WOMEN'S MOBILE MEDICAL. LLC (NPI# 1871190835) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871190835 |
| Entity Type | Organization |
| Organization Name | WOMEN'S MOBILE MEDICAL. LLC |
| Practice Address |
701 E 49th St Tacoma WA 98404-2025 |
| Practice Telephone | 2533808905 |
| Mailing Telephone | 2533808905 |
| Enumeration Date | 2020-10-02 |
| Last Update Date | 2020-10-22 |
| Authorized Official Name | JESSICA MICHELLE KIRKWOOD (ARNP) |
| Authorized Official Telephone | 2533808905 |
| Authorized Official Credential | MSN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LW0102X |
Nurse Practitioner Specialization: Women's Health |
Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 2135058 | 05 |
| Other Name | Type Code |
|---|---|
| Women's Mobile Medical; WMM | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | WOMEN'S MOBILE MEDICAL, LLC | 701 E 49th St, Tacoma, WA 98404-2025 |
| Street Address |
701 E 49TH ST |
| City | TACOMA |
| State | WA |
| Zip Code | 98404-2025 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386169829 | Brianna Lee Brown | Nurse's Aide | 1020 South 76th Street, Tacoma, WA 98404 | 2017-08-05 |
| 1770981045 | Tra My Thi Nguyen | Pharmacist | 4614 E N St, Tacoma, WA 98404 | 2014-12-18 |
| 1720419161 | Amber Gilderoy | Massage Therapist | 1101 E 56th St, Tacoma, WA 98404 | 2013-12-11 |
| 1295083756 | Stacy Marie Klontz | Physical Therapy Assistant | 1649 East 72nd St., Tacoma, WA 98404 | 2012-08-15 |
| 1215239892 | Kimberly Ida Sterling | Dental Hygienist | 247 E. 68th St., Tacoma, WA 98404 | 2010-12-02 |
| 1982923926 | Emily C Parry | Occupational Therapy Assistant | 1649 East 72nd Street, Tacoma, WA 98404 | 2010-05-28 |
| 1427386465 | Carole Lynne Hopkins | Physical Therapist | 1649 East 72nd St, Tacoma, WA 98404 | 2009-12-03 |
| 1417016056 | Jennifer Anne Decoteau | Social Worker | 2209 East 32nd St, Tacoma, WA 98404 | 2006-12-08 |
| 1518032374 | Agnes Barbara Kocsis | Psychiatry & Neurology | 2209 E.32nd Str, Tacoma, WA 98404 | 2006-11-21 |
| 1912924366 | Marthe Butzen | Physician Assistant | 1708 E. 44th Street, Tacoma, WA 98404 | 2006-07-15 |
| Find all providers in zip 98404 | ||||
| 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 |
|---|---|---|---|---|
| 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 |
| 1821176058 | Lisa Patricia Pepperdine | Nurse Practitioner | 813 Martin Luther King Jr Way, Tacoma, WA 98405-4147 | 2006-11-02 |
| 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.