JACOB ROYAL NP-C NPI 1194127746

NPI Information

NPI: 1194127746
Provider Name: JACOB ROYAL, NP-C
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Organization: COLUMBIA VALLEY EMERGENCY PHYSICIANS LLC

PECOS Registration: Yes

Address:
888 SWIFT BLVD
RICHLAND, WA
ZIP 99352
Phone: (509) 942-2162
Get Directions

Jacob Royal, NP-C is a family nurse practitioner in Richland, WA with 10 years of experience. Jacob Royal, NP-C NPI is 1194127746. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

888 SWIFT BLVD
RICHLAND, WA
ZIP 99352
Phone: (509) 942-2162

The NPI 1194127746 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 9/25/2014 and was last updated on 6/2/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. 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	363LF0000X	Nurse Practitioner	Family	AP60570569	WASHINGTON	Yes
2	363LF0000X	Nurse Practitioner	Family	R41002	NORTH DAKOTA	No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	AP60570569	MEDICAID	WASHINGTON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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