EDWIN PAMPO (NPI# 1962943514) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962943514 |
| Entity Type | Individual |
| Full Name | EDWIN PAMPO |
| Credential | RN |
| Practice Address |
Madigan Army Medical Ctr 9040 Jackson Ave Attn: Mchj-clq-c Tacoma WA 98431-1100 |
| Mailing Address |
1191 Sea Strand Ln San Diego CA 92154-5819 |
| Practice Telephone | 2539681110 |
| Enumeration Date | 2017-03-15 |
| Last Update Date | 2017-03-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 605903 | CA | Nursing Service Providers |
| Y | 163WE0003X |
Registered Nurse Specialization: Emergency |
605903 | CA | Nursing Service Providers |
| Street Address |
MADIGAN ARMY MEDICAL CTR 9040 JACKSON AVE 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 |
| 1497296578 | Margie Ayala | Technician, Pathology | Madigan Army Medical Ctr, 9040 Jackson Ave Attn: Mchj-clq-c, Tacoma, WA 98431-1100 | 2017-03-09 |
| 1427598853 | Lori Lynn Mullen | Licensed Practical Nurse | Madigan Army Medical Ctr, 9040 Jackson Avenue (attn: Mchj-clq-c), Tacoma, WA 98431-1100 | 2017-03-04 |
| 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 | 163WE0003X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Emergency |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801279245 | Amanda Fox | Registered Nurse | Madiagan Army Medical Ctr, 9040 Reid Street, Attn: Mchj-clq-c, Tacoma, WA 98431-0001 | 2015-07-02 |
| 1831701788 | Amber Janine Spencer | Registered Nurse | 12180 Park Ave S, Tacoma, WA 98447-0001 | 2020-08-21 |
| 1215558937 | Michelle Christine Jackson | Registered Nurse | 2505 S 38th St Ste 109, Tacoma, WA 98409-7372 | 2020-05-05 |
| 1689157935 | Barbara Hewitt | Registered Nurse | Madigan Army Medical Center, 9040 Jackson Ave, Attn: Mchj-clq-c, Tacoma, WA 98431-1100 | 2018-09-12 |
| 1366949356 | Kristen Thelen | Registered Nurse | Madigan Army Medical Center 9040 Jackson Ave, Tacoma, WA 98431-0001 | 2018-04-06 |
| 1194269605 | Christine Satomi Yokoyama | Registered Nurse | Madigan Army Medical Center 9040 Jackson Ave, Attn: Mchj-clq-c, Tacoma, WA 98431-1100 | 2016-12-19 |
| 1235507898 | Brian Lancaster | Registered Nurse | 9040 Jackson Ave, Tacoma, WA 98431-0001 | 2015-09-11 |
| 1174604391 | Laura Jane Rice | Registered Nurse | 9600 Veterans Dr Sw, Tacoma, WA 98493-0003 | 2006-10-17 |
| 1336220417 | Nancy June Hoveland | Registered Nurse | 9600 Veterans Dr Sw, Tacoma, WA 98493-0003 | 2006-10-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740810381 | Leah Menucha Millman | Registered Nurse | 1515 Nw 52nd St Apt 304, Seattle, WA 98107-3840 | 2020-01-23 |
| 1790287811 | Andrew Erick Isaacson | Registered Nurse | 1314 Kimball Ave, Richland, WA 99354-3206 | 2018-03-05 |
| 1205349602 | Melissa Lee | Registered Nurse | 5512 Ne 229th Ct, Vancouver, WA 98682-9633 | 2017-11-08 |
| 1548676851 | David Albershardt | Registered Nurse | 5409 Ne 349th Ave, Camas, WA 98607-9685 | 2014-07-08 |
| 1639444961 | Tina Morrison | Registered Nurse | 3224 S Saltese Lake Rd, Greenacres, WA 99016-6012 | 2012-03-20 |
| 1578860821 | Paula Georgette Newman-skomski | Registered Nurse | 6512 57th Dr Ne, Marysville, WA 98270-6130 | 2011-02-23 |
| 1033411830 | Tanya Marie Mason | Registered Nurse | 39 Shortcut Rd, Inchelium, WA 99138 | 2010-11-30 |
| 1396983433 | Kit Wilson | Registered Nurse | 3000 Ne 4th St, Renton Technical College, Renton, WA 98056-4195 | 2009-01-28 |
| 1861667305 | Mary L Flick | Registered Nurse | 242 Monroe St, Port Townsend, WA 98368-5709 | 2008-04-25 |
| 1235743246 | Audrey K Bauer | Registered Nurse | 1959 Ne Pacific St, Seattle, WA 98195-0001 | 2020-09-07 |
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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.