Active NPI
Vanessa Gallegos-Haro, MA
- Nurse's Aide
- Yakima, WA
National Provider Identifier
1962979088
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse's Aide
- License
- CM60797734
- Practice address
- 918 E Mead Ave
Yakima, WA 98903-3720 - Phone
- (509) 453-1344
- NPI assigned
- Oct 26, 2018
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Nurse's Aide | 376K00000X | CM60797734 | WA | Primary |
Addresses
Primary practice location
918 E Mead Ave
Yakima, WA 98903-3720
Mailing address
120 S 3Rd St
Yakima, WA 98901-2875
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 91-0755984 | Medicaid | WA |
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CM60797734 | WA | MD | Nurse's Aide |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1540512000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658707200000",
"number": "1962979088",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "120 S 3RD ST",
"city": "YAKIMA",
"state": "WA",
"postal_code": "989012875"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "918 E MEAD AVE",
"city": "YAKIMA",
"state": "WA",
"postal_code": "989033720",
"telephone_number": "509-453-1344"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GALLEGOS-HARO",
"first_name": "VANESSA",
"credential": "MA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-10-26",
"last_updated": "2022-07-25",
"certification_date": "2022-07-25",
"status": "A"
},
"taxonomies": [
{
"code": "376K00000X",
"taxonomy_group": "",
"desc": "Nurse's Aide",
"state": "WA",
"license": "CM60797734",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "91-0755984",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Yakima, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.