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Ethan Henry Wall , LPN

Licensed Practical Nurse • Wenatchee, WA

Active NPI 1346899655 Individual Practitioner Male Practitioner
Practice location in NPPES

1230 Monitor St
Wenatchee, WA 988013534

Call 5092325766 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

1230 Monitor St

Wenatchee, WA 988013534

Telephone 5092325766
Fax 5093215472
Organization at the Same NPPES Address or Phone
Parkside Healthcare Llc Facility NPI 1457346512

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2019

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Wenatchee and Washington

16 active clinicians are listed under Licensed Practical Nurse with a practice address in Wenatchee, WA (1,691 in Washington).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Wenatchee

0% of these 16 clinicians have the CMS telehealth indicator.

0% of these 16 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo · Report an error.

Specialties & License Numbers Reported to NPPES

Licensed Practical Nurse Primary Specialty

NUCC Taxonomy Code: 164W00000X

License # reported to NPPES WA LP60979203

An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Washington State Department of Health Provider Lookup.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid ID
2077844 (WA)

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

1 listed
John Keel , MED, LMHC, LPC, LMFT

Counselor - Mental Health

NPI 1063978559

Master of Education, Licensed Mental Health Counselor, Licensed Professional Counselor, Licensed Marriage and Family Therapist

Career & Practice History

NPI enumerated September 09, 2019.

No changes to the name, practice address, taxonomy or NPI status in this record have been observed in the monthly NPPES data files from October 2019 to August 2026.

No reviews have been published yet. Leave a review.

NPI Administrative Meta

NPI Number: 1346899655
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 09, 2019
Last Update: September 09, 2019
Sole Proprietor: No

Mailing Address

12715 E Mission Ave

Spokane Valley, WA 992161027

Phone: 5092325766

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.