LAUREL ANN STATON-SMITH (NPI# 1790160521) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790160521 |
| Entity Type | Individual |
| Full Name | LAUREL ANN STATON-SMITH |
| Credential | MN |
| Practice Address |
14406 Ne 20th Ave Vancouver WA 98686-1448 |
| Mailing Address |
4732 Sw 2nd Ave Portland OR 97239-2890 |
| Practice Telephone | 3604186001 |
| Mailing Telephone | 5208343570 |
| Enumeration Date | 2015-07-22 |
| Last Update Date | 2015-08-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 201141388RN | OR | Nursing Service Providers |
| N | 163W00000X | Registered Nurse | RN60583839 | WA | Nursing Service Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
201505797NP-PP | OR | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
AP60583470 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
14406 NE 20TH AVE |
| City | VANCOUVER |
| State | WA |
| Zip Code | 98686-1448 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700889748 | Panagiotis Fourtounis | Specialist | 14406 Ne 20th Ave, Vancouver, WA 98686-1448 | 2005-05-23 |
| 1821632944 | Aleksandra S Velychko | Dental Assistant | 14406 Ne 20th Ave, Vancouver, WA 98686-1448 | 2019-10-31 |
| 1346892759 | Rebecca Olmsted | Dental Assistant | 14406 Ne 20th Ave, Vancouver, WA 98686-1448 | 2019-07-15 |
| 1083184840 | Colleen Bernice Yoakum | Dental Hygienist | 14406 Ne 20th Ave, Vancouver, WA 98686-1448 | 2018-12-04 |
| 1649759531 | Maxwell Daniel Gruber | Student in an Organized Health Care Education/Training Program | 14406 Ne 20th Ave, Vancouver, WA 98686-1448 | 2018-08-10 |
| 1639656077 | Jeffrey Douglas Deyo | Pharmacist | 14406 Ne 20th Ave, Vancouver, WA 98686-1448 | 2018-07-27 |
| 1962994350 | Scott Shattuck | Pharmacist | 14406 Ne 20th Ave, Vancouver, WA 98686-1448 | 2018-06-01 |
| 1508318734 | Kaiser Foundation Health Plan of The Northwest | Dentist | 14406 Ne 20th Ave, Vancouver, WA 98686-1448 | 2016-11-04 |
| 1265984249 | Kaiser Foundation Health Plan of The Northwest | General Practice | 14406 Ne 20th Ave, Vancouver, WA 98686-1448 | 2016-10-26 |
| 1730576901 | Joelle Osterhaus | Social Worker | 14406 Ne 20th Ave, Vancouver, WA 98686-1448 | 2015-04-24 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154891117 | Dorota Bozena Barton | Speech-Language Pathologist | 2121 Ne 139th Street Mob A, Suite 200, Vancouver, WA 98686 | 2018-12-03 |
| 1881161818 | Michelle Wolfe | Dental Assistant | A101, 1484, 14313 Ne 20th Ave, Vancouver, WA 98686 | 2018-10-29 |
| 1306321237 | Rainier Springs Physician Group, LLC | General Practice | 2805 Ne 129th Street, Vancouver, WA 98686 | 2018-09-26 |
| 1801382387 | Kristopher K Kostenko | Dentist | 14201 Ne 20th Ave Ste A101, Vancouver, WA 98686 | 2018-07-08 |
| 1689164071 | Tegan Mills | Occupational Therapist | 7101 Ne 109th Street, Apt 64, Vancouver, WA 98686 | 2018-05-11 |
| 1164924122 | Kate Kristin Lawrence | Speech-Language Pathologist | 2215 Ne 104th St, Vancouver, WA 98686 | 2018-03-06 |
| 1437609567 | Elina Baranets | Registered Nurse | 14204 Ne Salmon Creek Avenue, Vancouver, WA 98686 | 2016-10-13 |
| 1386039550 | Sean Vikram Bhatia | Internal Medicine | Kaiser Salmon Creek, 14406 Ne 20th Ave, Vancouver, WA 98686 | 2015-04-03 |
| 1376988642 | Lindsay Hussey-andersen | Orthopaedic Surgery | 2525 Ne 139th St Ste 140, Vancouver, WA 98686 | 2013-05-01 |
| 1710253109 | Legacy Salmon Creek Hospital | Speech-Language Pathologist | 2121 Ne 139th St., Mob A, Ste 200, Vancouver, WA 98686 | 2012-03-29 |
| Find all providers in zip 98686 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942711767 | Julie B Lawrence | Nurse Practitioner | 900 Ne 139th Street, Suite 202, Vancouver, WA 98685 | 2017-10-19 |
| 1588174833 | Oliver Uy | Nurse Practitioner | 15814 Ne 72nd, Vancouver, WA 98682 | 2017-10-01 |
| 1780103549 | Rebecca Adele Rutledge | Nurse Practitioner | 10503 Ne 67th Ave, Vancouver, WA 98686-5103 | 2017-09-13 |
| 1689044182 | Moonstone Medical Group, Pllc | Nurse Practitioner | 9320 Ne Vancouver Mall Dr, Suite 103, Vancouver, WA 98662-8203 | 2015-09-28 |
| 1366821993 | Derek Simmons | Nurse Practitioner | 700 Ne 87th Ave # 260, Vancouver, WA 98664-1913 | 2015-05-28 |
| 1306155270 | Christie Anne Kratovil | Nurse Practitioner | 8614 E Mill Plain Blvd Ste 310, Vancouver, WA 98664-2058 | 2010-09-27 |
| 1780822916 | Stephanie Renee Jones | Nurse Practitioner | 406 Se 131st Ave Ste 203, Vancouver, WA 98683-4013 | 2009-01-26 |
| 1942484308 | Chrissie Collette Russell-wilson | Nurse Practitioner | 501 Se 172nd Ave Ste 130, Vancouver, WA 98684 | 2007-12-20 |
| 1093831752 | Sherrie Lee Thomas | Nurse Practitioner | Cascade Park Medical Office. 12607 Se Mill Plain Blvd, Vancouver, WA 98684-6055 | 2007-03-22 |
| 1669575692 | Debra Ann Goldstein | Nurse Practitioner | 12607 S.e. Mill Plain Blvd., Vancouver, WA 98684 | 2006-09-06 |
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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.