LISA PATRICIA PEPPERDINE (NPI# 1821176058) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821176058 |
| Entity Type | Individual |
| Full Name | LISA PATRICIA PEPPERDINE |
| Credential | ARNP |
| Practice Address |
813 Martin Luther King Jr Way Tacoma WA 98405-4147 |
| Mailing Address |
15014 Starr Rd Se Olalla WA 98359-9537 |
| Practice Telephone | 2537793900 |
| Practice Fax Number | 2532722718 |
| Mailing Telephone | 2538537873 |
| Enumeration Date | 2006-11-02 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LW0102X |
Nurse Practitioner Specialization: Women's Health |
AP30006753 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
813 MARTIN LUTHER KING JR WAY |
| City | TACOMA |
| State | WA |
| Zip Code | 98405-4147 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275190142 | Gwendolyn Anne Artman | Peer Specialist | 813 Martin Luther King Jr Way, Tacoma, WA 98405-4147 | 2019-05-24 |
| 1609234988 | Stephanie Wright | Counselor | 813 Martin Luther King Jr Way, Tacoma, WA 98405-4147 | 2016-02-02 |
| 1467823013 | Veronica L. Luck | Counselor | 813 Martin Luther King Jr Way, Tacoma, WA 98402-4147 | 2015-10-08 |
| 1205126448 | Tania Tiburcio | Clinical Nurse Specialist | 813 Martin Luther King Jr Way, Tacoma, WA 98405-4147 | 2011-04-08 |
| 1104980903 | Michele Lefevre Maurer | Nurse Practitioner | 813 Martin Luther King Jr Way, Tacoma, WA 98405-4147 | 2006-12-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609486026 | Joanna Christine Hope | Physician Assistant | 2502 S Union Avenue, Tacoma, WA 98405 | 2020-08-01 |
| 1467077891 | Richard Jimenez | Student in an Organized Health Care Education/Training Program | 1202 M.l.k. Jr Way Suite #310, Tacoma, WA 98405 | 2020-06-11 |
| 1669008785 | Mariana Sanchez Corona | Behavior Technician | 1901 S Union Ave Allenmore Building B, Tacoma, WA 98405 | 2020-03-20 |
| 1811534845 | Jasmine Gregory | Social Worker | 311 Martin Luther King Jr. Way, Ms:315-c2-php, Tacoma, WA 98405 | 2019-12-10 |
| 1548807506 | Holly Rebecca Brezynski | Student in an Organized Health Care Education/Training Program | Fresenius Kindney Care - Home Therapies Department, 1717 South J Street, Tacoma, WA 98405 | 2019-12-09 |
| 1972064392 | Logan Brau | Student in an Organized Health Care Education/Training Program | 1202 M.l.k. Jr Way, Tacoma, WA 98405 | 2019-03-28 |
| 1629532536 | Preferred Orthotic and Prosthetic Services Inc | Prosthetic/Orthotic Supplier | 1708 Yakima Ave Ste 60, Tacoma, WA 98405 | 2019-01-24 |
| 1669945911 | Heidi Weakley | Counselor | 1001 S Yakima Ave, Suite 5, Tacoma, WA 98405 | 2019-01-09 |
| 1972074011 | Taviance Benet Laster | Behavior Technician | 1416 S 9th St, Tacoma, WA 98405 | 2018-12-16 |
| 1336618040 | Bailey Bangerter | Physician Assistant | 1901 South Union, A-233, Tacoma, WA 98405 | 2018-11-26 |
| Find all providers in zip 98405 | ||||
| Taxonomy Code | 363LW0102X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Women's Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871190835 | Women's Mobile Medical. LLC | Nurse Practitioner | 701 E 49th St, Tacoma, WA 98404-2025 | 2020-10-02 |
| 1174008106 | Nicole Ann Bazzetta | Nurse Practitioner | 1901 S Union Ave Ste 2006, Tacoma, WA 98405-1702 | 2018-09-25 |
| 1174000178 | Emily K Ernst | Nurse Practitioner | 4525 S 19th St, Tacoma, WA 98405-1106 | 2018-07-23 |
| 1730433699 | Tara Cardinal | Nurse Practitioner | 1019 Pacific Ave Ste 300, Tacoma, WA 98402-4488 | 2012-10-30 |
| 1497726467 | Teryl A. Loendorf | Nurse Practitioner | 1515 Martin Luther King Jr Way, Tacoma, WA 98405-3933 | 2006-01-30 |
| 1790785764 | Shauna R Weatherby | Nurse Practitioner | 314 Martin Luther King Jr Way, Ste 104, Tacoma, WA 98405-4250 | 2005-07-29 |
| 1265887442 | Lauren Keyser | Nurse Practitioner | 6002 Westgate Blvd, Suite 270, Tacoma, WA 98406-2570 | 2016-04-26 |
| 1649636622 | Christina Marie Espinoza | Nurse Practitioner | 315 Mlk Jr Way, Tacoma, WA 98405 | 2016-01-06 |
| 1225479728 | Misty Michelle Molina | Nurse Practitioner | 6002 Westgate Blvd, Ste. 120, Tacoma, WA 98406-2570 | 2013-07-12 |
| 1558651760 | Malinda Mae Carlile | Nurse Practitioner | 315 Martin Luther King Jr Way, Tacoma, WA 98405-4234 | 2011-04-10 |
| Find all providers in TACOMA | ||||
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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.