DR. WENDY FAIRALL (NPI# 1073049706) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073049706 |
| Entity Type | Individual |
| Full Name | DR. WENDY FAIRALL |
| Credential | ARNP |
| Practice Address |
3516 12th Ave Ne Olympia WA 98506-5218 |
| Practice Telephone | 3604561600 |
| Mailing Telephone | 3604561600 |
| Enumeration Date | 2017-05-01 |
| Last Update Date | 2017-05-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
AP60755101 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
3516 12TH AVE NE |
| City | OLYMPIA |
| State | WA |
| Zip Code | 98506-5218 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952389140 | Beverly Jane Lirio | Pediatrics | 3516 12th Ave Ne, Olympia, WA 98506-5218 | 2006-01-06 |
| 1346775392 | Yoon Shin | Pediatrics | 3516 12th Ave Ne, Olympia, WA 98506-5218 | 2017-04-27 |
| 1578001186 | South Sound Pediatrics, Pllc | Pediatrics | 3516 12th Ave Ne, Olympia, WA 98506 | 2017-02-02 |
| 1376990028 | Kathy Tran | Pediatrics | 3516 12th Ave Ne, Olympia, WA 98506-5218 | 2016-05-23 |
| 1104172915 | Sarah Anita Lopez | Pediatrics | 3516 12th Ave Ne, Olympia, WA 98506-5218 | 2012-07-30 |
| 1295049120 | Patricia Denise Lynch | Nurse Practitioner | 3516 12th Ave Ne, Olympia, WA 98506-5218 | 2010-08-03 |
| 1366603920 | Sylvia Morales-bronner | Specialist | 3516 12th Ave Ne, Olympia, WA 98506-5218 | 2008-06-17 |
| 1699980227 | Jaime Melinda Plewa | Nurse Practitioner | 3516 12th Ave Ne, Olympia, WA 98506-5218 | 2007-05-14 |
| 1609961481 | Sara J Murdoch | Pediatrics | 3516 12th Ave Ne, Olympia, WA 98506-5218 | 2006-10-04 |
| 1114012036 | Henry L Degive | Pediatrics | 3516 12th Ave Ne, Olympia, WA 98506-5218 | 2006-10-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477185460 | Chloe Harper | Technician, Other | 3443 Lilly Rd Se, Ste B, Olympia, WA 98506 | 2020-02-07 |
| 1912543539 | Jessica Marie Radakovich | Licensed Practical Nurse | 3426 Mary Elder Rd, Olympia, WA 98506 | 2019-11-19 |
| 1669014973 | Arlene Josephine Adams | Registered Nurse | 413 Lily Rd Ne, Olympia, WA 98506 | 2019-10-09 |
| 1861999120 | Debra Delores Barker | Licensed Practical Nurse | 3710 South Bay Rd Ne, Olympia, WA 98506 | 2018-04-12 |
| 1801304431 | Michelle Warner | Nurse Practitioner | 205 Lilly Rd Ne Ste A1, Olympia, WA 98506 | 2018-01-17 |
| 1396258364 | Institute for Family Development | Community/Behavioral Health | 204 Quince St. Ne, Suite 200, Olympia, WA 98506 | 2017-11-13 |
| 1083137715 | Cameron Kunkel | Specialist/Technologist | 2512 20th Ave Ne, Olympia, WA 98506 | 2017-07-25 |
| 1184144768 | Trevor Shane Kwan | Family Medicine | 525 Lilly Road Ne, Olympia, WA 98506 | 2017-06-23 |
| 1073043212 | Michael H Harburg | Behavior Technician | 3857 Martin Way Ne, Olympia, WA 98506 | 2017-06-19 |
| 1780114371 | Priscilla Kangyang Jadu | Counselor | 3857 Martin Way E., Olympia, WA 98506 | 2017-06-15 |
| Find all providers in zip 98506 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457721987 | Maggi Hume | Nurse Practitioner | 222 Kenyon St Nw Ste 10, Olympia, WA 98502-4578 | 2015-09-26 |
| 1396301263 | Alexandra Zammit Rubel | Nurse Practitioner | 3434 12th Ave Ne, Olympia, WA 98506-5175 | 2019-05-15 |
| 1316414592 | Damon Douglas Perry | Nurse Practitioner | 3023 Pacific Ave Se, Olympia, WA 98501-2042 | 2018-10-25 |
| 1699256479 | Megan Elizabeth Cuevas | Nurse Practitioner | 1920 Black Lake Blvd Sw, Olympia, WA 98512-5651 | 2018-08-28 |
| 1316424252 | Emma Stepp | Nurse Practitioner | 3023 Pacific Ave Se, Olympia, WA 98501-2042 | 2018-07-24 |
| 1053833012 | Melissa M Covalt | Nurse Practitioner | 3023 Pacific Ave Se, Olympia, WA 98501-2042 | 2017-07-12 |
| 1396273090 | Alexandra D Schutt | Nurse Practitioner | 3023 Pacific Ave Se, Olympia, WA 98501-2042 | 2017-05-25 |
| 1013388016 | Katelin Petrin | Nurse Practitioner | 3434 12th Ave Ne, Olympia, WA 98506 | 2015-10-15 |
| 1275933350 | Erica Sarkipato | Nurse Practitioner | 3434 12th Ave Ne, Olympia, WA 98506-5175 | 2014-08-26 |
| 1699980227 | Jaime Melinda Plewa | Nurse Practitioner | 3516 12th Ave Ne, Olympia, WA 98506-5218 | 2007-05-14 |
| Find all providers in OLYMPIA | ||||
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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.