Active NPI
Chelsea Noonan, RN
- Registered Nurse
- Ridgefield, WA
National Provider Identifier
1861135873
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- RN60564995
- Practice address
- 1901 S Sevier Rd
Ridgefield, WA 98642-8063 - Phone
- (925) 413-6326
- NPI assigned
- Apr 18, 2022
- Last updated
- Apr 18, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN60564995 | WA | Primary |
Addresses
Primary practice location
1901 S Sevier Rd
Ridgefield, WA 98642-8063
Mailing address
1901 S Sevier Rd
Ridgefield, WA 98642-8063
Other practice location 1
403 NE 6th Ave
Camas, WA 98607-2037
Phone (360) 818-9095
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | https://terrainwellness.janeapp.com/admin |
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
| License | State | Type | Specialty |
|---|---|---|---|
| RN60564995 | WA | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Terrain Wellness LLC | Multi-Specialty | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1650240000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1650240000000",
"number": "1861135873",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1901 S SEVIER RD",
"city": "RIDGEFIELD",
"state": "WA",
"postal_code": "986428063"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1901 S SEVIER RD",
"city": "RIDGEFIELD",
"state": "WA",
"postal_code": "986428063",
"telephone_number": "925-413-6326"
}
],
"practiceLocations": [
{
"address_1": "403 NE 6th Ave",
"address_purpose": "LOCATION",
"city": "Camas",
"state": "WA",
"postal_code": "986072037",
"country_code": "US",
"telephone_number": "360-818-9095",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NOONAN",
"first_name": "CHELSEA",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-04-18",
"last_updated": "2022-04-18",
"certification_date": "2022-04-18",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Registered Nurse",
"state": "WA",
"license": "RN60564995",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "https://terrainwellness.janeapp.com/admin",
"affiliation": "N",
"endpointDescription": "Jane EHR",
"address_1": "403 NE 6th Ave",
"city": "Camas",
"state": "WA",
"country_code": "US",
"postal_code": "986072037",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Ridgefield, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.