ANDREW WARREN NIELSEN (NPI# 1245505858) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245505858 |
| Entity Type | Individual |
| Full Name | ANDREW WARREN NIELSEN |
| Practice Address |
9040 Fitzsimmons Dr Joint Base Lewis Mcchord WA 98431-1000 |
| Mailing Address |
8519 154th St E Puyallup WA 98375-8481 |
| Practice Telephone | 2539681110 |
| Mailing Telephone | 2532549315 |
| Enumeration Date | 2012-03-14 |
| Last Update Date | 2012-03-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093155913 | Andrew Karl Nielsen | Internal Medicine | 854 W James M Campbell Blvd Ste 403, Columbia, TN 38401-4659 | 2013-06-25 |
| 1295384014 | Andrew Justen Nielsen | Pharmacist | 153 Main St, Owego, NY 13827-1779 | 2019-09-04 |
| 1609431709 | Andrew James Nielsen | Physician Assistant | 840 E Hill Ave, Moses Lake, WA 98837-2238 | 2019-05-03 |
| 1053806703 | Andrew Nielsen | Physical Therapist | 1103 E Boxelder Rd Ste U, Gillette, WY 82718 | 2018-06-26 |
| Street Address |
9040 FITZSIMMONS DR |
| City | JOINT BASE LEWIS MCCHORD |
| State | WA |
| Zip Code | 98431-1000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902411929 | Riordan Ann Dail | Student in an Organized Health Care Education/Training Program | 9040 Fitzsimmons Dr, Joint Base Lewis Mcchord, WA 98431-1000 | 2020-09-15 |
| 1477165496 | John Anthony Poglodzinski | Student in an Organized Health Care Education/Training Program | 9040 Fitzsimmons Dr, Joint Base Lewis Mcchord, WA 98431-1000 | 2020-08-20 |
| 1225686686 | Nicholas Tommas | Student in an Organized Health Care Education/Training Program | 9040 Fitzsimmons Dr, Joint Base Lewis Mcchord, WA 98431-1000 | 2019-08-29 |
| 1902454473 | Rebecca Jane Doubet | Student in an Organized Health Care Education/Training Program | 9040 Fitzsimmons Dr, Joint Base Lewis Mcchord, WA 98431-1000 | 2019-08-28 |
| 1912467317 | Jason Lamm | Student in an Organized Health Care Education/Training Program | 9040 Fitzsimmons Dr, Joint Base Lewis Mcchord, WA 98431-1000 | 2019-03-21 |
| 1457819880 | Joseph Ryan Hitt | Student in an Organized Health Care Education/Training Program | 9040 Fitzsimmons Dr, Joint Base Lewis Mcchord, WA 98431-1000 | 2019-03-05 |
| 1528525409 | Nicole Lopez | Student in an Organized Health Care Education/Training Program | 9040 Fitzsimmons Dr, Joint Base Lewis Mcchord, WA 98431-1000 | 2019-02-27 |
| 1235695784 | Hannah Robinson | Student in an Organized Health Care Education/Training Program | 9040 Fitzsimmons Dr, Joint Base Lewis Mcchord, WA 98431-1000 | 2019-02-20 |
| 1609332428 | William E Rutan | Student in an Organized Health Care Education/Training Program | 9040 Fitzsimmons Dr, Joint Base Lewis Mcchord, WA 98431-1000 | 2019-02-17 |
| 1659837631 | Aimee Nicole Rambie | Student in an Organized Health Care Education/Training Program | 9040 Fitzsimmons Dr, Joint Base Lewis Mcchord, WA 98431-1000 | 2019-02-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497212260 | Catrina Renee Grugin | Registered Nurse | Madigan Army Medical Center, Attn Mchj-clq-c, 9040 Jackson Ave, Tacoma, WA 98431 | 2019-02-27 |
| 1801307681 | Bianca Gomez | Dental Assistant | Bldg 9900 Lincoln Street, Jblm, WA 98431 | 2017-10-19 |
| 1184133225 | Darren Paris | Registered Nurse | Madigan Army Medical Center 9040 Jackson Ave., Attn: Mchj-clq-c, Tacoma, WA 98431 | 2017-09-20 |
| 1922538206 | Sarah Frerichs | Dentist | Madigan Annex, Second Floor, Bldg. 9900, Apo, AA 98431 | 2017-06-19 |
| 1740736495 | Misty Hill | Dental Assistant | 9119 Mill Park Ave, Tacoma, WA 98431 | 2016-08-31 |
| 1336695535 | Jacqueline D Massouda | Dentist | Jblm Dentac, 9900 Lincoln Sreet, 2nd Floor, Apo, AA 98431 | 2016-08-28 |
| 1609239375 | Gregg V Palmer | Licensed Practical Nurse | 17th and C Street, Bldg 11582, Tacoma, WA 98431 | 2016-03-31 |
| 1114323904 | Deanna Sheets | Nurse Practitioner | 911 Mil Park Ave, Tacoma, WA 98431 | 2014-11-06 |
| 1679905434 | Austin William Schaar | Dentist | Building 9900, 2nd Floor, Tacoma, WA 98431 | 2013-08-05 |
| 1518209758 | Maurice Ibrahim Khayat | Internal Medicine | 9040 Jackson Ave Mche-qd (creds), Tacoma, WA 98431 | 2013-03-26 |
| Find all providers in zip 98431 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811223423 | Ryan W Webb | Physician Assistant | 9040 Jackson Ave Mchf-clq-c, Joint Base Lewis Mcchord, WA 98431-4602 | 2009-11-02 |
| 1114253887 | Kimberly Dang | Physician Assistant | C Co., 2d Bsb, 2-2 Sbct, Box 339550, Joint Base Lewis Mcchord, WA 98433-9998 | 2009-10-30 |
| 1205457900 | Yang Qu | Physician Assistant | 9040a Jackson Ave, Joint Base Lewis Mcchord, WA 98431-0001 | 2020-05-04 |
| 1326594680 | Mitchell T Marks | Physician Assistant | 9119 Mil Park Ave, Joint Base Lewis Mcchord, WA 98433 | 2016-08-28 |
| 1104286582 | Andrew Zilka | Physician Assistant | 9040a Jackson Ave, Joint Base Lewis Mcchord, WA 98431-0001 | 2016-02-29 |
| 1437589322 | Cecil Simmons | Physician Assistant | 9040a Jackson Ave, Joint Base Lewis Mcchord, WA 98431-5641 | 2013-11-14 |
| 1134555980 | Sarah K Soja | Physician Assistant | 9040 Jackson Ave, Joint Base Lewis Mcchord, WA 98431-1100 | 2013-09-24 |
| 1457604621 | Garrett S Latham | Physician Assistant | 9040 Reid St, Attn: Mchj-clq-c, Joint Base Lewis Mcchord, WA 98431-1100 | 2012-10-24 |
| 1972807063 | Rachel Lynne Sammis-falk | Physician Assistant | 9040 Fitzsimmons Dr, Madigan Army Medical Center, Joint Base Lewis Mcchord, WA 98431-1000 | 2011-01-04 |
| 1629378641 | Robin L Vargo | Physician Assistant | 690 Barnes Blvd, Joint Base Lewis Mcchord, WA 98438-1303 | 2010-10-25 |
| Find all providers in JOINT BASE LEWIS MCCHORD | ||||
| City | JOINT BASE LEWIS MCCHORD |
| Zip Code | 98431 |
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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.