Individual provider Active NPI

Rosalia V Benderliy, RN

  • School Registered Nurse
  • Seattle, WA
National Provider Identifier
1861920530
Registry record updated May 25, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
School Registered NurseTaxonomy code 163WS0200X
License
RN60062417 Issued in WA
Practice address
10811 12TH Ave SW
Seattle, WA 98146-2125
Phone
(206) 631-4516
NPI assigned
May 25, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 25, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Registered Nurse 163WS0200X RN60062417 WA Primary

Addresses

Primary practice location

10811 12TH Ave SW
Seattle, WA 98146-2125

Mailing address

18654 4TH Ave SW
Normandy Park, WA 98166-3924
Phone (206) 356-6817

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
RN60062417WAMDSchool Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1495670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1495670400000",
    "number": "1861920530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18654 4TH AVE SW",
            "city": "NORMANDY PARK",
            "state": "WA",
            "postal_code": "981663924",
            "telephone_number": "206-356-6817"
        },
        {
            "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"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENDERLIY",
        "first_name": "ROSALIA",
        "middle_name": "V",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-25",
        "last_updated": "2017-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "WA",
            "license": "RN60062417",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 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.