Rachel Leeann Phillips, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

LP60182389 Issued in WA

Practice address

22026 20TH Ave SE
Bothell, WA 98021-4449

Phone

(425) 672-7293

Fax

(425) 329-4640

NPI assigned

Dec 20, 2018

Sex

Female

Sole proprietor

No

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": "1545264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545264000000",
    "number": "1952873556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8616 184TH ST NW",
            "city": "STANWOOD",
            "state": "WA",
            "postal_code": "982929107",
            "telephone_number": "425-953-0673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22026 20TH AVE SE",
            "city": "BOTHELL",
            "state": "WA",
            "postal_code": "980214449",
            "telephone_number": "425-672-7293",
            "fax_number": "425-329-4640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "RACHEL",
        "middle_name": "LEEANN",
        "name_prefix": "Ms.",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-20",
        "last_updated": "2018-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "WA",
            "license": "LP60182389",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF WASHINGTON DEPARTMENT OF HEALTH, LICENSED PRACTICAL NURSE",
            "identifier": "LP60182389",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Licensed Practical Nurse in Bothell, WA
• Providers in Bothell, 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 Dec 20, 2018; 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.