Organization Active NPI

Jason Skinner RN

  • Assisted Living Facility (Mental Illness)
  • Blaine, WA
National Provider Identifier
1902149362
Registry record updated Apr 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living Facility (Mental Illness)Taxonomy code 3104A0625X
License
RN60104003 Issued in WA
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

Updated by the provider on Apr 3, 2013

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)CodeLicenseStatePrimary
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 Directory

NPI 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.

Verify at the official NPI Registry.