PACIFIC LUTHERAN UNIVERSITY (NPI# 1114241478) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114241478 |
| Entity Type | Organization |
| Organization Name | PACIFIC LUTHERAN UNIVERSITY |
| Practice Address |
12108 S Park Ave Tacoma WA 98447-0001 |
| Practice Telephone | 2535357337 |
| Practice Fax Number | 2535365042 |
| Mailing Telephone | 2535357337 |
| Mailing Fax Number | 2535365042 |
| Enumeration Date | 2010-03-16 |
| Last Update Date | 2010-03-16 |
| Authorized Official Name | MS. AUDRY JEAN KAHLSTROM (ARNP) |
| Authorized Official Telephone | 2533896998 |
| Authorized Official Credential | MN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QS1000X |
Clinic/Center Specialization: Student Health |
60128007 | WA | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306915053 | Pacific Lutheran University | Nurse Practitioner | 12108 Pacific Avenue Pacific Lutheran University, East Campus, Suite G-10, Tacoma, WA 98447-0003 | 2006-11-07 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Pacific Lutheran University | 12180 Park Ave S, Tacoma, WA 98447 |
| Washington State Corporations | PACIFIC LUTHERAN UNIVERSITY | 12180 Park Ave S, Tacoma, WA 98447-0001 |
| Washington State Corporations | PACIFIC LUTHERAN UNIVERSITY FOUNDATION | 12180 Park St S, Tacoma, WA 98447 |
| Street Address |
12108 S PARK AVE |
| City | TACOMA |
| State | WA |
| Zip Code | 98447-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336369594 | Sherwin Ferguson | Student in an Organized Health Care Education/Training Program | Pacififc Lutheran University, Student Health Center, Tacoma, WA 98447 | 2007-04-27 |
| 1912544941 | Laura Weeks | Student in an Organized Health Care Education/Training Program | 1010 122nd St S, Tacoma, WA 98447-0001 | 2019-12-10 |
| 1154967339 | Angela Kennedy | Student in an Organized Health Care Education/Training Program | 12180 Park Ave S Pacific Lutheran University, Tacoma, WA 98447-0001 | 2019-11-21 |
| 1033755699 | Maryam Roya Jalili | Nurse Practitioner | 12180 Park Ave S Tacoma Wa 98447, Tacoma, WA 98447-0001 | 2019-11-19 |
| 1598301038 | Ariel Carmichael | Registered Nurse | 12180 Park Ave S School of Nursing Ramstad 214, Tacoma, WA 98447-0001 | 2019-11-19 |
| 1336557784 | Anna Fukunaga | Specialist/Technologist | Pacific Lutheran University, Department of Athletics, Tacoma, WA 98447-0001 | 2014-07-29 |
| 1649415720 | Pacific Lutheran Univeristy Student Health Center | Health Maintenance Organization | Pacific Lutheran University Student Health Ctr, 12012 Park Ave South, Tacoma, WA 98447-0001 | 2008-12-03 |
| 1740442763 | Sue Ellen Weston | Dentist | 12108 Pacific Ave S G 10, Tacoma, WA 98447-0001 | 2008-07-01 |
| 1235356585 | Laurie M Rogers | Physician Assistant | Pacific Lutheran University Student Heatlh Ctr, Tacoma, WA 98447-0001 | 2007-04-19 |
| 1962627232 | Susana Doll | Student in an Organized Health Care Education/Training Program | 12108 Park Ave, Tacoma, WA 98447-0001 | 2007-04-13 |
| Find all providers in zip 98447 | ||||
| Taxonomy Code | 261QS1000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Student Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770557290 | University of Puget Sound | Clinic/Center | 1500 N Warner St, Cmb 1035, Tacoma, WA 98416-5000 | 2006-02-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912242769 | Whitman Middle School | Clinic/Center | 9201 15th Ave Nw, Seattle, WA 98117-2336 | 2012-12-05 |
| 1720313026 | Student Health Options | Clinic/Center | 534 S 3rd Ave, Suite 16, Walla Walla, WA 99362-3177 | 2009-10-05 |
| 1114040755 | Childhaven - Gogerty Branch | Clinic/Center | 1345 22nd St Ne, Auburn, WA 98002-3442 | 2007-04-09 |
| 1457474090 | Childhaven - Lake City | Clinic/Center | 2350 Ne 95th St, Seattle, WA 98115-2433 | 2007-04-09 |
| 1245353887 | Childhaven - Creekmore Branch | Clinic/Center | 1035 Sw 124th St, Seattle, WA 98146-2746 | 2007-04-09 |
| 1629048848 | Wwu Campus Health & Wellness | Clinic/Center | 133 S College Ave, Suite 101, College Place, WA 99324-1193 | 2006-01-23 |
| 1114195898 | The Evergreen State College | Clinic/Center | 2700 Evergreen Pkwy Nw, Seminar 1 2110, Olympia, WA 98505-0005 | 2008-02-14 |
| 1346464294 | Childhaven - Broadway Branch | Clinic/Center | 316 Broadway, Seattle, WA 98122-5325 | 2007-04-12 |
| 1326262452 | Western Washington University Student Health Center | Clinic/Center | 516 High St, Ms 9132, Bellingham, WA 98225-5946 | 2007-04-12 |
| 1841322252 | Seattle Children's Hospital | Clinic/Center | 2101 E Yesler Way, Suite 100, Seattle, WA 98122-5959 | 2007-03-12 |
| Find all providers with the same taxonomy | ||||
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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.