MARDELL C RICHMOND (NPI# 1972571172) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972571172 |
| Entity Type | Individual |
| Full Name | MARDELL C RICHMOND |
| Credential | ARNP |
| Practice Address |
939 Caroline St Port Angeles WA 98362-3909 |
| Practice Telephone | 3604177000 |
| Mailing Telephone | 3604177000 |
| Enumeration Date | 2006-03-14 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | AP30004046 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| RAILROAD MEDICARE | P00024604 | 01 | |
| REGENCE BLUE SHIELD RIDER | 1709RI | 01 | |
| WA | 9634247 | 05 |
| Street Address |
939 CAROLINE ST |
| City | PORT ANGELES |
| State | WA |
| Zip Code | 98362-3909 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295739829 | Pamela J Bundy | Anesthesiology | 939 Caroline St, Port Angeles, WA 98362-3909 | 2005-06-10 |
| 1508463902 | Amy Kalisek | Nurse Practitioner | 939 Caroline St, Port Angeles, WA 98362-3997 | 2020-10-08 |
| 1376155721 | Tierra Renee Thompson | Social Worker | 939 Caroline St, Port Angeles, WA 98362-3909 | 2020-08-18 |
| 1194344333 | Kassandra Simmons Yager | Nurse Practitioner | 939 Caroline St, Port Angeles, WA 98362-3909 | 2020-04-08 |
| 1285286534 | Trevor Jackman | Physician Assistant | 939 Caroline St, Port Angeles, WA 98362-3997 | 2019-07-16 |
| 1295391357 | Kelly Michelle Mann | Nurse Practitioner | 939 Caroline St, Port Angeles, WA 98362-3997 | 2019-05-14 |
| 1023580461 | Fallon Ann Clancy | Physician Assistant | 939 Caroline St, Port Angeles, WA 98362-3997 | 2018-12-26 |
| 1548740210 | King County Public Hospital District No. 2 | Neurological Surgery | 939 Caroline St, Port Angeles, WA 98362 | 2018-08-21 |
| 1619460185 | Emily Allison Allen | Speech-Language Pathologist | 939 Caroline St, Port Angeles, WA 98362-3997 | 2018-06-10 |
| 1093215121 | Elizabeth Schuerman | Dietitian, Registered | 939 Caroline St, Port Angeles, WA 98362-3909 | 2018-02-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831735778 | Jayme Marie Williams | Technician | 518 S. Liberty St., Port Angeles, WA 98362 | 2019-11-26 |
| 1780229559 | Barbara Amsler Nutrition, Pllc | Dietitian, Registered | 320 E. 5th St., Port Angeles, WA 98362 | 2019-11-15 |
| 1902315005 | Barbara Amsler | Nutritionist | 116 S. Ennis St, Port Angeles, WA 98362 | 2017-09-21 |
| 1134659667 | Janet Li Hanson | Registered Nurse | 532 South Alder Lane, Port Angeles, WA 98362 | 2017-06-18 |
| 1790220192 | Monica Kay Henry | Massage Therapist | 102 1/2 East 1st Street Suite #7, Port Angeles, WA 98362 | 2016-12-21 |
| 1124491725 | Gabrielle Carter | Naturopath | 1126 Columbia St, Port Angeles, WA 98362 | 2015-11-04 |
| 1912301185 | Danya Lyn Davis | Massage Therapist | 106 W. Lauridsen Blvd., Port Angeles, WA 98362 | 2014-10-17 |
| 1528470861 | Richard Dean Thorson | Orthopaedic Surgery | 719 S. Laurel St, Olympic Chiropractic, Port Angels, WA 98362 | 2014-05-21 |
| 1780001743 | Dr Adam Cramer Pllc | Clinic/Center | 104 W. 3rd St, Port Angeles, WA 98362 | 2014-03-27 |
| 1588089189 | Melanie Mccaughan | Counselor | 933 E First St, Port Angeles, WA 98362 | 2014-02-19 |
| Find all providers in zip 98362 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720084676 | Linda Susan Dahl | Nurse Practitioner | 923 Georgiana St, Port Angeles, WA 98362-3911 | 2005-06-24 |
| 1508463902 | Amy Kalisek | Nurse Practitioner | 939 Caroline St, Port Angeles, WA 98362-3997 | 2020-10-08 |
| 1174145494 | Kim M Weber | Nurse Practitioner | 907 Georgiana St, Port Angeles, WA 98362-3911 | 2020-05-08 |
| 1194344333 | Kassandra Simmons Yager | Nurse Practitioner | 939 Caroline St, Port Angeles, WA 98362-3909 | 2020-04-08 |
| 1366001406 | Emilie Kuster | Nurse Practitioner | 433 E 8th St, Port Angeles, WA 98362-6219 | 2019-06-12 |
| 1295391357 | Kelly Michelle Mann | Nurse Practitioner | 939 Caroline St, Port Angeles, WA 98362-3997 | 2019-05-14 |
| 1376045658 | Denise Renee Durian | Nurse Practitioner | 907 Georgiana St, Port Angeles, WA 98362 | 2018-03-02 |
| 1043722523 | Sophia Felder | Nurse Practitioner | 907 Georgiana St, Port Angeles, WA 98362-3911 | 2017-10-24 |
| 1386051662 | Michael Edward Mcguire | Nurse Practitioner | 907 Georgiana St, Port Angeles, WA 98362-3911 | 2014-07-17 |
| 1295916351 | Lynda Minor | Nurse Practitioner | 939 Caroline St, Olympic Medical Center, Port Angeles, WA 98362-3909 | 2007-11-16 |
| Find all providers in PORT ANGELES | ||||
| City | PORT ANGELES |
| Zip Code | 98362 |
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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.