PAMELA SUE CHARBONEAU (NPI# 1861692170) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861692170 |
| Entity Type | Individual |
| Full Name | PAMELA SUE CHARBONEAU |
| Credential | ARNP |
| Practice Address |
1802 Yakima Ave Ste 204 Tacoma WA 98405-4499 |
| Practice Telephone | 2533833325 |
| Practice Fax Number | 2535727875 |
| Mailing Telephone | 2533833325 |
| Mailing Fax Number | 2535727875 |
| Enumeration Date | 2007-07-24 |
| Last Update Date | 2012-03-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
AP3007734 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | STATE L&I | 0289066 | 01 |
| Street Address |
1802 YAKIMA AVE STE 204 |
| City | TACOMA |
| State | WA |
| Zip Code | 98405-4499 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356346936 | James Gregory Roberts | Surgery | 1802 Yakima Ave, Ste 204, Tacoma, WA 98405-4499 | 2005-06-20 |
| 1215393111 | Catherine Rehberger | Nurse Practitioner | 1802 Yakima Ave, 102, Tacoma, WA 98405-4499 | 2016-01-07 |
| 1548665318 | Franciscan Health System | Durable Medical Equipment & Medical Supplies | 1802 Yakima Ave, Suite 201, Tacoma, WA 98405-4499 | 2014-10-23 |
| 1144652629 | Erik Daniel Kellison | Pharmacist | 1802 Yakima Ave, Suite 302, Tacoma, WA 98405-4499 | 2013-08-06 |
| 1679837868 | Ashley Kay Kauzlaric | Nurse Practitioner | 1802 Yakima Ave, Suite 302, Tacoma, WA 98405-4499 | 2012-07-02 |
| 1225398589 | Franciscan Medical Group | Internal Medicine | 1802 Yakima Ave, Suite 304, Tacoma, WA 98405-4499 | 2012-05-21 |
| 1770850570 | Sarah Jones Lahnert | Physician Assistant | 1802 Yakima Ave, Suite 302, Tacoma, WA 98405-4499 | 2011-11-22 |
| 1760768402 | Franciscan Medical Group | Surgery | 1802 Yakima Ave, Ste 204, Tacoma, WA 98405-4499 | 2011-10-26 |
| 1881989945 | Franciscan Medical Group | Internal Medicine | 1802 Yakima Ave, Ste 307, Tacoma, WA 98405-4499 | 2011-06-16 |
| 1699060756 | Franciscan Medical Group | Internal Medicine | 1802 Yakima Ave, Ste 302, Tacoma, WA 98405-4499 | 2011-06-16 |
| Find all providers in the same location | ||||
| 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 | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447875752 | Vincent Gutierrez | Nurse Practitioner | 4120 N 19th St, Tacoma, WA 98406-4718 | 2020-06-11 |
| 1386134203 | Heather J Mckinney | Nurse Practitioner | 6420 Tacoma Mall Blvd Ste 101, Tacoma, WA 98409-6722 | 2018-05-16 |
| 1427551159 | Amanda Catherine Maclurg | Nurse Practitioner | 1802 S Yakima Ave Ste 302, Tacoma, WA 98405 | 2018-03-08 |
| 1831285527 | Ann Christine Uppenberg-liedtke | Nurse Practitioner | Puget Sound Health Care Systems, American Lake, 9600 Veterans Drive, Tacoma, WA 98493 | 2006-10-04 |
| 1669001939 | Megan Elizabeth Lucciola | Nurse Practitioner | 9040 Jackson Ave, Tacoma, WA 98431-0001 | 2020-04-07 |
| 1972141216 | Dana Rae Smith | Nurse Practitioner | 1802 Yakima Ave Ste 304, Tacoma, WA 98405-5305 | 2019-12-17 |
| 1740791912 | Jessica Schwinck | Nurse Practitioner | 1720 E 67th St Ste 119, Tacoma, WA 98404-4223 | 2017-10-16 |
| 1093064081 | Mariana Klein | Nurse Practitioner | 1123 Pacific Ave, Tacoma, WA 98402-4303 | 2012-09-05 |
| 1689951550 | Audry Jean Kahlstrom | Nurse Practitioner | 1717 S J St, Tacoma, WA 98405-4933 | 2011-11-07 |
| 1205116613 | Catherine Sanders Maskell | Nurse Practitioner | 1624 S I St, Suite 102, Tacoma, WA 98405-5016 | 2011-08-17 |
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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.