DANA WYNN (NPI# 1174130017) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1174130017 |
Entity Type | Individual |
Full Name | DANA WYNN |
Credential | LPN |
Practice Address |
721 Fawcett Ave Tacoma WA 98402-5502 |
Mailing Address |
721 Fawcett Ave Ste 100 Tacoma WA 98402-5502 |
Practice Telephone | 2532029134 |
Mailing Telephone | 2532029134 |
Enumeration Date | 2020-09-24 |
Last Update Date | 2020-09-24 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 164X00000X | Licensed Vocational Nurse | LP00053118 | WA | Nursing Service Providers |
Street Address |
721 FAWCETT AVE |
City | TACOMA |
State | WA |
Zip Code | 98402-5502 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285757450 | Tacoma Detoxification Center | Substance Abuse Rehabilitation Facility | 721 Fawcett Ave, Suite 100, Tacoma, WA 98402-5502 | 2007-04-10 |
1215538194 | Autumn Runyan | Registered Nurse | 721 Fawcett Ave, Tacoma, WA 98402-5502 | 2020-11-05 |
1033716196 | Reginald Rodriquez Zanders | Counselor | 721 Fawcett Ave, Tacoma, WA 98402-5502 | 2020-10-02 |
1932716503 | Donald Peters | Case Manager/Care Coordinator | 721 Fawcett Ave, Tacoma, WA 98402-5502 | 2020-09-28 |
1891302741 | Mary Agau Mapiny | Registered Nurse | 721 Fawcett Ave, Tacoma, WA 98402-5502 | 2020-09-24 |
1437765534 | Regina Marie Harris | Case Manager/Care Coordinator | 721 Fawcett Ave, Tacoma, WA 98402-5502 | 2020-09-23 |
1801402177 | Jennifer E Geisert | Counselor | 721 Fawcett Ave, Tacoma, WA 98402-5502 | 2020-09-21 |
1023626066 | Georgina C May | Case Manager/Care Coordinator | 721 Fawcett Ave, Tacoma, WA 98402-5502 | 2020-07-15 |
1700402872 | Blase Christian Kissinger | Registered Nurse | 721 Fawcett Ave, Tacoma, WA 98402-5502 | 2020-06-24 |
1780200550 | Natascha Jackson | Case Manager/Care Coordinator | 721 Fawcett Ave, Tacoma, WA 98402-5502 | 2020-06-17 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548898638 | Cimberleigh Mclean | Social Worker | 2367 Tacoma Ave S Ofc 211, Tacoma, WA 98402 | 2020-04-01 |
1831735802 | Nickolas Justin Wise | Case Manager/Care Coordinator | 1159 Market St, Tacoma, WA 98402 | 2019-11-25 |
1841835436 | Michael Roy Bolden | Counselor | 1205 Tacoma Ave S., Suite 1205, Tacoma, WA 98402 | 2019-11-07 |
1073024980 | Megan Elizabeth Charron Mourfield | Denturist | 725 St Helens Ave S, Tacoma, WA 98402 | 2017-10-18 |
1104367937 | Janelle Santiago | Counselor | Mcdonald Smith Building 110, Uw Autism Center Tacoma, Tacoma, WA 98402 | 2017-03-13 |
1891167862 | Tanya Larson Therapy | Community/Behavioral Health | 1102 A. St., Suite 109, (suite 109), Tacoma, WA 98402 | 2015-10-29 |
1609242148 | Ashley Lorraine Dahlgren | Peer Specialist | 702 S 14th St., Tacoma, WA 98402 | 2015-08-19 |
1821416470 | Nicole Villarreal Mccormick | Acupuncturist | 711 A Ct #100, Tacoma, WA 98402 | 2014-04-01 |
1184055824 | Robyn Marie Callahan | Social Worker | 1102 A Street, Suite 202 B, Tacoma, WA 98402 | 2013-12-05 |
1679909410 | Kristin Sweet Fischer | Counselor | 708 Market St Unit 411, Tacoma, WA 98402 | 2013-09-25 |
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Taxonomy Code | 164X00000X |
Grouping | Nursing Service Providers |
Classification | Licensed Vocational Nurse |
An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. [An alternate term for licensed practical nurse arising from difference in occupational titles between states and post-high school training programs and institutions.] Requirements for education, experience, licensure, and job responsibilities vary among the states. |
Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1700432523 | Pamela Taylor | Licensed Vocational Nurse | 759 S 40th St Apt 3, Tacoma, WA 98418-4904 | 2019-08-16 |
1922525096 | Troy Mark Clark | Licensed Vocational Nurse | Madiagan Army Medical Center, 9040 Jackson Ave, Attn: Mchj-clq-c, Tacoma, WA 98431-1100 | 2017-08-29 |
1518432863 | Ryan Romero Swinson | Licensed Vocational Nurse | Madigan Army Medical Center, 9040 Jackson Ave, Attn: Mchj-clq-c, Tacoma, WA 98431-1100 | 2018-10-12 |
1679059141 | Paulina Antonia Navarro | Licensed Vocational Nurse | 9040 Jackson Ave, Attn Mchj-clq-c, Tacoma, WA 98431-0001 | 2018-07-17 |
1629575477 | Luiza Miranda Pegado | Licensed Vocational Nurse | 9040 Jackson Ave Attn: Mchj-clq-c, Tacoma, WA 98431-0001 | 2018-04-09 |
1881106615 | Carolyn Jung | Licensed Vocational Nurse | Madigan Army Medical Center 9040 Jackson Ave, Tacoma, WA 98431-0001 | 2017-11-02 |
1982137030 | Ashley Fletcher | Licensed Vocational Nurse | 9040 Jackson Ave, Attn: Mchj-clq-c, Tacoma, WA 98431-1100 | 2017-04-05 |
1760933824 | Cristopher Ayala | Licensed Vocational Nurse | Madigan Army Medical Ctr, 9040 Jackson Ave., Tacoma, WA 98431-1100 | 2016-10-24 |
1215383294 | Jasmine Mcgee-crawford | Licensed Vocational Nurse | 9040 Jackson Ave, Tacoma, WA 98387-4154 | 2016-05-10 |
1518313972 | John Joel Condez | Licensed Vocational Nurse | Madigan Army Medical Center 9040 Jackson Ave, Attn: Mchj-clq-c, Tacoma, WA 98431-1100 | 2016-05-04 |
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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.