MS. ANGELA KAY SHRADER (NPI# 1821332768) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821332768 |
| Entity Type | Individual |
| Full Name | MS. ANGELA KAY SHRADER |
| Credential | PMHNP |
| Practice Address |
Madigan Army Medical Ctr 9040 Reid Street, Attn: Mchj-clq-c Tacoma WA 98431-1100 |
| Practice Telephone | 2539682252 |
| Practice Fax Number | 2539683278 |
| Mailing Telephone | 2539682252 |
| Mailing Fax Number | 2539683278 |
| Enumeration Date | 2012-11-15 |
| Last Update Date | 2015-09-16 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163WP0808X |
Registered Nurse Specialization: Psych/Mental Health |
RN60588645 | WA | Nursing Service Providers |
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
AP60589959 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
MADIGAN ARMY MEDICAL CTR 9040 REID STREET, ATTN: MCHJ-CLQ-C |
| City | TACOMA |
| State | WA |
| Zip Code | 98431-1100 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033114954 | Larry E Witham | Physician Assistant | Madigan Army Medical Ctr, 9040a Reid Street, Tacoma, WA 98431-1100 | 2005-06-16 |
| 1417483512 | Carah Labrier | Emergency Medical Technician, Basic | Madigan Army Medical Ctr, 9040 Jackson Aveunue, Tacoma, WA 98431-0001 | 2017-05-10 |
| 1396270823 | Cherise Janen Hartman | Pharmacy Technician | Madigan Army Medical Ctr, 9040 Jackson Ave Attn: Mchj-clq-c, Tacoma, WA 98431-1100 | 2017-04-21 |
| 1356876924 | Joseph Durso | Student in an Organized Health Care Education/Training Program | Madigan Army Medical Ctr, 9040 Jackson Avenue, Tacoma, WA 98431-0001 | 2017-04-20 |
| 1891228474 | Alfonso David Bernal-stevens | Emergency Medical Technician, Basic | Madigan Army Medical Ctr, 9040 Jackson Ave, Attn Mchj-clq-c, Tacoma, WA 98431-1100 | 2017-04-10 |
| 1730612573 | Tifani Mcgovern | Registered Nurse | Madigan Army Medical Ctr, 9040 Jackson Ave Attn: Mchj-clq-c, Tacoma, WA 98431-0001 | 2017-04-08 |
| 1770024184 | Susan Marie Beale | Licensed Practical Nurse | Madigan Army Medical Ctr, 9040 Jackson Ave, Attn: Mchj-clq-c, Tacoma, WA 98431-1100 | 2017-03-17 |
| 1417498957 | Danielle Jones | Pharmacy Technician | Madigan Army Medical Ctr, 9040 Jackson Ave. Attn: Mchj-clq-c, Tacoma, WA 98431-1100 | 2017-03-16 |
| 1962943514 | Edwin Pampo | Registered Nurse | Madigan Army Medical Ctr, 9040 Jackson Ave Attn: Mchj-clq-c, Tacoma, WA 98431-1100 | 2017-03-15 |
| 1497296578 | Margie Ayala | Technician, Pathology | Madigan Army Medical Ctr, 9040 Jackson Ave Attn: Mchj-clq-c, Tacoma, WA 98431-1100 | 2017-03-09 |
| Find all providers in the same location | ||||
| 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 | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699286336 | Annabelle T Vo | Nurse Practitioner | 3716 Pacific Ave Ste E, Tacoma, WA 98418-7836 | 2017-10-20 |
| 1114454667 | Uchenna Akukalia | Nurse Practitioner | 9040 Jackson Avenue Tacoma Wa 98431, Tacoma, WA 98431-0001 | 2017-05-15 |
| 1023569381 | Marisa Bell | Nurse Practitioner | 401 Broadway Ste 100, Tacoma, WA 98402-3900 | 2016-10-20 |
| 1225440019 | Understand Balance Mental Health Care | Nurse Practitioner | 720 6th Ave Apt 101, Tacoma, WA 98405-4661 | 2014-05-28 |
| 1053746867 | Robert Kopec | Nurse Practitioner | 5702 N 26th St Ste 1a, Tacoma, WA 98407-2406 | 2013-09-11 |
| 1093834350 | Viridian Associates, LLC | Nurse Practitioner | 707 Pacific Ave, Tacoma, WA 98402-5207 | 2007-03-28 |
| 1790831055 | Christine Karczewski | Nurse Practitioner | 9 St Helens Ave, Level B, Tacoma, WA 98402-2600 | 2007-01-26 |
| 1689725376 | Nancy Corley-wheeler | Nurse Practitioner | 608 S G Street, Tacoma, WA 98405-4625 | 2007-01-16 |
| 1366459489 | Tanya Laplant | Nurse Practitioner | 5410 N 44th St, Tacoma, WA 98407-3715 | 2006-08-02 |
| 1710505029 | Amity Tucker | Nurse Practitioner | 5702 N 26th St Ste A, Tacoma, WA 98407-2406 | 2020-07-13 |
| 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.