MR. JAMES EDWARD POLES, CNA - NPI NUMBER 1295096725

Summary

Provider Name: MR. JAMES EDWARD POLES, CNA

NPI Number: 1295096725

Clasification: Home Health Aide (374U00000X)

Address:
1915 55TH ST SE
APT A
EVERETT, WA
ZIP 98203

Phone Number: (360) 610-1849



Detailed Information

MR. James Edward Poles, CNA is a home health aide in Everett, WA. The provider is a person trained to assist public health nurses, home health nurses, and other health professionals in the bedside care of patients in their homes. The assigned NPI number for this provider is 1295096725 and is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business address is:

1915 55TH ST SE
APT A
EVERETT, WA
ZIP 98203-958
Phone: (360) 610-1849

The enumeration date for this NPI number is 5/31/2012 and was last updated on 5/31/2012.

Map - Location of Practice

Similar Providers

NPI Provider Name / Taxonomy
1013278555 CAMERON M ORNELLA, CNA
Home Health Aide
1851682777 CHELSEY LEE MARTIN, E.M.T.-B
Home Health Aide

Taxonomy Codes

The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1 374U00000X Home Health Aide NA60159804 WA Yes

NPI Record

No. Field Name Field Value
1 NPI 1295096725
2 Entity Type Code 1
3 Provider Last Name Legal Name POLES
4 Provider First Name JAMES
5 Provider Middle Name EDWARD
6 Provider Name Prefix Text MR.
7 Provider Credential Text CNA
8 Provider Other Last Name POLES
9 Provider Other First Name JAMES
10 Provider Other Middle Name EDWARD
11 Provider Other Name Prefix Text MR.
12 Provider Other Credential Text CNA
13 Provider Other Last Name Type Code 2
14 Provider First Line Business Practice Location Address 1915 55TH ST SE
15 Provider Second Line Business Practice Location Address APT A
16 Provider Business Practice Location Address City Name EVERETT
17 Provider Business Practice Location Address State Name WA
18 Provider Business Practice Location Address Postal Code 982033958
19 Provider Business Practice Location Address Country Code If outside U S US
20 Provider Business Practice Location Address Telephone Number 3606101849
21 Provider Enumeration Date 5/31/2012
22 Last Update Date 5/31/2012
23 Provider Gender Code M
24 Healthcare Provider Taxonomy Code 1 374U00000X
25 Provider License Number 1 NA60159804
26 Provider License Number State Code 1 WA
27 Healthcare Provider Primary Taxonomy Switch 1 Y
28 Is Sole Proprietor N

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This page was last updated on: 10/12/2014
All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.