Individual provider Active NPI

Addiel Cabrera Quizmundo

  • Licensed Practical Nurse
  • Anacortes, WA
National Provider Identifier
1982460101
Registry record updated Feb 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
LP00059462 Issued in WA
Practice address
8212 S March Point Rd
Anacortes, WA 98221-8684
Phone
(360) 588-2808
NPI assigned
Feb 26, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 26, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X LP00059462 WA Primary

Addresses

Primary practice location

8212 S March Point Rd
Anacortes, WA 98221-8684

Mailing address

8212 S March Point Rd
Anacortes, WA 98221-8684
Phone (360) 588-2808

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
LP00059462WAMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Swinomish Health Services CurrentSince Mar 3, 2024 Accepting new patients
Swinomish Health Services CurrentSince Mar 3, 2024 Accepting new patients

Locations

8212 S March Point Rd
Anacortes, WA 98221
Phone (360) 588-2800

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1708905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708905600000",
    "number": "1982460101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8212 S MARCH POINT RD",
            "city": "ANACORTES",
            "state": "WA",
            "postal_code": "982218684",
            "telephone_number": "360-588-2808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8212 S MARCH POINT RD",
            "city": "ANACORTES",
            "state": "WA",
            "postal_code": "982218684",
            "telephone_number": "360-588-2808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUIZMUNDO",
        "first_name": "ADDIEL",
        "middle_name": "CABRERA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-02-26",
        "last_updated": "2024-02-26",
        "certification_date": "2024-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "WA",
            "license": "LP00059462",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anacortes, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2024; 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.