Active NPI
Louis Esmeralda Jr., LPN
- Licensed Practical Nurse
- Spanaway, WA
National Provider Identifier
1902203151
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- LP00057886
- Practice address
- 19805 16TH Ave E
Spanaway, WA 98387-1814 - Phone
- (253) 365-2226
- NPI assigned
- Dec 2, 2014
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | LP00057886 | WA | Primary |
Addresses
Primary practice location
19805 16TH Ave E
Spanaway, WA 98387-1814
Mailing address
19805 16TH Ave E
Spanaway, WA 98387-1814
Phone (253) 365-2226
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 |
|---|---|---|---|
| LP00057886 | WA | MD | Licensed Practical Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1417478400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1417478400000",
"number": "1902203151",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19805 16TH AVE E",
"city": "SPANAWAY",
"state": "WA",
"postal_code": "983871814",
"telephone_number": "253-365-2226"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19805 16TH AVE E",
"city": "SPANAWAY",
"state": "WA",
"postal_code": "983871814",
"telephone_number": "253-365-2226"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ESMERALDA",
"first_name": "LOUIS",
"name_prefix": "Miss",
"name_suffix": "Jr.",
"credential": "LPN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-12-02",
"last_updated": "2014-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "WA",
"license": "LP00057886",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Spanaway, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.