Active NPI
Dexter Varilla
- Nurse's Aide
- Bellevue, WA
National Provider Identifier
1902175797
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse's Aide
- License
- NC10051704
- Practice address
- 2228 169TH Ave NE
Bellevue, WA 98008-2435 - Phone
- (425) 502-9090
- NPI assigned
- Dec 22, 2011
- 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 |
|---|---|---|---|---|
| Nurse's Aide | 376K00000X | NC10051704 | WA | Primary |
Addresses
Primary practice location
2228 169TH Ave NE
Bellevue, WA 98008-2435
Mailing address
2228 169TH Ave NE
Bellevue, WA 98008-2435
Phone (425) 502-9090
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 |
|---|---|---|---|
| NC10051704 | WA | MD | Nurse's Aide |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1324512000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1324512000000",
"number": "1902175797",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2228 169TH AVE NE",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "980082435",
"telephone_number": "425-502-9090"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2228 169TH AVE NE",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "980082435",
"telephone_number": "425-502-9090"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VARILLA",
"first_name": "DEXTER",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-12-22",
"last_updated": "2011-12-22",
"status": "A"
},
"taxonomies": [
{
"code": "376K00000X",
"taxonomy_group": "",
"desc": "Nurse's Aide",
"state": "WA",
"license": "NC10051704",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bellevue, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.