SEATTLE VAMC (NPI# 1780059964) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780059964 |
| Entity Type | Organization |
| Organization Name | SEATTLE VAMC |
| Other Organization Name | TACOMA VA MOBILE CLINIC |
| Practice Address |
9600 Veterans Dr Sw Tacoma WA 98493-0003 |
| Mailing Address |
Po Box 94418 Cleveland OH 44101-4418 |
| Practice Telephone | 7023413164 |
| Mailing Telephone | 7023413164 |
| Enumeration Date | 2015-12-14 |
| Last Update Date | 2017-11-15 |
| Authorized Official Name | ERIN POTTER (NPI TEAM MEMBER) |
| Authorized Official Telephone | 2023822579 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QV0200X |
Clinic/Center Specialization: VA |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| TACOMA VA MOBILE CLINIC | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346564614 | Seattle Vamc | Clinic/Center | 151 Ne Hampe Way, Lewis County Mall, Chehalis, WA 98532-2403 | 2010-03-16 |
| 1477509933 | Seattle Vamc | Clinic/Center | 13033 Bel Red Rd, Bellevue, WA 98005-2633 | 2006-05-26 |
| 1649221375 | Seattle Vamc | Clinic/Center | 9177 Ridgetop Blvd Nw, Silverdale, WA 98383-8519 | 2006-05-15 |
| 1407498009 | Seattle Vamc | Clinic/Center | 12360 Lake City Way Ne Ste 200, Seattle, WA 98125-5447 | 2019-10-15 |
| 1255981452 | Seattle Vamc | Clinic/Center | 34617 11th Pl S Ste 301, Federal Way, WA 98003-8706 | 2019-09-19 |
| 1629485875 | Seattle Vamc | Clinic/Center | 1114 Georgiana St, Port Angeles, WA 98362-4212 | 2014-07-21 |
| 1689847345 | Seattle Vamc | Clinic/Center | 307 S 13th St, Mount Vernon, WA 98274-4100 | 2008-04-02 |
| 1770533218 | Seattle Vamc | General Acute Care Hospital | 1660 S Columbian Way, Seattle, WA 98108-1532 | 2006-05-12 |
| 1477502946 | Seattle Vamc | General Acute Care Hospital | 9600 Veterans Dr Sw, Tacoma, WA 98493-0001 | 2006-05-10 |
| 1790733285 | Seattle Vamc | Department of Veterans Affairs (VA) Pharmacy | 9600 Veterans Dr Sw, Tacoma, WA 98493-0001 | 2006-05-05 |
| Street Address |
9600 VETERANS DR SW |
| City | TACOMA |
| State | WA |
| Zip Code | 98493-0003 |
| 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 | 261QV0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | VA |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538317797 | Puget Sound Health Care System | Clinic/Center | 3205 N Shirley St, Tacoma, WA 98407-2586 | 2008-08-29 |
| 1396086476 | Veteran Affairs | Clinic/Center | 9600 Veterans Dr Sw, Tacoma, WA 98493-0001 | 2013-03-14 |
| 1134480809 | Veterans Affairs | Clinic/Center | 9600 Veterans Dr., Tacoma, WA 98498 | 2012-05-30 |
| 1427326453 | Veterans Administration | Clinic/Center | 9600 Veterans Dr Sw, Gms-a123-hbpc, Tacoma, WA 98493-0001 | 2011-12-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336567593 | Safe Bathtub Inc | Clinic/Center | 3047 Hedding St, Entiat, WA 98822-9713 | 2014-04-03 |
| 1346564614 | Seattle Vamc | Clinic/Center | 151 Ne Hampe Way, Lewis County Mall, Chehalis, WA 98532-2403 | 2010-03-16 |
| 1992745723 | Walla Walla Vamc | Clinic/Center | 717 Fruitvale Blvd, Yakima, WA 98902-1465 | 2006-06-08 |
| 1659311009 | Walla Walla Vamc | Clinic/Center | 825 Jadwin Ave, Suite 250 Federal Building 2nd Floor, Richland, WA 99352-3589 | 2006-06-07 |
| 1851348999 | Longview Va Clinic | Clinic/Center | 1801 1st Ave, Suite 4c, Longview, WA 98632-3270 | 2006-05-27 |
| 1477509933 | Seattle Vamc | Clinic/Center | 13033 Bel Red Rd, Bellevue, WA 98005-2633 | 2006-05-26 |
| 1649221375 | Seattle Vamc | Clinic/Center | 9177 Ridgetop Blvd Nw, Silverdale, WA 98383-8519 | 2006-05-15 |
| 1407498009 | Seattle Vamc | Clinic/Center | 12360 Lake City Way Ne Ste 200, Seattle, WA 98125-5447 | 2019-10-15 |
| 1255981452 | Seattle Vamc | Clinic/Center | 34617 11th Pl S Ste 301, Federal Way, WA 98003-8706 | 2019-09-19 |
| 1457890527 | Josh Hudson | Clinic/Center | 1601 E 4th Plain Blvd, Vancouver, WA 98661-3713 | 2017-02-22 |
| 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.