Individual provider Active NPI

Haley Elizabeth Senderak

  • Student in an Organized Health Care Education/Training Program
  • Curtis, WA
National Provider Identifier
1982244299
Registry record updated Jan 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
License
WDL18B44G63B Issued in WA
Practice address
1132 Boistfort Rd
Curtis, WA 98538-9726
Phone
(360) 304-3752
NPI assigned
Jan 14, 2020
Last updated
Jan 14, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X WDL18B44G63B WA Primary

Addresses

Primary practice location

1132 Boistfort Rd
Curtis, WA 98538-9726

Mailing address

Elmina White Honors Hall Room 435C PO Box 1700
Pullman, WA 99163
Phone (360) 304-3752

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

State licenses

LicenseStateTypeSpecialty
WDL18B44G63BWAMDStudent in an Organized Health Care Education/Training Program

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1578960000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578960000000",
    "number": "1982244299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "ELMINA WHITE HONORS HALL ROOM 435C PO BOX 1700",
            "city": "PULLMAN",
            "state": "WA",
            "postal_code": "99163",
            "telephone_number": "360-304-3752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1132 BOISTFORT RD",
            "city": "CURTIS",
            "state": "WA",
            "postal_code": "985389726",
            "telephone_number": "360-304-3752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SENDERAK",
        "first_name": "HALEY",
        "middle_name": "ELIZABETH",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-14",
        "last_updated": "2020-01-14",
        "certification_date": "2020-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "WA",
            "license": "WDL18B44G63B",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Curtis, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2020; 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.