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
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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 Field Definition 1
1 NPI 1295096725 The 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. The NPI number includes an ISO standard check-digit in the 10th position. There is no intelligence about the health care provider in the number.
2 Entity Type Code 1 The country code in the location address of the provider being identified.
3 Provider Last Name Legal Name POLES The fax number associated with the location address of the provider being identified.
4 Provider First Name JAMES
5 Provider Middle Name EDWARD The code representing the State that issued the license to the provider being identified. This field can accommodate multiple States. It is associated with ‘‘provider license number.
6 Provider Name Prefix Text MR. The license number issued to the provider being identified. The NPS can accommodate multiple license numbers for multiple specialties and for multiple States. The NPS will associate this data element with ‘‘provider taxonomy code’’.
7 Provider Credential Text CNA
8 Provider Other Last Name POLES
9 Provider Other First Name JAMES Other first name by which the provider being identified is or has been known (if an individual). This may be the same as the ‘‘Provider first name’’ if the provider is or has been known by a different last name only.
10 Provider Other Middle Name EDWARD Other middle name by which the provider being identified is or has been known (if an individual). This may be the same as the ‘‘Provider middle name’’ if the provider is or has been known by a different last name only.
11 Provider Other Name Prefix Text MR. The other name prefix or salutation of the provider if the provider is an individual; for example, Mr., Mrs., or Corporal.
12 Provider Other Credential Text CNA The other abbreviations for professional degrees or credentials used or held by the provider, if the provider is an individual. Examples are MD, DDS, CSW, CNA, AA, NP, RNA, or PSY. These credential designations will not be verified by NPS.
13 Provider Other Last Name Type Code 2 Code identifying the type of other name. Codes are: 1 = former name; 2 = professional name; 3 = doing business as (d/b/ a) name; 4 = former legal business name; 5 = other.
14 Provider First Line Business Practice Location Address 1915 55TH ST SE The first line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
15 Provider Second Line Business Practice Location Address APT A The second line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
16 Provider Business Practice Location Address City Name EVERETT The city name in the location address of the provider being identified.
17 Provider Business Practice Location Address State Name WA The State code in the location of the provider being identified.
18 Provider Business Practice Location Address Postal Code 982033958 The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
19 Provider Business Practice Location Address Country Code If outside U S US The country code in the location address of the provider being identified.
20 Provider Business Practice Location Address Telephone Number 3606101849 The telephone number associated with the location address of the provider being identified.
21 Provider Enumeration Date 5/31/2012 The date the provider was assigned a unique identifier (assigned an NPI).
22 Last Update Date 5/31/2012 The date that a record was last updated or changed.
23 Provider Gender Code M The code designating the provider’s gender if the provider is a person.
24 Healthcare Provider Taxonomy Code 1 374U00000X Code designating the provider type, classification, and specialization. Codes are from the Healthcare Provider Taxonomy code list. The NPS will associate these data with the license data for providers with Entity type code = 1.
25 Provider License Number 1 NA60159804 The license number issued to the provider being identified. The NPS can accommodate multiple license numbers for multiple specialties and for multiple States. The NPS will associate this data element with ‘‘provider taxonomy code’’.
26 Provider License Number State Code 1 WA The code representing the State that issued the license to the provider being identified. This field can accommodate multiple States. It is associated with ‘‘provider license number.
27 Healthcare Provider Primary Taxonomy Switch 1 Y
28 Is Sole Proprietor N Code indicating whether the provider is operating as a sole proprietor. Codes are: Y = Yes; N = No

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This page was last updated on: 3/10/2015

(1) Field Definition Source-. Federal Register / Vol. 69, No. 15 / Friday, January 23, 2004 / Rules and Regulations - Part II Department of Health and Human Services Office of the Secretary 45 CFR Part 162 HIPAA Administrative Simplification: Standard Unique Health Identifier for Health Care Providers; Final Rule

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