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ROMAN ALEJANDRO ELISARRARAZ
NPI 1245108778
Licensed Practical Nurse in Shelton, WA

Active since October 27, 2025
307 W COTA ST, SHELTON, WA 98584(360) 205-8001 Get Directions Write a Review

NPPES record last updated: October 27, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Roman Alejandro Elisarraraz NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ROMAN ALEJANDRO ELISARRARAZ (NPI 1245108778) is an individual licensed practical nurse in Shelton, Washington, licensed in Washington (LP70039133) and active in the NPI registry since October 2025.

NPPES Registry Identity

NPI1245108778
Entity TypeIndividualMale
Primary Taxonomy164W00000X
Provider Legal NameROMAN ALEJANDRO ELISARRARAZ
Location Address307 W COTA STShelton, WA 98584-2265
Mailing Address7621 19th Ln Se Apt 310Lacey, WA 98503-3491 · (559) 975-9505
Phone(360) 205-8001
Sole ProprietorYes
Enumeration DateOctober 27, 2025
NPPES CertifiedOctober 27, 2025
✔ NPI 1245108778 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License✔ Licensed in WA · LP70039133
Definition
A licensed practical nurse 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.
307 W COTA ST, Shelton, WA 98584
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ROBERT IRWIN BROWN III CNA
Nurse's Aide
307 W COTA ST
SHELTON, WA 98584
Mason County (503) 348-3767
LYNEAH MACELLA MACIEL RN
Registered Nurse
307 W COTA ST
SHELTON, WA 98584
Mason County (360) 205-8002
WESTON JOSEPH BROUSSARD II
Counselor (Mental Health)
307 W COTA ST
SHELTON, WA 98584
Mason County (360) 205-8002
JENNIFER L WHETSTONE RN
Registered Nurse
307 W COTA ST
SHELTON, WA 98584
Mason County (360) 205-8001
KRYSTEL NYSTED RN
Registered Nurse
307 W COTA ST
SHELTON, WA 98584
Mason County (847) 347-6251
MILONNA CLOSE LMHC
Counselor
307 W COTA ST
SHELTON, WA 98584
Mason County (360) 205-8001
CHELEACE RYDER LPN
Licensed Practical Nurse
307 W COTA ST
SHELTON, WA 98584
Mason County (360) 205-8011
DEVIN RAY ALLEN AAC
Counselor (Mental Health)
307 W COTA ST
SHELTON, WA 98584
Mason County (360) 205-8001

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Roman Elisarraraz's NPI number?

The NPI number for Roman Elisarraraz is 1245108778. It was assigned to this individual provider in the NPPES registry on October 27, 2025.

Where is Roman Elisarraraz located?

Roman Elisarraraz practices at 307 W Cota St, Shelton, WA 98584. The listed phone number is (360) 205-8001.

What is Roman Elisarraraz's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Roman Elisarraraz was last updated on October 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.