MARIA SOCORRO MIRANDA GANDARA (NPI# 1366625717) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366625717 |
| Entity Type | Individual |
| Full Name | MARIA SOCORRO MIRANDA GANDARA |
| Credential | FNP |
| Practice Address |
1100 Eastside St Se Olympia WA 98501-7304 |
| Mailing Address |
Capital Eastside Family Practice 1100 Eastside St Se Olympia WA 98501 |
| Practice Telephone | 3609435127 |
| Practice Fax Number | 3607542516 |
| Mailing Telephone | 3609435127 |
| Mailing Fax Number | 3607542516 |
| Enumeration Date | 2007-12-07 |
| Last Update Date | 2018-10-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | RN60231010 | WA | Nursing Service Providers |
| Y | 363L00000X | Nurse Practitioner | AP60909533 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| Madigan Army Medical Ctr, 9040 Jackson Ave, Tacoma, WA 984310001 | 2539683869 |
| Street Address |
1100 EASTSIDE ST SE |
| City | OLYMPIA |
| State | WA |
| Zip Code | 98501-7304 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427057066 | Mikael B Kautsky | Dentist | 1100 Eastside St Se, #4, Olympia, WA 98501-7304 | 2005-07-16 |
| 1942684501 | Laboratory Corporation of America | Clinical Medical Laboratory | 1100 Eastside St Se, Olympia, WA 98501-7304 | 2015-07-14 |
| 1841405982 | Ewh Inc | Nurse Practitioner | 1100 Eastside St Se, Olympia, WA 98501-7304 | 2007-05-11 |
| 1528170776 | Nancy E. Armstrong | Nurse Practitioner | 1100 Eastside St Se, Olympia, WA 98501-7304 | 2006-08-31 |
| 1205877727 | Ben D Gardner | Nurse Practitioner | 1100 Eastside St Se, Olympia, WA 98501-7304 | 2006-06-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124651880 | Marie T Bendig | Counselor | 900 Fairview St Se, #b5, Olympia, WA 98501 | 2020-02-20 |
| 1205469970 | Thurston County Fire Protection Dist 6 | Ambulance | 8047 Normandy St. Se, Olympia, WA 98501 | 2020-02-20 |
| 1134768799 | Living Sound Therapeutic Services, Pllc | Counselor | 729 Devoe St Se, Olympia, WA 98501 | 2019-12-31 |
| 1336797273 | Sea-mar Community Health Center | Dentist | 6004 Capitol Ave Sw, Tumwater, WA 98501 | 2019-09-03 |
| 1093272841 | Eye Love Pllc | Optometrist | 3409 Capitol Blvd Se, Tumwater, WA 98501 | 2019-02-28 |
| 1356815062 | Kerri Wright | Marriage & Family Therapist | 208 Lee St Sw Ste 108, Tumwater, WA 98501 | 2019-01-15 |
| 1952881161 | Paige Gautreaux | Peer Specialist | 908 5th Avenue Se, Olympia, WA 98501 | 2018-08-16 |
| 1548773997 | Carla Van Dam | Psychologist | 2620 Rw Johnson Blvd Sw Suite 204, Tumwater, WA 98501 | 2017-11-08 |
| 1528577202 | Ronald John San Nicolas | Counselor | 1011 10th Ave, Olympia, WA 98501 | 2017-09-25 |
| 1063964187 | Emily Rapesak | Pharmacist | 500 Cleveland Ave Se, Tumwater, WA 98501 | 2016-10-25 |
| Find all providers in zip 98501 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700366572 | Robert James Wright | Nurse Practitioner | 622 Meadowwood Dr Sw, Olympia, WA 98502-2677 | 2018-08-20 |
| 1881108553 | Percy Lee Lynchard IIi | Nurse Practitioner | 4001 Harrison Ave Nw Ste 101, Olympia, WA 98502-5084 | 2017-11-16 |
| 1598170904 | Altegra Health Connections, LLC | Nurse Practitioner | 505 Union Avenue Se, Suite 120, Olympia, WA 98501-1474 | 2014-06-24 |
| 1386945905 | Adrienne E Wasserman | Nurse Practitioner | 420 Mcphee Rd Sw Ste A, Olympia, WA 98502-4070 | 2010-11-12 |
| 1396054946 | Maureen Coyle Considine | Nurse Practitioner | 2617 Cain Road South East, Olympia, WA 98501 | 2010-09-30 |
| 1518281930 | Marjorie Elizabeth Miller | Nurse Practitioner | 3525 Ensign Rd Ne Ste N, Olympia, WA 98506-5065 | 2010-03-15 |
| 1366627663 | Melissa A Sarhan | Nurse Practitioner | 8338 49th Loop Se, Olympia, WA 98513-4716 | 2008-01-04 |
| 1356479448 | Maribeth E Flood | Nurse Practitioner | 2217 Capital Way South, Olympia, WA 98501 | 2007-03-01 |
| 1205980828 | Linda Sue Kellams | Nurse Practitioner | 2114 Caton Way Sw # 201, Olympia, WA 98502-1105 | 2007-01-22 |
| 1154433597 | Boney K. Mcgone | Nurse Practitioner | 155 Lilly Rd Ne Ste A, Olympia, WA 98506-5028 | 2006-08-31 |
| 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.