VA PUGET SOUND HCS, AMERICAN LAKE DIVISION (NPI# 1114351517) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114351517 |
| Entity Type | Organization |
| Organization Name | VA PUGET SOUND HCS, AMERICAN LAKE DIVISION |
| Practice Address |
9600 Veterans Dr Sw A-116-atc Tacoma WA 98493-0001 |
| Practice Telephone | 2535831139 |
| Practice Fax Number | 2535894167 |
| Mailing Telephone | 2535831139 |
| Mailing Fax Number | 2535894167 |
| Enumeration Date | 2013-08-21 |
| Last Update Date | 2013-08-21 |
| Authorized Official Name | DR. ZEBA AHMAD (STAFF PSYCHOLOGIST) |
| Authorized Official Telephone | 2535831139 |
| Authorized Official Credential | PH.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 286500000X | Military Hospital | PY 60259411 | WA | Hospitals |
| Street Address |
9600 VETERANS DR SW A-116-ATC |
| City | TACOMA |
| State | WA |
| Zip Code | 98493-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063418739 | Lyndel Cubberley | Nurse Practitioner | 9600 Veterans Dr Sw, Tacoma, WA 98493-0003 | 2005-06-27 |
| 1770182453 | Karri Vierra | Social Worker | 9600 Veterans Dr Sw, Tacoma, WA 98493-0003 | 2020-10-22 |
| 1083223788 | Brianna Bryant | Social Worker | 9600 Veterans Dr Sw, Tacoma, WA 98493-0003 | 2020-07-28 |
| 1760007066 | Kristy Mildon | Social Worker | 9600 Veterans Dr Sw, Tacoma, WA 98493-0003 | 2020-06-11 |
| 1184245789 | Malcolm Reed | Occupational Therapist | 9600 Veterans Dr Sw, Tacoma, WA 98493-0003 | 2020-05-05 |
| 1396365060 | Jordan Cannon | Audiologist | 9600 Veterans Dr Sw, Tacoma, WA 98493-0003 | 2020-04-22 |
| 1831725258 | Ashley Brown | Student in an Organized Health Care Education/Training Program | 9600 Veterans Dr Sw, Tacoma, WA 98493-0003 | 2020-03-17 |
| 1942833645 | Ashley Kristine Satter | Occupational Therapist | 9600 Veterans Dr Sw, Tacoma, WA 98493-0003 | 2020-02-20 |
| 1912539081 | Shanna Jeane Rea | Recreation Therapist | 9600 Veterans Dr Sw, Tacoma, WA 98493-0003 | 2020-02-06 |
| 1104465251 | Tyler Ritsema | Specialist/Technologist | 9600 Veterans Dr Sw, Tacoma, WA 98493-0003 | 2020-01-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508389032 | Alina Pechko | Optometrist | 9600 Veterans Dr Sw Bldg 6, Tacoma, WA 98493 | 2017-07-17 |
| 1720372121 | Va Hospital American Lake | Rehabilitation Hospital | 9600 Veterans Dr., Lakewood, WA 98493 | 2011-06-02 |
| 1326290305 | Margaret Elizabeth Johnston-grysho | Social Worker | 9600 Veterans Dr Sw Bldg 148, Tacoma, WA 98493 | 2008-10-21 |
| 1811195126 | Jerry J Thomas | Psychiatry & Neurology | Va Puget Sound Health Care System, American Lake Divisi, 9600 Veterans Drive Southwest, Buidling 61, Tacoma, WA 98493 | 2007-07-08 |
| 1043372873 | Tomi Thompson Dominguez | Social Worker | 9600 Veteran's Drive Sw Bldg 61 Room 136, Puget Sound Va- American Lake Division, Tacoma, WA 98493 | 2006-12-15 |
| 1669555397 | Amor G Carethers | Registered Nurse | Va Puget Sound Anerican Lake Division, 9600 Veterans Drive, Lake Wood, WA 98493 | 2006-10-24 |
| 1295818144 | Kimha Thi Vu | Registered Nurse | 9600 Veteran Dr., Lakewood, WA 98493 | 2006-10-23 |
| 1952496226 | Cathy Ann Sorem | Registered Nurse | 9600 Veterans Drive A116-r, Bldg. 61a, Room 123, Tacoma, WA 98493 | 2006-10-04 |
| 1831285527 | Ann Christine Uppenberg-liedtke | Nurse Practitioner | Puget Sound Health Care Systems, American Lake, 9600 Veterans Drive, Tacoma, WA 98493 | 2006-10-04 |
| 1972695948 | Charlene Howard | Social Worker | 9600 Veteran Drive, Tacoma, WA 98493 | 2006-09-28 |
| Find all providers in zip 98493 | ||||
| Taxonomy Code | 286500000X |
| Grouping | Hospitals |
| Classification | Military Hospital |
| A health care facility operated by the Department of Defense. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932406584 | Madigan Army Medical Center | Military Hospital | Bldg 2008b 3rd Avenue N, Tacoma, WA 98431-0001 | 2011-02-17 |
| 1740421460 | Madigan Army Medical Center | Military Hospital | Mamc Dept of Psychology, Bldg 9040 Fitzsimmons Drive, Tacoma, WA 98431-0001 | 2009-03-09 |
| 1336310267 | Madigan Army Medical Center | Military Hospital | Bldg 9040, Fitzsimmons Drive, Tacoma, WA 98431-0001 | 2008-03-19 |
| 1548387459 | John Charles Norbeck | Military Hospital | 11621 55th Ave Sw, Tacoma, WA 98499-4901 | 2007-03-24 |
| 1427152826 | Dept of Veteran Affairs | Military Hospital | Puget Sound Hc System, American Lake Division, Tacoma, WA 98493-5000 | 2006-09-07 |
| 1437126562 | Army Community Health Nursing/madigan Army Medical Center | Military Hospital | 2120 S 48th St, Room 106, Tacoma, WA 98409-7152 | 2006-03-07 |
| 1346608924 | Madigan Army Medical Center | Military Hospital | Madigan Army Medical Ctr, 9040 Reid Street, Attn: Mchj-clq-c, Tacoma, WA 98431-1100 | 2016-02-10 |
| 1235514597 | Jason Thomas Brzuchalski | Military Hospital | 9040 Jackson Ave, Tacoma, WA 98431-0001 | 2015-07-28 |
| 1912298274 | Madigan Army Medical Center | Military Hospital | Madigan Army Medical Ctr, 9040 Fitzsimmons Dr, Tacoma, WA 98431-0001 | 2011-04-21 |
| 1225292758 | Madigan Army Medical Center | Military Hospital | 9040 Reid St, Tacoma, WA 98431-1100 | 2008-07-14 |
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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.