1821521022
Registry record updated Apr 5, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) Registered NurseTaxonomy code 163WA0400X
License
RN60476455 Issued in WA
Practice address
22026 20TH Ave SE
Suite 101
Bothell, WA 98021-4449
Phone
(425) 672-7293
Fax
(425) 329-4640
NPI assigned
Apr 5, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Registered Nurse 163WA0400X RN60476455 WA Primary

Addresses

Primary practice location

22026 20TH Ave SE
Suite 101
Bothell, WA 98021-4449

Mailing address

22026 20TH Ave SE
Suite 101
Bothell, WA 98021-4449
Phone (425) 672-7293

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
RN60476455WAMDAddiction (Substance Use Disorder) Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1491350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491350400000",
    "number": "1821521022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22026 20TH AVE SE",
            "address_2": "SUITE 101",
            "city": "BOTHELL",
            "state": "WA",
            "postal_code": "980214449",
            "telephone_number": "425-672-7293",
            "fax_number": "425-329-4640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22026 20TH AVE SE",
            "address_2": "SUITE 101",
            "city": "BOTHELL",
            "state": "WA",
            "postal_code": "980214449",
            "telephone_number": "425-672-7293",
            "fax_number": "425-329-4640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAKPUIE",
        "first_name": "ALLAN",
        "credential": "R.N.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-04-05",
        "last_updated": "2017-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WA0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Addiction (Substance Use Disorder)",
            "state": "WA",
            "license": "RN60476455",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bothell, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 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.

Verify at the official NPI Registry.