BETTY J WHITE (NPI# 1093792285) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093792285 |
| Entity Type | Individual |
| Full Name | BETTY J WHITE |
| Other Name | BETTY J CRAIG |
| Credential | ARNP |
| Practice Address |
1519 3rd St Se Ste 230 Puyallup WA 98372 |
| Mailing Address |
2202 S Cedar St Ste 330 Tacoma WA 98405-2318 |
| Practice Telephone | 2538418640 |
| Practice Fax Number | 5838417645 |
| Mailing Telephone | 2535032508 |
| Enumeration Date | 2005-12-28 |
| Last Update Date | 2020-03-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
RN00115014 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
AP30006706 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
AP30006706 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 1002270 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2202 S Cedar St, Ste 330, Tacoma, WA 984052318 | 2535032547 | 2535032552 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396709598 | Betty W White | Nurse Practitioner | 100 Spaulding Rd Ste 1, Marion, NC 28752-5116 | 2006-04-14 |
| 1851807606 | Betty Kathryn White | Behavior Technician | 6605 W Central Ave, Toledo, OH 43617-1000 | 2017-12-15 |
| 1912237256 | Betty J White | Pharmacist | 2702 N Argonne Rd, Millwood, WA 99212-2305 | 2010-01-09 |
| Street Address |
1519 3RD ST SE STE 230 |
| City | PUYALLUP |
| State | WA |
| Zip Code | 98372 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669708277 | Elizabeth Rose Abecassis | Physician Assistant | 1519 3rd St Se Ste 230, Puyallup, WA 98372-3742 | 2009-11-02 |
| 1194991570 | Gabriela M Vargas | Surgery | 1519 3rd St Se Ste 230, Puyallup, WA 98372-3742 | 2008-05-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295371532 | Jeffrey Allen Zhan | Urology | Good Samaritan Medical Office Bldg 1450 5th St Se, Suite 2100- Urology Clinic, Puyallup, WA 98372 | 2019-11-21 |
| 1447811419 | Serenity Counseling & Consulting, LLC | Marriage & Family Therapist | 102 23rd St Se, Unit B, Puyallup, WA 98372 | 2019-06-21 |
| 1316401565 | Katherine Juarez Davidson | Nurse Practitioner | 325 E Pioneer # A145, Puyallup, WA 98372 | 2019-01-22 |
| 1679041404 | Cara Ann Lundin | Nurse Practitioner | 11926 43rd St Crt E, Edgewood, WA 98372 | 2018-11-09 |
| 1104392109 | Megan Black | Occupational Therapist | 40 29th St Ne, Puyallup, WA 98372 | 2018-10-17 |
| 1063919470 | Myriah Shekinah Olakpe | Occupational Therapist | 516 Se 23rd Ave, Puyallup, WA 98372 | 2018-04-11 |
| 1902330202 | Tyler Girdler | Student in an Organized Health Care Education/Training Program | 1322 3rd Street Se Suite 240, Puyallup, WA 98372 | 2017-04-13 |
| 1770039471 | Mahalakshmi Hariharan | Pharmacist | 2117 28th St Se, Puyallup, WA 98372 | 2016-09-01 |
| 1801241112 | Nawazish Ali | Internal Medicine | 401 15th Ave Se Multicare God Samartian Hopsital, Puyallup, WA 98372 | 2016-04-25 |
| 1932567559 | Denice L. Voss | Physical Therapist | 400 29th St. Ne, Puyallup, WA 98372 | 2016-02-10 |
| Find all providers in zip 98372 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528526829 | Rachel Elizabeth Westman | Nurse Practitioner | 2913 5th Ave Ne Ste 101, Puyallup, WA 98372-6748 | 2019-03-05 |
| 1154723807 | Lisa M Austin | Nurse Practitioner | 400 15th Ave Se, Puyallup, WA 98372-3750 | 2014-09-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861008716 | Matthew M. Hesse | Nurse Practitioner | 202 62nd Ave Ne, Tacoma, WA 98422-4018 | 2020-09-16 |
| 1770198400 | Irene Wambui Kamau | Nurse Practitioner | 36244 23rd Pl S, Federal Way, WA 98003-8369 | 2020-09-10 |
| 1841835782 | Toni M Keel | Nurse Practitioner | 11120 Ne 33rd Pl Ste 202, Bellevue, WA 98004-1444 | 2019-11-14 |
| 1821642026 | Elizabeth Nicole Firmin | Nurse Practitioner | 317 Ne Thornton Pl, Seattle, WA 98125-8020 | 2019-07-26 |
| 1841852043 | Mariana S Neeway | Nurse Practitioner | 112 Columbia Point Dr Ste 101, Richland, WA 99352-4390 | 2019-07-08 |
| 1023575172 | Amber Elexis Marsh | Nurse Practitioner | 1100 Goethals Dr Ste E2nd, Richland, WA 99352-3300 | 2019-02-25 |
| 1235696568 | Premier Diabetes Care, Pllc | Nurse Practitioner | 6101 123rd Ave Se Unit B, Snohomish, WA 98290-5694 | 2019-02-22 |
| 1679041404 | Cara Ann Lundin | Nurse Practitioner | 11926 43rd St Crt E, Edgewood, WA 98372 | 2018-11-09 |
| 1518434158 | Deborah Christine Tillman | Nurse Practitioner | 1064 Sommerville Rd., Chimacum, WA 98325 | 2018-11-01 |
| 1376038281 | Sharon Renay Christor | Nurse Practitioner | 19160 Front St. Ne, Poulsbo, WA 98370 | 2018-06-25 |
| Find all providers with the same taxonomy | ||||
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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.