Walter Brodie, RN BSN

Primary specialty

School Registered NurseTaxonomy code 163WS0200X

License

RN 00085749 Issued in WA

Practice address

1514 S Laventure Rd
Mount Vernon, WA 98274-6034

Phone

(360) 428-6125

Fax

(360) 428-6164

NPI assigned

Dec 7, 2012

Sex

Male

Sole proprietor

Yes

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

Bachelor on Science - Nursing, Registered Nurse

State licenses

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

{
    "created_epoch": "1354838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1354838400000",
    "number": "1831434406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1514 S LAVENTURE RD",
            "city": "MOUNT VERNON",
            "state": "WA",
            "postal_code": "982746034",
            "telephone_number": "360-428-6125",
            "fax_number": "360-428-6164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1514 S LAVENTURE RD",
            "city": "MOUNT VERNON",
            "state": "WA",
            "postal_code": "982746034",
            "telephone_number": "360-428-6125",
            "fax_number": "360-428-6164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRODIE",
        "first_name": "WALTER",
        "name_prefix": "Mr.",
        "credential": "RN BSN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-12-07",
        "last_updated": "2012-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "WA",
            "license": "RN 00085749",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Oscar J. Briseno Jr., MD
• Abigail Dawn Britanyak, ARNP
• Charles Morrison Britt, M.A., L.M.F.T.
• Bailey Broadhead
• Sharon Broberg
• Brent William Brooks, DDS MS
• Amanda Brosell, M.A., CCC-SLP
• Brown & Cole Stores LLC
• Andy Stanley Brown II
• Gary L Brown, M.D.

• School Registered Nurse in Mount Vernon, WA
• Providers in Mount Vernon, 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 7, 2012; 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.