MRS. KATHLEEN JANINE MAGONIGLE (NPI# 1114111390) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114111390 |
| Entity Type | Individual |
| Full Name | MRS. KATHLEEN JANINE MAGONIGLE |
| Credential | ARNP |
| Practice Address |
7824 Wilda Ln Ne Olympia WA 98516-9356 |
| Mailing Address |
1901 S. Union Ave. Suite A-244 Tacoma WA 98405 |
| Practice Telephone | 3604131750 |
| Mailing Telephone | 2534596500 |
| Mailing Fax Number | 2534596501 |
| Enumeration Date | 2007-08-30 |
| Last Update Date | 2011-10-04 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
AP30007856 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
7824 WILDA LN NE |
| City | OLYMPIA |
| State | WA |
| Zip Code | 98516-9356 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730744210 | Michael Oropeza | Behavioral Analyst | 8282 28th Court Northeast, Suite A, Lacey, WA 98516 | 2019-05-09 |
| 1902361330 | Amanda Jessica Mae Allen | Behavioral Analyst | Basics Nw LLC, 8282 28th Ct Ne Suite A, Lacey, WA 98516 | 2019-02-11 |
| 1619459393 | Kayla-renee Williams | Behavioral Analyst | Basics Nw LLC 8282 28th Ct Ne, Suite A, Lacey, WA 98516 | 2018-08-30 |
| 1174004303 | Julie Ann Lisowski | Massage Therapist | 3532 Cuddy Ln Ne, Lacey, WA 98516 | 2018-08-26 |
| 1740700145 | Joseph Brandon Kimmel | Denturist | 5032 Beverly Dr Ne, Olympia, WA 98516 | 2017-06-27 |
| 1649649880 | Katie Cole | Behavioral Analyst | 8282 28th Ct Ne, Suite A, Basics Nw, LLC, Lacey, WA 98516 | 2015-09-17 |
| 1306234166 | Reza Tahernia | Dentist | 8050 Freedon Lane Ne, Suite C, Lacey, WA 98516 | 2015-01-02 |
| 1770997603 | Qualified Surgical Services Pllc | Surgery | 3697 Cameron Dr Ne, Lacey, WA 98516 | 2014-06-18 |
| 1184048688 | Stephanie Renee Hjortedal | Specialist/Technologist | 8750 Tallon Lane Ne., Lacey, WA 98516 | 2014-02-05 |
| 1295169811 | Teasha Corrado | Behavioral Analyst | 8282 28th Court Ne, Suite A, Lacey, WA 98516 | 2013-08-30 |
| Find all providers in zip 98516 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023615549 | Brian D Ottesen | Nurse Practitioner | 2315 Crestwood Pl Nw, Olympia, WA 98502-4095 | 2020-10-07 |
| 1306477104 | Abigail Blackwell | Nurse Practitioner | 402 Legion Way Se Ste 201, Olympia, WA 98501-1494 | 2020-01-30 |
| 1801304431 | Michelle Warner | Nurse Practitioner | 205 Lilly Rd Ne Ste A1, Olympia, WA 98506 | 2018-01-17 |
| 1205372604 | Benjamin Craig Matthews | Nurse Practitioner | 4250 Martin Way E, #105, Olympia, WA 98516-5317 | 2017-01-10 |
| 1477958270 | Harvey William Hall | Nurse Practitioner | 1800 Cooper Point Rd Sw Ste 19, Olympia, WA 98502 | 2014-10-23 |
| 1427488113 | Northwest Resources II | Nurse Practitioner | 3773-a Martin Way E, Ste 105, Olympia, WA 98506 | 2013-11-18 |
| 1013296128 | Melinda Anne Harris-moulton | Nurse Practitioner | 5201 Dolphin Ln Nw, Olympia, WA 98502-9226 | 2011-08-05 |
| 1952537706 | Kathryn Elizabeth Harshman | Nurse Practitioner | 3030 Limited Lane Ne, Olympia, WA 98502 | 2009-06-08 |
| 1922156025 | Kathryn Lavonne Timm | Nurse Practitioner | 402 Legion Way, Suite 201, Olympia, WA 98501-1107 | 2007-01-08 |
| 1396821310 | Suzanne E Goldman | Nurse Practitioner | 500 Lilly Rd Ne Ste 201, Olympia, WA 98506-5197 | 2006-10-31 |
| Find all providers in OLYMPIA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.