SARAH LEE DEVERA BOLANOS (NPI# 1598253338) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1598253338 |
Entity Type | Individual |
Full Name | SARAH LEE DEVERA BOLANOS |
Credential | REGISTERED NURSE |
Practice Address |
9040 Jackson Ave Attn: Mchj-clq-c Tacoma WA 98431-0001 |
Mailing Address |
11612 185th Street Ct E Puyallup WA 98374-6464 |
Practice Telephone | 2539681110 |
Mailing Telephone | 9519025351 |
Enumeration Date | 2018-04-26 |
Last Update Date | 2018-04-26 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 163WP2201X |
Registered Nurse Specialization: Ambulatory Care |
60538566 | WA | Nursing Service Providers |
Street Address |
9040 JACKSON AVE ATTN: MCHJ-CLQ-C |
City | TACOMA |
State | WA |
Zip Code | 98431-0001 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740547215 | Ashley Marie Burrill | Pharmacist | 9040 Jackson Ave Attn: Mchj-clq-c, Tacoma, WA 98431-1100 | 2012-04-20 |
1134729155 | Kristy Nicole Dalrymple | Technician/Technologist | 9040 Jackson Ave Attn: Mchj-clq-c, Tacoma, WA 98431-0001 | 2020-10-28 |
1962063818 | Alyssa Haley Sue Schumacher | Licensed Practical Nurse | 9040 Jackson Ave Attn: Mchj-clq-c, Tacoma, WA 98431-1100 | 2019-06-21 |
1144881103 | Amanda Elftman | Registered Nurse | 9040 Jackson Ave Attn: Mchj-clq-c, Tacoma, WA 98431-0001 | 2019-06-20 |
1679131197 | Lindsey Mariah Wood | Registered Nurse | 9040 Jackson Ave Attn: Mchj-clq-c, Tacoma, WA 98431-1100 | 2019-05-30 |
1215594833 | Natalia Vladinova | Radiology | 9040 Jackson Ave Attn: Mchj-clq-c, Tacoma, WA 98431-0001 | 2019-05-20 |
1629632617 | Karen Fagerstrom | Registered Nurse | 9040 Jackson Ave Attn: Mchj-clq-c, Tacoma, WA 98431-1100 | 2019-04-25 |
1548824360 | Rebecca A Franklin | Registered Nurse | 9040 Jackson Ave Attn: Mchj-clq-c, Tacoma, WA 98431-1100 | 2019-04-18 |
1134782709 | Marjorie Delos Reyes | Registered Nurse | 9040 Jackson Ave Attn: Mchj-clq-c, Tacoma, WA 98431-1100 | 2019-04-18 |
1891358578 | Natalie Rea Robbins | Registered Nurse | 9040 Jackson Ave Attn: Mchj-clq-c, Tacoma, WA 98431-0001 | 2019-04-17 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497212260 | Catrina Renee Grugin | Registered Nurse | Madigan Army Medical Center, Attn Mchj-clq-c, 9040 Jackson Ave, Tacoma, WA 98431 | 2019-02-27 |
1801307681 | Bianca Gomez | Dental Assistant | Bldg 9900 Lincoln Street, Jblm, WA 98431 | 2017-10-19 |
1184133225 | Darren Paris | Registered Nurse | Madigan Army Medical Center 9040 Jackson Ave., Attn: Mchj-clq-c, Tacoma, WA 98431 | 2017-09-20 |
1922538206 | Sarah Frerichs | Dentist | Madigan Annex, Second Floor, Bldg. 9900, Apo, AA 98431 | 2017-06-19 |
1740736495 | Misty Hill | Dental Assistant | 9119 Mill Park Ave, Tacoma, WA 98431 | 2016-08-31 |
1336695535 | Jacqueline D Massouda | Dentist | Jblm Dentac, 9900 Lincoln Sreet, 2nd Floor, Apo, AA 98431 | 2016-08-28 |
1609239375 | Gregg V Palmer | Licensed Practical Nurse | 17th and C Street, Bldg 11582, Tacoma, WA 98431 | 2016-03-31 |
1114323904 | Deanna Sheets | Nurse Practitioner | 911 Mil Park Ave, Tacoma, WA 98431 | 2014-11-06 |
1679905434 | Austin William Schaar | Dentist | Building 9900, 2nd Floor, Tacoma, WA 98431 | 2013-08-05 |
1518209758 | Maurice Ibrahim Khayat | Internal Medicine | 9040 Jackson Ave Mche-qd (creds), Tacoma, WA 98431 | 2013-03-26 |
Find all providers in zip 98431 |
Taxonomy Code | 163WP2201X |
Grouping | Nursing Service Providers |
Classification | Registered Nurse |
Specialization | Ambulatory Care |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1659992063 | Kimberly Willis Field | Registered Nurse | 3124 S 19th St Ste 200, Tacoma, WA 98405-2433 | 2020-04-27 |
1114381241 | Rosemary P Thomas | Registered Nurse | Building 13815 Corner F & 8th St, Scmh1 555en/ 17 Fab, Tacoma, WA 98433 | 2016-04-05 |
1194809244 | Velda June Miller | Registered Nurse | Department of Veteran's Affairs Puget Sound Health Car, American Lake Division, Tacoma, WA 98493-5000 | 2006-10-25 |
1134575533 | Lauren Huntoon | Registered Nurse | Madigan Army Medical Center 9040 Jackson Ave, Attn: Mchj-clq-c, Tacoma, WA 98431-1100 | 2016-05-04 |
1558441345 | M Pamela Alexander | Registered Nurse | Puget Sound Health Care System, American Lake Division, Tacoma, WA 98493-5000 | 2006-10-16 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720696024 | Anne Louise Turner Montgomery | Registered Nurse | 200 W Galer St, Seattle, WA 98119-3332 | 2020-07-22 |
1457831570 | Cynthia P. Acob | Registered Nurse | 19686 Rosebud Pl Ne, Poulsbo, WA 98370-8547 | 2018-08-17 |
1366941007 | Cynthia Rene Nathan | Registered Nurse | 3306 Se Penguin Ln, Port Orchard, WA 98367-9583 | 2018-02-08 |
1558879650 | Jennifer Lee Havlin | Registered Nurse | 400 23rd Ave # 102, Seattle, WA 98122-6025 | 2018-01-11 |
1841711868 | Deborah Annette Burzynski | Registered Nurse | 1057 12th Avenue, Longview, WA 98632 | 2017-06-29 |
1134549496 | Wendy Ohme | Registered Nurse | 13510 N Bruce Rd, Mead, WA 99021-9764 | 2014-04-24 |
1780002667 | Sharen Patterson | Registered Nurse | 8807 E Knox Ave, Spokane Valley, WA 99212-2315 | 2014-03-28 |
1194075382 | Sadie Vernell Cano | Registered Nurse | 19 Lakes St., Nespelem, WA 99155-0071 | 2012-09-14 |
1659568640 | Marcia A Meeks | Registered Nurse | 1320 W Bellwood Dr, Spokane, WA 99218-2911 | 2007-10-03 |
1588701858 | Kathleen A Ames | Registered Nurse | 6203 Agency Loop Rd., Welllpinit, WA 99040 | 2007-01-30 |
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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.