DALEISHA BARDALES — NPI 1972378339 (Licensed & Credentialed Registered Nurse, Medical-Surgical in PULLMAN, WA)

CMS-1500 Box 24J / 33a • NPI

1972378339

Type 1 Individual Rendering/Ordering

HIPAA NUCC Taxonomy • CMS Code

163WM0705X

Licensed & Credentialed Registered Nurse, Medical-Surgical

Box 32 Service Location & ZIP+4

835 SE BISHOP BLVD, PULLMAN, WA, 99163-5512

✓ 9-Digit EDI 837 ZIP+4 (99163-5512)

Practice Phone & Referral Fax

(509) 336-7497

Fax: (509) 336-7498

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1972378339 (DALEISHA BARDALES) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

This practitioner does not currently appear in the CMS individual Order & Referring PECOS file (may practice in pediatrics, commercial-only networks, or hospital-employed settings).

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1972378339` (NPI-1 Individual Practitioner)
Provider / Legal Name	DALEISHA BARDALES
Plain-English Specialty	Licensed & Credentialed Registered Nurse, Medical-Surgical NUCC Code: `163WM0705X` (Registered Nurse, Medical-Surgical)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	835 SE BISHOP BLVD, PULLMAN, WA, 99163-5512
Practice Telephone / Fax	Tel: (509) 336-7497 \| Fax: (509) 336-7498
Administrative Mailing Address	921 SE KLEMGARD ST APT B3, PULLMAN, WA, 99163-5455
Enumeration & Last Sync	Enumerated: 2023-11-16 \| CMS Record Updated: 2026-02-02

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

835 SE BISHOP BLVD, PULLMAN, WA, 99163-5512

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Plain-English Taxonomy & CMS Crosswalk (163WM0705X)

What Does Taxonomy Code 163WM0705X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 163WM0705X translates to:
"Licensed & Credentialed Registered Nurse, Medical-Surgical"

CMS-1500 Medicare Specialty Crosswalk: Standard HIPAA X12N 837P / CMS-1500
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Registered Nurse, Medical-Surgical for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (DALEISHA BARDALES)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`163WM0705X` — Registered Nurse, Medical-Surgical Plain English: Licensed & Credentialed Registered Nurse, Medical-Surgical	State: WA \| License: `RN.61610896` \| Primary: Yes (Primary)
`163WH0200X` — Registered Nurse, Home Health Plain English: CMS-Certified Home Health Care & Skilled Nursing Agency	State: WA \| License: `RN61610896` \| Primary: Secondary

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DALEISHA BARDALES (NPI #1972378339)