Daleisha Bardales

Primary specialty

Medical-Surgical Registered NurseTaxonomy code 163WM0705X

License

RN.61610896 Issued in WA

Practice address

835 SE Bishop Blvd
Pullman, WA 99163-5512

Phone

(509) 336-7497

Fax

(509) 336-7498

NPI assigned

Nov 16, 2023

Last updated

Feb 2, 2026By 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 2

Addresses

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": "1700092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769990400000",
    "number": "1972378339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "921 SE KLEMGARD ST APT B3",
            "city": "PULLMAN",
            "state": "WA",
            "postal_code": "991635455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "835 SE BISHOP BLVD",
            "city": "PULLMAN",
            "state": "WA",
            "postal_code": "991635512",
            "telephone_number": "509-336-7497",
            "fax_number": "509-336-7498"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2901 Bridgeport Way W",
            "address_purpose": "LOCATION",
            "city": "University Place",
            "state": "WA",
            "postal_code": "984664614",
            "country_code": "US",
            "telephone_number": "253-534-7623",
            "fax_number": "253-534-7610",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BARDALES",
        "first_name": "DALEISHA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-11-16",
        "last_updated": "2026-02-02",
        "certification_date": "2026-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "WA",
            "license": "RN61610896",
            "primary": false
        },
        {
            "code": "163WM0705X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Medical-Surgical",
            "state": "WA",
            "license": "RN.61610896",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kellsi Ausman
• Avalon Care Center Pullman LLC
• Cameron Avcu, DPT
• Jennifer Kangvan Baisley, CPHT
• Elizabeth Ann Bakken, PHARMACIST
• Abigail Margaret Barnes
• Meghan Ann Barrington
• Hailey Basaraba
• Robert Timothy Bashaw, PT
• Dakota Alan Baugus, DDS

• Medical-Surgical Registered Nurse in Pullman, WA
• Providers in Pullman, WA by specialty
• Medical-Surgical Registered Nurse in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2026; 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.