Christina Entrop, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

LP00048014 Issued in WA

Practice address

26928 120TH St E
Buckley, WA 98321-8565

Phone

(360) 829-5516

NPI assigned

Oct 25, 2012

Last updated

Oct 25, 2012By the provider in NPPES

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

Other identifiers 1

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": "1351123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1351123200000",
    "number": "1942553169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11017 204TH AVENUE CT E",
            "city": "BONNEY LAKE",
            "state": "WA",
            "postal_code": "983917951",
            "telephone_number": "253-862-4778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26928 120TH ST E",
            "city": "BUCKLEY",
            "state": "WA",
            "postal_code": "983218565",
            "telephone_number": "360-829-5516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENTROP",
        "first_name": "CHRISTINA",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-10-25",
        "last_updated": "2012-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "WA",
            "license": "LP00048014",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "164W00000X",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Genesis Medical Transportation, LLC

• Licensed Practical Nurse in Buckley, WA
• Providers in Buckley, WA by specialty
• Licensed Practical Nurse in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2012; 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.