Active NPI
Jason Skinner RN
- Assisted Living Facility (Mental Illness)
- Blaine, WA
National Provider Identifier
1902149362
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility (Mental Illness)
- License
- RN60104003
- Legal business name
- JASON SKINNER RN
- Practice address
- 7512 Wooldridge Ave
Blaine, WA 98230 - Phone
- (360) 927-5725
- NPI assigned
- Apr 3, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jason Skinner, RN
- Title
- Nurse Delegator
- Phone
- (360) 927-5725
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility (Mental Illness) | 3104A0625X | RN60104003 | WA | Primary |
Addresses
Primary practice location
7512 Wooldridge Ave
Blaine, WA 98230
Mailing address
7512 Wooldridge Ave
Blaine, WA 98230
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1364947200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1364947200000",
"number": "1902149362",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7512 WOOLDRIDGE AVE",
"city": "BLAINE",
"state": "WA",
"postal_code": "98230"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7512 WOOLDRIDGE AVE",
"city": "BLAINE",
"state": "WA",
"postal_code": "98230",
"telephone_number": "360-927-5725"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JASON SKINNER RN",
"organizational_subpart": "NO",
"enumeration_date": "2013-04-03",
"last_updated": "2013-04-03",
"status": "A",
"authorized_official_last_name": "SKINNER",
"authorized_official_first_name": "JASON",
"authorized_official_title_or_position": "NURSE DELEGATOR",
"authorized_official_telephone_number": "360-927-5725",
"authorized_official_credential": "RN"
},
"taxonomies": [
{
"code": "3104A0625X",
"taxonomy_group": "",
"desc": "Assisted Living Facility, Assisted Living, Mental Illness",
"state": "WA",
"license": "RN60104003",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Blaine, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.