Individual provider Active NPI

Juana Cleek, RN

  • Case Manager/Care Coordinator
  • Mount Vernon, WA
National Provider Identifier
1992225320
Registry record updated Mar 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
License
RN00103115 Issued in WA
Practice address
1400 N Laventure Rd
Mount Vernon, WA 98273-2766
Phone
(360) 848-6616
Fax
(360) 542-8903
NPI assigned
Jun 27, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN00103115 WA
Case Manager/Care Coordinator 171M00000X RN00103115 WA Primary

Addresses

Primary practice location

1400 N Laventure Rd
Mount Vernon, WA 98273-2766

Mailing address

PO Box 34703
Seattle, WA 98124-1703

Other practice location 1

4455 Cordata Pkwy
Bellingham, WA 98226-8037
Phone (360) 788-7149

Other practice location 2

330 Pacific Place
Mount Vernon, WA 98273
Phone (360) 416-7595 ext. 1124

Other identifiers 1

IdentifierTypeStateIssuer
2093760MedicaidWA

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
Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN00103115WAMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1498521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774310400000",
    "number": "1992225320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 34703",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981241703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 N LAVENTURE RD",
            "city": "MOUNT VERNON",
            "state": "WA",
            "postal_code": "982732766",
            "telephone_number": "360-848-6616",
            "fax_number": "360-542-8903"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4455 Cordata Pkwy",
            "address_purpose": "LOCATION",
            "city": "Bellingham",
            "state": "WA",
            "postal_code": "982268037",
            "country_code": "US",
            "telephone_number": "360-788-7149",
            "fax_number": "360-715-8302",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "330 Pacific Place",
            "address_purpose": "LOCATION",
            "city": "Mount Vernon",
            "state": "WA",
            "postal_code": "98273",
            "country_code": "US",
            "telephone_number": "360-416-7595 x1124",
            "fax_number": "360-416-4988",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CLEEK",
        "first_name": "JUANA",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-27",
        "last_updated": "2026-03-24",
        "certification_date": "2026-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WA",
            "license": "RN00103115",
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "WA",
            "license": "RN00103115",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2093760",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Vernon, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 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.