DR. VENITA LENA SCHANDORF (NPI# 1215499058) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215499058 |
| Entity Type | Individual |
| Full Name | DR. VENITA LENA SCHANDORF |
| Credential | DNP, ARNP, FNP-BC |
| Practice Address |
1322 3rd St Se Puyallup WA 98372-3771 |
| Practice Telephone | 2536971420 |
| Practice Fax Number | 2536971420 |
| Mailing Telephone | 2536971489 |
| Enumeration Date | 2019-04-02 |
| Last Update Date | 2019-04-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163WC0200X |
Registered Nurse Specialization: Critical Care Medicine |
RN60583522 | WA | Nursing Service Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
AP60955848 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1322 3rd St Se, Puyallup, WA 983723771 | 2536971420 | 2536971420 |
| Street Address |
1322 3RD ST SE |
| City | PUYALLUP |
| State | WA |
| Zip Code | 98372-3771 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194723973 | Long D Vu | Anesthesiology | 1322 3rd St Se, Puyallup, WA 98372-3771 | 2005-07-14 |
| 1548794613 | Aubrey Siegel | Family Medicine | 1322 3rd St Se, Suite 240, Puyallup, WA 98372-3771 | 2017-04-16 |
| 1396110185 | Rosemarie Cosgayon Cannell | Pharmacist | 1322 3rd St Se, Suite #020, Puyallup, WA 98372-3771 | 2015-12-06 |
| 1962898775 | James Pense | Family Medicine | 1322 3rd St Se, Suite 240, Puyallup, WA 98372-3771 | 2015-04-08 |
| 1083000855 | James Green | Family Medicine | 1322 3rd St Se, Suite 240, Puyallup, WA 98372 | 2015-04-08 |
| 1184062200 | Preethy Pankaj | Student in an Organized Health Care Education/Training Program | 1322 3rd St Se, Suite 240, Puyallup, WA 98372 | 2013-06-11 |
| 1003252966 | Richard Kline | Student in an Organized Health Care Education/Training Program | 1322 3rd St Se, Suite 240, Puyallup, WA 98372-3771 | 2013-05-20 |
| 1417216359 | Ryan Patrick Finn | Student in an Organized Health Care Education/Training Program | 1322 3rd St Se, Suite 240, Puyallup, WA 98372-3771 | 2012-05-13 |
| 1548526973 | Vivian Susan Lee | Emergency Medicine | 1322 3rd St Se, Suite 240, Puyallup, WA 98372-3771 | 2012-04-10 |
| 1497962831 | Puyallup Valley Pediatric Associates, P.s. | Pediatrics | 1322 3rd St Se, Suite #240, Puyallup, WA 98372-3771 | 2007-05-16 |
| Find all providers in the same location | ||||
| 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 | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306473103 | Deanna Jaye Mehlhoff | Nurse Practitioner | 18622 94th Avenue Ct E, Puyallup, WA 98375-9644 | 2020-03-24 |
| 1740824960 | Lisa A Duran | Nurse Practitioner | 2117 27th Pl Se, Puyallup, WA 98372-5145 | 2019-10-30 |
| 1467093534 | Bridgitte Sims | Nurse Practitioner | 15207 105th Avenue Ct E, Puyallup, WA 98374-9748 | 2019-09-30 |
| 1316401565 | Katherine Juarez Davidson | Nurse Practitioner | 325 E Pioneer # A145, Puyallup, WA 98372 | 2019-01-22 |
| 1174070213 | Ericka Marie Gianotto | Nurse Practitioner | 2930 S Meridian Ste 200, Puyallup, WA 98373-1654 | 2016-09-07 |
| 1174938914 | Janet Howe | Nurse Practitioner | 400 15th Ave Se Ste B, Puyallup, WA 98372-3750 | 2014-06-30 |
| 1417202656 | Jessica Anne Greb | Nurse Practitioner | 16515 Meridian E Ste 104a, Puyallup, WA 98375-6255 | 2012-07-13 |
| 1497718316 | Courtney Anne Albert | Nurse Practitioner | 11019 Canyon Rd E Ste A, Puyallup, WA 98373-3001 | 2006-04-11 |
| 1831176999 | Helene Susan Dehaan | Nurse Practitioner | 1519 3rd St Se, Suite 101, Puyallup, WA 98372-3742 | 2005-12-29 |
| 1851398739 | Denise R Cummings | Nurse Practitioner | 1002 39th Ave Sw Ste 203, Puyallup, WA 98373-3805 | 2005-07-07 |
| Find all providers in PUYALLUP | ||||
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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.