Genise Lee Albertson, RDA

Primary specialty

Dental AssistantTaxonomy code 126800000X

License

D160030008 Issued in WA

Practice address

14406 NE 20TH Ave
Vancouver, WA 98686-1448

Phone

(360) 517-3139

NPI assigned

Dec 4, 2012

Sex

Female

Sole proprietor

No

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": "1354579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1354579200000",
    "number": "1982949830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14406 NE 20TH AVE",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986861448",
            "telephone_number": "360-517-3139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14406 NE 20TH AVE",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986861448",
            "telephone_number": "360-517-3139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALBERTSON",
        "first_name": "GENISE",
        "middle_name": "LEE",
        "name_prefix": "Mrs.",
        "credential": "RDA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-12-04",
        "last_updated": "2012-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "126800000X",
            "taxonomy_group": "",
            "desc": "Dental Assistant",
            "state": "WA",
            "license": "D160030008",
            "primary": true
        },
        {
            "code": "126800000X",
            "taxonomy_group": "",
            "desc": "Dental Assistant",
            "state": "OR",
            "license": "A2470",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Silvianna Albarran, LMP
• Matthew Vincent Albert, MA, LMHC
• Debra Ann Alberts
• Lisa M. Alberts, M.D.
• Michael Stuart Alberts, M.D.
• Albertsons LLC
• Albertsons LLC
• Albertsons LLC
• Martha Jane Albi, PT
• Camilla Renee Albrecht, RPH

• Dental Assistant in Vancouver, WA
• Providers in Vancouver, WA by specialty
• Dental Assistant in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2012; 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.