Heather Rae Avelar I

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

LP60784942 Issued in WA

Practice address

1324 Concord CT
Prosser, WA 99350-1259

Phone

(509) 820-0441

NPI assigned

Oct 23, 2023

Sex

Female

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

State licenses

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

{
    "created_epoch": "1698019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698019200000",
    "number": "1891567095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8819 W VICTORIA AVE # 110",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993367193",
            "telephone_number": "509-783-1851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1324 CONCORD CT",
            "city": "PROSSER",
            "state": "WA",
            "postal_code": "993501259",
            "telephone_number": "509-820-0441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AVELAR",
        "first_name": "HEATHER",
        "middle_name": "RAE",
        "name_suffix": "I",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-10-23",
        "last_updated": "2023-10-23",
        "certification_date": "2023-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Licensed Practical Nurse",
            "state": "WA",
            "license": "LP60784942",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gloria Cresencia B. Abacan
• Jonathan Drew Alvord, PA-C
• Michael D. Ankermiller, LICENSED DENTURIST
• Joseph W Ashton, P.T.
• Constance Abigail Asiedu-Ofei, MD
• Maria Guadalupe Ayala
• Bonnie Bair
• Warren A Barmore, OD
• Reece Michael Bauman
• Benton Southgate Pharmacy Inc

• All providers in Prosser, WA
• Licensed Practical Nurse in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2023; 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.