Jackie Kraai, RN00120978

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

RN00120978 Issued in WA

Practice address

8003 Zayas Dr
Pasco, WA 99301-7944

Phone

(509) 380-6621

NPI assigned

Jul 21, 2016

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 names 1

• Jacqueline Kraai Other name

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": "1469059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1469059200000",
    "number": "1962855262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8003 ZAYAS DR",
            "city": "PASCO",
            "state": "WA",
            "postal_code": "993017944",
            "telephone_number": "509-380-6621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8003 ZAYAS DR",
            "city": "PASCO",
            "state": "WA",
            "postal_code": "993017944",
            "telephone_number": "509-380-6621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRAAI",
        "first_name": "JACKIE",
        "credential": "RN00120978",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-07-21",
        "last_updated": "2016-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WA",
            "license": "RN00120978",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JACQUELINE",
            "last_name": "KRAAI",
            "credential": "RN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Holly Jo Kelly, RNFA CNOR
• Joshua Stephen Kenyon
• Ekta Khurana, M.D.
• Eyob G Kidane, PA-C
• Lena Knight
• April N Kretschmar, PT, DPT
• Berniece Lillian Kroll, CDP, LMHP
• Janet Kruschke
• Toni M Kugler
• Lucy Kuria

• Registered Nurse in Pasco, WA
• Providers in Pasco, WA by specialty
• Registered Nurse in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2016; 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.