Active NPI
Clyde Tamparong
- Peritoneal Dialysis Registered Nurse
- Seattle, WA
National Provider Identifier
1881173557
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Peritoneal Dialysis Registered Nurse
- License
- RN60155360
- Practice address
- 3920 S Orcas St
Seattle, WA 98118-2266 - Phone
- (206) 883-2113
- NPI assigned
- Aug 13, 2018
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Peritoneal Dialysis Registered Nurse | 163WD1100X | RN60155360 | WA | Primary |
Addresses
Primary practice location
3920 S Orcas St
Seattle, WA 98118-2266
Mailing address
3920 S Orcas St
Seattle, WA 98118-2266
Phone (206) 883-2113
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| TAMPACA211JN | Other | WA | WASHINGTON DRIVER LICENSE |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN60155360 | WA | MD | Peritoneal Dialysis Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1534118400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1534118400000",
"number": "1881173557",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3920 S ORCAS ST",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981182266",
"telephone_number": "206-883-2113"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3920 S ORCAS ST",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981182266",
"telephone_number": "206-883-2113"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAMPARONG",
"first_name": "CLYDE",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-08-13",
"last_updated": "2018-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "163WD1100X",
"taxonomy_group": "",
"desc": "Registered Nurse, Dialysis, Peritoneal",
"state": "WA",
"license": "RN60155360",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WASHINGTON DRIVER LICENSE",
"identifier": "TAMPACA211JN",
"state": "WA"
}
],
"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 Aug 13, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.